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Organization Active NPI

Gerry'S Loving Hands

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Snow Hill, NC
National Provider Identifier
1942425509
Registry record updated Jun 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-040-037 Issued in NC
Legal business name
GERRY'S LOVING HANDS
Practice address
1432 Vandiford Thomas Rd
Snow Hill, NC 28580-7468
Phone
(252) 753-2912
Fax
(252) 753-2912
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dallas L. Shackleford
Title
Owner
Phone
(252) 753-2912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-040-037 NC Primary

Addresses

Primary practice location

1432 Vandiford Thomas Rd
Snow Hill, NC 28580-7468

Mailing address

1432 Vandiford Thomas Rd
Snow Hill, NC 28580-7468
Phone (252) 753-2912

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213401600000",
    "number": "1942425509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 VANDIFORD THOMAS RD",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285807468",
            "telephone_number": "252-753-2912",
            "fax_number": "252-753-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 VANDIFORD THOMAS RD",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285807468",
            "telephone_number": "252-753-2912",
            "fax_number": "252-753-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERRY'S LOVING HANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-06-14",
        "status": "A",
        "authorized_official_last_name": "SHACKLEFORD",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-753-2912",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-040-037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.