Active NPI
Saving Grace Outreach Inc.
- Community/Behavioral Health Agency
- Wilmington, NC
National Provider Identifier
1942684147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SAVING GRACE OUTREACH INC.
- Practice address
- 925 South Kerr Ave
L2, L3
Wilmington, NC 28405-4354 - Phone
- (910) 964-8051
- Fax
- (910) 401-1053
- NPI assigned
- Jul 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tony Covington
- Title
- President
- Phone
- (910) 964-8051
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
925 South Kerr Ave
L2, L3
Wilmington, NC 28405-4354
Mailing address
318 Harris Ave
Raeford, NC 28376-3110
Phone (843) 862-5451
National Provider Directory
National Provider DirectoryLocations
925 S Kerr Ave
#L2
Wilmington, NC 28403
Phone (910) 964-8051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1942684147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 HARRIS AVE",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283763110",
"telephone_number": "843-862-5451",
"fax_number": "910-401-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 SOUTH KERR AVE",
"address_2": "L2, L3",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284054354",
"telephone_number": "910-964-8051",
"fax_number": "910-401-1053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVING GRACE OUTREACH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-17",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "COVINGTON",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-964-8051"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.