Organization Active NPI

Philip Housetherapeutic Services Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1972641447
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-092-644 Issued in NC
Legal business name
PHILIP HOUSETHERAPEUTIC SERVICES INC
Practice address
5401 Orchard Pond Dr
Raleigh, NC 27616-6183
Phone
(919) 862-1929
NPI assigned
Feb 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Ms. Rosemary Njoku Anayo Njoku, BA,
Title
Ceo Administrator
Phone
(919) 395-5227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-092-644 NC Primary

Addresses

Primary practice location

5401 Orchard Pond Dr
Raleigh, NC 27616-6183

Mailing address

5801 Cherryrain CT
Raleigh, NC 27610-5586
Phone (919) 676-5840

Other identifiers 2

IdentifierTypeStateIssuer
3418243MedicaidNC
7805521MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1972641447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 CHERRYRAIN CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105586",
            "telephone_number": "919-676-5840",
            "fax_number": "919-676-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 ORCHARD POND DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166183",
            "telephone_number": "919-862-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP HOUSETHERAPEUTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "NJOKU",
        "authorized_official_first_name": "ROSEMARY NJOKU",
        "authorized_official_middle_name": "ANAYO",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "919-395-5227",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA,"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-092-644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418243",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805521",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.