Sarah'S Place

Key facts

NPI

1992910434

Entity type

Organization (NPI type 2)

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X

License

MHL-042-045 (NC)

Legal business name

SARAH'S PLACE

Practice address

9 E 6TH St
Weldon, NC 27890-1650

Phone

(252) 536-2290

Fax

(252) 536-2062

NPI assigned

May 10, 2007

Organization subpart

No

Authorized official

Name

Mrs. Goldie Lee Gilmore, BS

Title

Director

Phone

(252) 532-5554

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sarah'S Place, LLC Community/Behavioral Health Agency · Roanoke Rapids, NC · NPI 1972749745
  NPD tax ID

National Provider Directory

Tax ID family

Sarah'S Place (2 organizations share this tax ID)

Specialties & licenses

Addresses

Other names

• Sarah's Place Residential Support Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992910434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E 6TH ST",
            "city": "WELDON",
            "state": "NC",
            "postal_code": "278901650",
            "telephone_number": "252-536-2290",
            "fax_number": "252-536-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E 6TH ST",
            "city": "WELDON",
            "state": "NC",
            "postal_code": "278901650",
            "telephone_number": "252-536-2290",
            "fax_number": "252-536-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "GOLDIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-532-5554",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-042-045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarah's Place Residential Support",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Weldon, NC · Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina