Murphy'S Outreach Community Developmental Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2018 Issued in NC

Legal business name

MURPHY'S OUTREACH COMMUNITY DEVELOPMENTAL SERVICES

Practice address

210 E 2ND St
Suite 125
Lumberton, NC 28358-5620

Phone

(910) 738-6767

Fax

(910) 345-8917

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Donta Blackwell

Title

Director of Operations

Phone

(910) 738-6767

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Outreach Home Health Services Doing business as

Tax ID family

Murphy'S Outreach Community Developmental Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Murphys Outreach Community Developmental Service

  • Home Health Agency
  • Fayetteville, NC
  • NPI 1770742306
  NPD tax ID

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1992913396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 2ND ST",
            "address_2": "SUITE 125",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585620",
            "telephone_number": "910-738-6767",
            "fax_number": "910-345-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 2ND ST",
            "address_2": "SUITE 125",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585620",
            "telephone_number": "910-738-6767",
            "fax_number": "910-345-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURPHY'S OUTREACH COMMUNITY DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "DONTA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "910-738-6767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301026B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301026",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600760",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409351",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Constance Marie Mulroy, MD
• Multispecialty Physician Services Group LLC
• Crystle Murphy, LCSW-A
• Katherine Murphy, M.A., SLP
• Tamiko Cromartie Murphy, C ADC, LCAS-A
• Farai Mutongwizo, DO
• Brian Torger Naig, O.D.
• Somnath Narayan Naik, M.D.
• Jonathan Eric Nance, D.C.
• Karen D Nance, LPC, NCC

• Home Health Agency in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.