MR. WILLIAM HARRIS


Address: 104 Sterling Rd, Jacksonville, NC 28546-8330
Phone: 9105541355

MR. WILLIAM HARRIS (NPI# 1083768816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083768816
Entity Type Individual
Full Name MR. WILLIAM HARRIS
Practice Address 104 Sterling Rd
Jacksonville
NC 28546-8330
Practice Telephone 9105541355
Mailing Telephone 9105541355
Enumeration Date 2007-01-22
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities MHL-067-143 NC Residential Treatment Facilities
X 385H00000X Respite Care MHL-067-143 NC Respite Care Facility

Other Provider Identifier

State Issuer Identifier Type Code
NC 3409469 05

Other Providers WILLIAM HARRIS

NPI Name Taxonomy Address Enumeration
1538616024 William James Harris Military Health Care Provider Psc Box 20117, Charles Luke Milam Clinic Bldg. Rr 440, Camp Lejeune, NC 28542-0117 2016-09-01
1003279951 William Crawford Harris Student in an Organized Health Care Education/Training Program 1312 Robert St, New Orleans, LA 70115-2913 2016-03-29
1164832390 William E. Harris Behavioral Analyst 7040 Caribou Ridge #102, Las Vegas, NV 89149 2014-04-28
1659668481 William Harris Counselor 1705 N. Fm. 179, Lubbock, TX 79416 2011-06-30
1306153648 William Bennett Harris Counselor 3111 Monroe Rd Ste 201, Suite 100, Charlotte, NC 28205-7542 2010-09-08
1922339514 William Turner Harris Specialist 4816 Country Club Blvd, Little Rock, AR 72207-4720 2010-01-20
1053560698 William David Harris Jr. Pharmacist Rural Route 5 Box 46, Espanola, NM 87532 2008-09-18
1912114513 William Thomas Harris Psychiatry & Neurology 1010 W Northwest Blvd, Winston Salem, NC 27101-1105 2007-05-16
1720209372 William Goddard Harris Family Medicine 8 Alford Drive, Windsor, CT 06095-1629 2007-05-01
1528112091 William Baxter Harris Optometrist 57990 29 Palms Highway, Suite 2b, Yucca Valley, CA 92284-5878 2007-01-22

Office Location

Street Address 104 STERLING RD
City JACKSONVILLE
State NC
Zip Code 28546-8330

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710005517 Harris Homes Agency Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 104 Sterling Rd, Jacksonville, NC 28546-8330 2007-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316578388 Judylyn Hobson Registered Nurse Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 2020-01-29
1427694637 Aaron Patrick Bettcher Military Health Care Provider 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 2019-11-22
1962044289 Levi Scott Marshall Military Health Care Provider Everett Creek Road, Building 612, Camp Lejeune, NC 28546 2019-10-09
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1417519570 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 2019-06-28
1023500212 Josip Ninrodriguez Military Health Care Provider 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 2018-06-04
1639661192 Kenneth Lee Russell Military Health Care Provider 3d Marine Raider Battalion, Camp Lejeune, NC 28546 2018-05-31
1346730173 Coastal Foot Center, LLC Clinic/Center 29 Office Park Dr Ste B, Jacksonville, NC 28546 2018-05-17
1578080271 Walgreen Co Durable Medical Equipment & Medical Supplies 380 Western Blvd, Jacksonville, NC 28546 2017-08-24
1144757493 Darin Lee Peterson Specialist/Technologist G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 2017-05-17
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1346873882 Cojo Care Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3825 Leonard Cir W, Jacksonville, FL 32209-3754 2020-02-12
1306497672 Tamara Belcher-bostick Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2020 Almira St, Jacksonville, FL 32211-4604 2019-09-26
1235786856 Mary Imhansiemhonehi Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4568 Antler Hill Dr E, Jacksonville, FL 32224-8704 2019-08-19
1942866611 Linda R Siplin-kerrin Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11855 Alexandra Dr, Jacksonville, FL 32218-8878 2019-05-17
1417414053 Danx Group LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6859 Lenox Ave # 32, Jacksonville, FL 32205-6149 2019-03-01
1558834879 Annquenette C Daniels Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6859 Lenox Ave Ste 32, Jacksonville, FL 32205-6149 2019-01-09
1730650573 Turnaround Retreat Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1159 E 13th St, Jacksonville, FL 32206-3105 2018-12-05
1962982090 Joyful Care, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6500 Lake Gray Blvd Apt 322, Jacksonville, FL 32244-7553 2018-08-17
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 28546

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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