HARBOR HOUSE, INC (NPI# 1225192495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225192495 |
| Entity Type | Organization |
| Organization Name | HARBOR HOUSE, INC |
| Practice Address |
2822 Cashwell Dr #178 Goldsboro NC 27534-4302 |
| Practice Telephone | 9197362802 |
| Mailing Telephone | 9197362802 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. GLENDA WIGGINS JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9197348310 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251B00000X | Case Management | MHL096146 | NC | Agencies |
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL096171 | NC | Residential Treatment Facilities |
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL096146 | NC | Residential Treatment Facilities |
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL096170 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805075 | 05 | |
| NC | 8301266B | 05 | |
| NC | 8301626 | 05 | |
| NC | 8301266 | 05 | |
| NC | 7804952 | 05 | |
| NC | 8301627 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740469022 | Harbor House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2822 Cashwell Dr # 178, Goldsboro, NC 27534-4302 | 2007-11-02 |
| 1992979447 | Harbor House, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 203 N Jackson St, Goldsboro, NC 27530-3857 | 2008-04-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | HARBOR HOUSE, INC. | Po. Box 368, 100 Standish Rd., Sandwich, MA 02563 |
| Indiana Business Entities | HARBOR HOUSE, INC. | Po Box 316, Nappanee, IN 46550 |
| Street Address |
2822 CASHWELL DR #178 |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750617767 | Bailey Home Care Inc | Home Health | 2822 Cashwell Dr, # 257, Goldsboro, NC 27534-4302 | 2009-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740580976 | National Mentor Healthcare, LLC | Case Management | 401 North Herman Street, Goldsboro, NC 27530-3816 | 2010-10-21 |
| 1124334339 | Nova-ic, Inc. | Case Management | 2307 Norwood Ave Ste G, Goldsboro, NC 27534-1601 | 2010-08-25 |
| 1952621823 | Howell Support Services, LLC | Case Management | 907 Landmark Dr Ste A, Goldsboro, NC 27534-7425 | 2010-06-02 |
| 1952639304 | Care Counseling Inc | Case Management | 912 S Claiborne St, Goldsboro, NC 27530-6230 | 2009-11-23 |
| 1194953547 | Helping Empower The Lives of People | Case Management | 1588 Tommys Rd, Goldsboro, NC 27534-7986 | 2009-06-24 |
| 1417198359 | East Carolina Case Management, Inc. | Case Management | 1505 E Ash St, Goldsboro, NC 27530-5203 | 2009-03-23 |
| 1144465766 | Stepz-2-greater Heights | Case Management | 223 W Walnut St Ste 1, Goldsboro, NC 27530-3684 | 2008-12-10 |
| 1902089410 | Universal Mental Health Services, Inc | Case Management | 642 N Spence Ave, Goldsboro, NC 27534-4233 | 2007-12-07 |
| 1083770218 | Breath of Life, Inc. | Case Management | 1808 Tommys Rd, Goldsboro, NC 27534-7992 | 2006-12-30 |
| 1003975277 | Triangle Comprehensive Health Services, Inc | Case Management | 1700 E Ash St Ste 103, Goldsboro, NC 27530-4097 | 2006-12-06 |
| Find all providers in GOLDSBORO | ||||
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| 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.