PORT HEALTH SERVICES (NPI# 1417293663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417293663 |
| Entity Type | Organization |
| Organization Name | PORT HEALTH SERVICES |
| Other Organization Name | PORT HUMAN SERVICES |
| Practice Address |
144b Community College Rd Ahoskie NC 27910-8047 |
| Mailing Address |
4300-110 Sapphire Court Greenville NC 27834 |
| Practice Telephone | 2522098932 |
| Practice Fax Number | 2523322483 |
| Mailing Telephone | 2528307540 |
| Mailing Fax Number | 2524130932 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2017-02-10 |
| Authorized Official Name | THOMAS OLIVER SAVIDGE JR. (CEO) |
| Authorized Official Telephone | 2528307540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| PORT Human Services | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962913327 | Port Health Services | Community/Behavioral Health | 224 Memorial Dr Ste B, Jacksonville, NC 28546-6332 | 2017-10-12 |
| 1417356411 | Port Health Services | Counselor | 50347 Nc Hwy 12, Frisco, NC 27936 | 2014-08-15 |
| 1730505470 | Port Health Services | Community/Behavioral Health | 2206 Wrightsville Ave # A, Wilmington, NC 28403-2406 | 2014-03-05 |
| 1245500909 | Port Health Services | Community/Behavioral Health | 2808 Croatan Hwy Suite B, Nags Head, NC 27959-9024 | 2012-01-11 |
| 1326331216 | Port Health Services | Community/Behavioral Health | 314 Progress Drive Extension, Burgaw, NC 28425-2813 | 2011-05-25 |
| 1902101496 | Port Health Services | Community/Behavioral Health | 1507 Martin Street, Wilmington, NC 28401-6422 | 2011-01-14 |
| 1497075618 | Port Health Services | Counselor | 4300-110 Sapphire Court, Greenville, NC 27834-9019 | 2010-06-10 |
| 1881822344 | Port Health Services | Counselor | 101 Arpdc St, Hertford, NC 27944-7901 | 2009-06-23 |
| 1518195072 | Port Health Services | Community/Behavioral Health | 102 Medical Dr Ste A&b, Elizabeth City, NC 27909-3361 | 2009-06-23 |
| 1396897161 | Port Health Services | Substance Abuse Rehabilitation Facility | 114 Health Drive, Greenville, NC 27834-7826 | 2007-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PORT HEALTH SERVICES | 4300 Sapphire Ct Ste 110, Greenville, NC 27834-9079 |
| Street Address |
144B COMMUNITY COLLEGE RD |
| City | AHOSKIE |
| State | NC |
| Zip Code | 27910-8047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730426727 | Patricia Lynn Owens | Counselor | 144b Community College Rd, Ahoskie, NC 27910-8047 | 2013-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376039446 | Liberty Healthcare Group LLC | Home Health | 216 Church Street, W, Ahoskie, NC 27910 | 2018-07-02 |
| 1265925697 | Livingwordoutreachministries.com | Health Educator | 208 Carolina Ave S, Ahoskie, NC 27910 | 2018-06-11 |
| 1932623956 | Vernon David Collins | Pharmacist | 925 East Memorial Drive, Ahoskie, NC 27910 | 2017-08-01 |
| 1417484890 | Apoorva Vivek Saoji | Internal Medicine | 500 S Academy St, Hospitalist Department, Attn Lou Harrell, Ahoskie, NC 27910 | 2017-05-17 |
| 1124483532 | Shanta Harrell | Adult Companion | 106 Holloman Avenue, Ahoskie, NC 27910 | 2015-12-30 |
| 1144607623 | All-american Home Care, LLC | In Home Supportive Care | 900 E. Memorial Dr, Ahoskie, NC 27910 | 2015-05-04 |
| 1649660481 | Lindsay Yount Lyall | Physician Assistant | 500 South Academy Street, Ahoskie, NC 27910 | 2015-02-02 |
| 1932506771 | Kathy Massengale | Nurse Practitioner | 312 South Academy Street Suite B, Integrated Family Services, Ahoskie, NC 27910 | 2014-11-21 |
| 1750700795 | Jessica Brown Spruill | Dietitian, Registered | 718 Evans Street, Ahoskie, NC 27910 | 2014-04-07 |
| 1437405578 | Lakeisha Yvette Walker | Counselor | 114b West St S, Ahoskie, NC 27910 | 2012-07-26 |
| Find all providers in zip 27910 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285190355 | Place of Purpose | Community/Behavioral Health | 109 Dr Mlk Jr Dr N, Ahoskie, NC 27910-7612 | 2019-02-14 |
| 1073984316 | A Valley of Visions, LLC | Community/Behavioral Health | 307 Main St E, Ahoskie, NC 27910-3419 | 2015-10-13 |
| 1225310048 | Individuals First Care Network, Inc. | Community/Behavioral Health | 209 Rail Road St., Ahoskie, NC 27910-3042 | 2011-09-19 |
| 1679805576 | Solid Foundation Facilities, Inc. | Community/Behavioral Health | 1321 West First Street, Ahoskie, NC 27910-8842 | 2010-02-03 |
| 1518196492 | Optimum Behavioral Health Care | Community/Behavioral Health | 1109 E Memorial Dr Ste 2, Ahoskie, NC 27910-3919 | 2009-07-13 |
| 1790929503 | Cnc/access, Inc. | Community/Behavioral Health | 400 Peacock St, Ahoskie, NC 27910-3930 | 2009-04-23 |
| 1518162320 | Solid Foundation Facilities, Inc | Community/Behavioral Health | 1313 1st St W, Ahoskie, NC 27910-8842 | 2007-06-20 |
| 1093919649 | Carolyn Cassandra Hall | Community/Behavioral Health | 203 Hall Siding Rd, Ahoskie, NC 27910-8095 | 2007-06-14 |
| 1043353550 | Carolina Residential Services, Inc | Community/Behavioral Health | 144-b Community College Road, Ahoskie, NC 27910-8047 | 2007-02-14 |
| 1306985155 | We Are All Connected | Community/Behavioral Health | 110 Mitchell St N, Ahoskie, NC 27910-3030 | 2007-02-06 |
| Find all providers in AHOSKIE | ||||
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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.