PORT HUMAN SERVICES (NPI# 1659664548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659664548 |
| Entity Type | Organization |
| Organization Name | PORT HUMAN SERVICES |
| Practice Address |
1409 Parkview Dr Elizabeth City NC 27909-6533 |
| Mailing Address |
4300-110 Sapphire Court Greenville NC 27834-9019 |
| Practice Telephone | 2523316546 |
| Mailing Telephone | 2528307540 |
| Mailing Fax Number | 2524130932 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |
| Authorized Official Name | THOMAS OLIVER SAVIDGE (CEO) |
| Authorized Official Telephone | 2528307540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL-070-053 | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730484221 | Port Human Services | Community/Behavioral Health | 605 #2 Nixon Street, Wilmington, NC 28401-3004 | 2011-01-14 |
| 1821393315 | Port Human Services | Community/Behavioral Health | 607 #2 Nixon Street, Wilmington, NC 28401-3043 | 2011-01-14 |
| 1003140583 | Port Human Services | Counselor | 114 Avon Avenue, Washington, NC 27889-3841 | 2009-09-30 |
| 1669610580 | Port Human Services | Counselor | 321 N. Front Street Office 304, The Cotton Exchange, Wilmington, NC 28401-3908 | 2009-01-30 |
| 1316077043 | Port Human Services | Counselor | 15 Ireland Drive, Bayboro, NC 28515-0519 | 2007-03-06 |
| 1205988276 | Port Human Services | Community/Behavioral Health | 227 Kingold Road, Suite C, Snow Hill, NC 28580-1303 | 2007-01-18 |
| 1588716351 | Port Human Services | Community/Behavioral Health | 2269 Stantonsburg Rd, Greenville, NC 27834-7826 | 2007-01-18 |
| 1881744084 | Port Human Services | Counselor | 233 Modlin Road, Ahoskie, NC 27910-8220 | 2007-01-11 |
| 1457401549 | Port Human Services | Counselor | 860 Tiffany Blvd, Rocky Mount, NC 27804-1809 | 2007-01-11 |
| 1780734988 | Port Human Services | Counselor | 2269 Stantonsburg Road, Greenville, NC 27834-7826 | 2007-01-11 |
| Street Address |
1409 PARKVIEW DR |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-6533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| 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 |
|---|---|---|---|---|
| 1679960868 | Thomas M Waite Lcsw | Community/Behavioral Health | 102 Castle Ct, Elizabeth City, NC 27909-7737 | 2015-04-25 |
| 1336547561 | Monarch | Community/Behavioral Health | 111 Fort Bragg Dr, Elizabeth City, NC 27909-6383 | 2014-12-22 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| 1154697266 | Healthcore Resource Inc | Community/Behavioral Health | 1831 Weeksville Rd, Suite L, Elizabeth City, NC 27909-7721 | 2012-03-23 |
| 1215240858 | Uplift Comprehensive Services | Community/Behavioral Health | 1004 Parkview Dr, Elizabeth City, NC 27909-6427 | 2010-07-26 |
| 1407188444 | Omni Human Services, LLC | Community/Behavioral Health | 109 Beau Pkwy, D, Elizabeth City, NC 27909-7767 | 2010-02-01 |
| 1790011286 | Behavioral Empowerment Services, Inc. | Community/Behavioral Health | 714 Richardson St, Elizabeth City, NC 27909-3816 | 2009-10-19 |
| 1609009547 | Carolina Behavioral and Therapeutic Services | Community/Behavioral Health | 205 N Water St, Suite A, Elizabeth City, NC 27909-4417 | 2009-08-26 |
| 1518195072 | Port Health Services | Community/Behavioral Health | 102 Medical Dr Ste A&b, Elizabeth City, NC 27909-3361 | 2009-06-23 |
| 1093959801 | Cnc / Access, Inc. | Community/Behavioral Health | 1825 W City Dr Ste E, Elizabeth City, NC 27909-9676 | 2009-04-23 |
| Find all providers in ELIZABETH CITY | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on PORT HUMAN SERVICES.
| 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.