HARRIS HOMES AGENCY


Address: 104 Sterling Rd, Jacksonville, NC 28546-8330
Phone: 9103530124

HARRIS HOMES AGENCY (NPI# 1710005517) 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) 1710005517
Entity Type Organization
Organization Name HARRIS HOMES AGENCY
Practice Address 104 Sterling Rd
Jacksonville
NC 28546-8330
Practice Telephone 9103530124
Mailing Telephone 9103530124
Enumeration Date 2007-03-27
Last Update Date 2020-08-22
Authorized Official Name MR. WILLIAM HARRIS (DIRECTOR OWNER)
Authorized Official Telephone 9105541355
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC 8301742 05

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
1083768816 William Harris Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 104 Sterling Rd, Jacksonville, NC 28546-8330 2007-01-22

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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]

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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
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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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