HARBOR HOUSE, INC (NPI# 1740469022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740469022 |
| Entity Type | Organization |
| Organization Name | HARBOR HOUSE, INC |
| Practice Address |
2822 Cashwell Dr # 178 Goldsboro NC 27534-4302 |
| Mailing Address |
203 N Jackson St Goldsboro NC 27530-3857 |
| Practice Telephone | 9195813592 |
| Practice Fax Number | 9197348310 |
| Mailing Telephone | 9195813592 |
| Mailing Fax Number | 9197348310 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-02 |
| Authorized Official Name | MRS. GLENDA WIGGINS JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9192521868 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301627B | 05 | |
| NC | 8301266B | 05 | |
| NC | 7804952 | 05 | |
| NC | 7805075 | 05 | |
| NC | 8301266 | 05 | |
| NC | 8301626 | 05 | |
| NC | 8301627 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225192495 | Harbor House, Inc | Case Management | 2822 Cashwell Dr, #178, Goldsboro, NC 27534-4302 | 2006-12-21 |
| 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 |
|---|---|---|---|---|
| 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 | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063558591 | Oberry Neuro-medical Treatment Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 400 Old Smithfield Road, Goldsboro, NC 27530 | 2007-01-30 |
| 1740336031 | Dk Ambassador | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2111 N William St, Goldsboro, NC 27530-1437 | 2007-01-27 |
| 1801949375 | Living In Hope | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 601 Marshall St, Goldsboro, NC 27530-1951 | 2007-01-19 |
| 1730239062 | Edwargroup,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1301 Peele St, Goldsboro, NC 27530-6920 | 2007-01-11 |
| 1548337637 | Omni Visions, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1299 Parkway Dr Ste H, Goldsboro, NC 27534-3491 | 2006-11-30 |
| 1154344141 | Raiford Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 803 Franklin St, Goldsboro, NC 27530-6681 | 2006-07-25 |
| 1487885570 | Passionate Care Community Support Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 W Ash St, Goldsboro, NC 27530-3662 | 2009-08-06 |
| 1629213962 | Howell Support Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 907 Landmark Dr, Goldsboro, NC 27534-7425 | 2008-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
| 1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1710443395 | Unity 4 Us Community Outreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 Lincoln St, Belmont, NC 28012-3045 | 2019-02-19 |
| 1871059444 | Believing Everyone Succeeds Together | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 | 2019-02-19 |
| 1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
| 1316415037 | Igr Collaborations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 | 2018-11-12 |
| 1164924940 | David Douglas Whitfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5342 Us Highway 301 North, Micro, NC 27555 | 2018-03-07 |
| 1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
| 1659897833 | Shelby Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 S Dekalb St Ste A, Shelby, NC 28150-6189 | 2017-08-18 |
| Find all providers with the same taxonomy | ||||
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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.