PORT HEALTH SERVICES (NPI# 1902101496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902101496 |
| Entity Type | Organization |
| Organization Name | PORT HEALTH SERVICES |
| Other Organization Name | PORT HUMAN SERVICES |
| Practice Address |
1507 Martin Street Wilmington NC 28401-6422 |
| Mailing Address |
4300-110 Sapphire Court Greenville NC 27834 |
| Practice Telephone | 9102544817 |
| Practice Fax Number | 9102518933 |
| Mailing Telephone | 2528307540 |
| Mailing Fax Number | 2524130932 |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | SHARON WARD ROUNTREE (REIMBURSEMENT MANAGER) |
| Authorized Official Telephone | 2528307540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| 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 |
| 1417293663 | Port Health Services | Counselor | 144b Community College Rd, Ahoskie, NC 27910-8047 | 2012-12-17 |
| 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 |
| 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 |
1507 MARTIN STREET |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-6422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| 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 |
|---|---|---|---|---|
| 1891307070 | Aviva Health Care Services Inc | Community/Behavioral Health | 6 Denny Rd Ste 104, Wilmington, DE 19809-3444 | 2020-08-19 |
| 1679192926 | Wraparound Maryland, Inc | Community/Behavioral Health | 105 Rogers Rd Ste A, Wilmington, DE 19801-5619 | 2020-04-15 |
| 1457983165 | Alapocas Collaborative Care, LLC | Community/Behavioral Health | 1601 Concord Pike Ste 66-68, Wilmington, DE 19803-3612 | 2020-02-11 |
| 1477011211 | M&l Prodigy Healthcare Inc | Community/Behavioral Health | 1 Jewel Dr, Wilmington, MA 01887-3385 | 2019-03-11 |
| 1457824369 | Ella Stanley Therapeutic Services, Inc. | Community/Behavioral Health | 1000 N West St Ste 1294, Wilmington, DE 19801-1050 | 2019-01-03 |
| 1134608136 | Alliance Behavioral Health | Community/Behavioral Health | 24505 S Avalon Blvd Apt 12, Wilmington, CA 90744-1068 | 2018-08-09 |
| 1063999688 | Tlc Operations, Inc | Community/Behavioral Health | 28 Beauregard Dr, Wilmington, NC 28412-6702 | 2018-07-26 |
| 1245752765 | Janelle G. Evans LLC | Community/Behavioral Health | 27 Tamarack Ave, Wilmington, DE 19805-5049 | 2017-07-17 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1356881551 | Jay's House, Inc | Community/Behavioral Health | 25 N Pennewell Dr, Wilmington, DE 19809-3313 | 2017-03-07 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on PORT HEALTH 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.