Harbor House, Inc

LBN: Harbor House, Inc
Harbor House, Inc is an health care organization with primary practice located at 2822 Cashwell Dr #178, Goldsboro NC 27534-4302. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Case Management is the primary health care specialty. Harbor House, Inc can be contacted via phone (919) 736-2802, or through Johnson, Glenda Wiggins via phone (919) 734-8310.

Contact Information

Primary practice address
2822 Cashwell Dr #178 Goldsboro NC 27534-4302
Phone: (919) 736-2802
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Glenda Wiggins BS
Phone: (919) 734-8310

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X MHL096146 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL096171 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL096146 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL096170 North Carolina

Profile Details

NPI number 1225192495
LBN Legal business name Harbor House, Inc
DBA Doing business as
Authorized official Johnson, Glenda Wiggins BS
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225192495 NPPES
North Carolina MEDICAID 7804952
North Carolina MEDICAID 7805075
North Carolina MEDICAID 8301626
North Carolina MEDICAID 8301266
North Carolina MEDICAID 8301266B
North Carolina MEDICAID 8301627

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