Harris Home

LBN: Harris Home
Harris Home is an health care organization with primary practice located at 536 Shadowridge Rd , Jacksonville NC 28546-7876. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Harris Home can be contacted via phone (910) 353-9747, or through Harris, William via phone (910) 353-0124.

Contact Information

Primary practice address
536 Shadowridge Rd Jacksonville NC 28546-7876
Phone: (910) 353-9747
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harris, William
Phone: (910) 353-0124

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X MHL-067-143 North Carolina

Profile Details

NPI number 1790981728
LBN Legal business name Harris Home
DBA Doing business as
Authorized official Harris, William
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1790981728 NPPES
North Carolina MEDICAID 3409469

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