MR. WILLIAM HARRIS (NPI# 1083768816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083768816 |
Entity Type | Individual |
Full Name | MR. WILLIAM HARRIS |
Practice Address |
104 Sterling Rd Jacksonville NC 28546-8330 |
Practice Telephone | 9105541355 |
Mailing Telephone | 9105541355 |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-067-143 | NC | Residential Treatment Facilities |
X | 385H00000X | Respite Care | MHL-067-143 | NC | Respite Care Facility |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3409469 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538616024 | William James Harris | Military Health Care Provider | Psc Box 20117, Charles Luke Milam Clinic Bldg. Rr 440, Camp Lejeune, NC 28542-0117 | 2016-09-01 |
1003279951 | William Crawford Harris | Student in an Organized Health Care Education/Training Program | 1312 Robert St, New Orleans, LA 70115-2913 | 2016-03-29 |
1164832390 | William E. Harris | Behavioral Analyst | 7040 Caribou Ridge #102, Las Vegas, NV 89149 | 2014-04-28 |
1659668481 | William Harris | Counselor | 1705 N. Fm. 179, Lubbock, TX 79416 | 2011-06-30 |
1306153648 | William Bennett Harris | Counselor | 3111 Monroe Rd Ste 201, Suite 100, Charlotte, NC 28205-7542 | 2010-09-08 |
1922339514 | William Turner Harris | Specialist | 4816 Country Club Blvd, Little Rock, AR 72207-4720 | 2010-01-20 |
1053560698 | William David Harris Jr. | Pharmacist | Rural Route 5 Box 46, Espanola, NM 87532 | 2008-09-18 |
1912114513 | William Thomas Harris | Psychiatry & Neurology | 1010 W Northwest Blvd, Winston Salem, NC 27101-1105 | 2007-05-16 |
1720209372 | William Goddard Harris | Family Medicine | 8 Alford Drive, Windsor, CT 06095-1629 | 2007-05-01 |
1528112091 | William Baxter Harris | Optometrist | 57990 29 Palms Highway, Suite 2b, Yucca Valley, CA 92284-5878 | 2007-01-22 |
Street Address |
104 STERLING RD |
City | JACKSONVILLE |
State | NC |
Zip Code | 28546-8330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710005517 | Harris Homes Agency | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 Sterling Rd, Jacksonville, NC 28546-8330 | 2007-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
Find all providers in zip 28546 |
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 |
---|---|---|---|---|
1124628565 | Rachelle Homehealth Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8539 Gate Pkwy W Unit 9134, Jacksonville, FL 32216-1037 | 2020-10-26 |
1306459359 | Joy-little Enterprise LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9148 Ridge Blvd, Jacksonville, FL 32208-1265 | 2020-08-28 |
1346873882 | Cojo Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3825 Leonard Cir W, Jacksonville, FL 32209-3754 | 2020-02-12 |
1306497672 | Tamara Belcher-bostick | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2020 Almira St, Jacksonville, FL 32211-4604 | 2019-09-26 |
1235786856 | Mary Imhansiemhonehi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4568 Antler Hill Dr E, Jacksonville, FL 32224-8704 | 2019-08-19 |
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 |
1558834879 | Annquenette C Daniels | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6859 Lenox Ave Ste 32, Jacksonville, FL 32205-6149 | 2019-01-09 |
1730650573 | Turnaround Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1159 E 13th St, Jacksonville, FL 32206-3105 | 2018-12-05 |
1962982090 | Joyful Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6500 Lake Gray Blvd Apt 322, Jacksonville, FL 32244-7553 | 2018-08-17 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 28546 |
Please comment or provide details below to improve the information on MR. WILLIAM HARRIS.
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.