HARBOR HOUSE, INC (NPI# 1992979447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992979447 |
| Entity Type | Organization |
| Organization Name | HARBOR HOUSE, INC |
| Practice Address |
203 N Jackson St Goldsboro NC 27530-3857 |
| Mailing Address |
2822 Cashwell Dr # 178 Goldsboro NC 27534-4302 |
| Practice Telephone | 9197348310 |
| Practice Fax Number | 9197348310 |
| Mailing Telephone | 9197362802 |
| Mailing Fax Number | 9197362809 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |
| Authorized Official Name | MRS. GLENDA WIGGINS JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9197362802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-096-207 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301266 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740469022 | Harbor House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2822 Cashwell Dr # 178, Goldsboro, NC 27534-4302 | 2007-11-02 |
| 1225192495 | Harbor House, Inc | Case Management | 2822 Cashwell Dr, #178, Goldsboro, NC 27534-4302 | 2006-12-21 |
| 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 |
203 N JACKSON ST |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27530-3857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215068341 | Harbor House Inc | Community Based Residential Treatment Facility, Mental Illness | 203 N Jackson St, Goldsboro, NC 27530-3857 | 2007-03-08 |
| 1790188001 | At Home Senior Services | In Home Supportive Care | 203 N Jackson St, Suite 203-d, Goldsboro, NC 27530-3857 | 2014-09-30 |
| 1023215910 | Openarmsofgoldsboro | Community Based Residential Treatment Facility, Mental Illness | 203 N Jackson St, B, Goldsboro, NC 27530-3857 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689777 | A Fathers' Love Family Care Inc | Home Health | 213 N. Carolina St., Goldsboro, NC 27530 | 2018-05-16 |
| 1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
| 1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
| 1831408996 | At Home Senior Services, Inc. | Home Health | 203 N. Jackson Street Office C, Goldsboro, NC 27530 | 2010-10-06 |
| 1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
| 1225250814 | Asa Living, Inc | Clinic/Center | 1308 Ben Brewington Court, Goldsboro, NC 27530 | 2007-05-03 |
| 1790907368 | Tammy Jo Hood | Licensed Practical Nurse | 1700 East Ash Street St. 200, Goldsboro, NC 27530 | 2007-05-03 |
| 1558487421 | Alternative Care Treatments Systems, Inc | Community/Behavioral Health | 139-b Center Street, Goldsboro, NC 27530 | 2007-03-22 |
| 1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
| 1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
| Find all providers in zip 27530 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164629721 | The John Oliver Center 2 | Residential Treatment Facility, Emotionally Disturbed Children | 102 Whitfield Dr, Goldsboro, NC 27530-4630 | 2007-06-28 |
| 1972700763 | Envisions of Life, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 420 Gulley St, Goldsboro, NC 27530-5045 | 2007-06-27 |
| 1801093638 | The John Oliver Center | Residential Treatment Facility, Emotionally Disturbed Children | 312 E Chestnut St, Goldsboro, NC 27530-4904 | 2007-06-27 |
| 1518001544 | Vineyard Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2704 Warrick Cir, Goldsboro, NC 27534-7658 | 2007-02-15 |
| 1861563488 | E & T Alliance LLC | Residential Treatment Facility, Emotionally Disturbed Children | 410 Marcia Dr, Goldsboro, NC 27530-9213 | 2006-11-13 |
| 1134226608 | Wayne County Family Life Residential Home | Residential Treatment Facility, Emotionally Disturbed Children | 514 Forest Hill Dr., Goldsboro, NC 27533-0296 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
| 1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
| 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.