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PORT HEALTH SERVICES
NPI 1396897161
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Greenville, NC

Active since January 18, 2007
114 HEALTH DRIVE, GREENVILLE, NC 27834(252) 413-1965(252) 413-0500 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2023, Feb 9, 2017 (2 updates tracked since 2017).

About Port Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORT HEALTH SERVICES (NPI 1396897161), doing business as Port Human Services, is a healthcare organization registered as a substance abuse treatment, children in Greenville, North Carolina and active in the NPI registry since January 2007. The organization lists Brett Beavers, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1396897161
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NamePORT HEALTH SERVICES
Location Address114 HEALTH DRIVEGreenville, NC 27834-7826
Mailing Address4300 Sapphire Ct Ste 110Greenville, NC 27834-9079 · (252) 830-7540 · Fax (252) 413-0932
Phone(252) 413-1965
Fax(252) 413-0500
Organization SubpartNo
Authorized OfficialBrett BeaversCredentialing Manager · (919) 210-7661
Enumeration DateJanuary 18, 2007
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1396897161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
License✔ Licensed in NC · MHL-074-111
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy 261QR0401X
114 HEALTH DRIVE, Greenville, NC 27834
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Other Names 1

Former Legal Business NamePort Human Services

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port Health Services's NPI number?

The NPI number for Port Health Services is 1396897161. It was assigned to this organization in the NPPES registry on January 18, 2007. The provider was formerly known as Port Human Services.

Where is Port Health Services located?

Port Health Services is located at 114 Health Drive, Greenville, NC 27834. The listed phone number is (252) 413-1965.

What is Port Health Services's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Port Health Services was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.