PORT HEALTH SERVICES
NPI 1609292903
Community/Behavioral Health in Jacksonville, NC

Q: What is Port Health Services's NPI number?

The NPI number for Port Health Services is 1609292903. It was assigned to this organization in the NPPES registry on March 11, 2014. The provider was formerly known as Port Human Services.

Q: What is Port Health Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since March 11, 2014

231 MEMORIAL DR STE A&B, JACKSONVILLE, NC 28546(910) 353-5354(910) 353-5398 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

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About Port Health Services NPPES

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

PORT HEALTH SERVICES (NPI 1609292903), doing business as Port Human Services, is a healthcare organization registered as a community/behavioral health in Jacksonville, North Carolina and active in the NPI registry since March 2014. The organization maintains a secondary practice location in Jacksonville and lists Brett Beavers, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1609292903

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePORT HEALTH SERVICES

Location Address231 MEMORIAL DR STE A&BJacksonville, NC 28546-6333

Mailing Address4300 Sapphire Ct Ste 110Greenville, NC 27834-9079 · (252) 830-7540 · Fax (252) 413-0932

Phone(910) 353-5354

Fax(910) 353-5398

Organization SubpartNo

Authorized OfficialBrett BeaversCredentialing Manager · (919) 210-7661

Enumeration DateMarch 11, 2014

Last NPPES UpdateJanuary 24, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2024

✔ NPI 1609292903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCounselorTaxonomy 101Y00000X

231 MEMORIAL DR STE A&B, Jacksonville, NC 28546

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Other Names 1

Former Legal Business NamePort Human Services

Secondary Practice Location 1

Location 1224 Memorial Dr Ste AJacksonville, NC 28546-6332 · Phone (252) 830-7540

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1609292903. It was assigned to this organization in the NPPES registry on March 11, 2014. The provider was formerly known as Port Human Services.

Where is Port Health Services located?

Port Health Services is located at 231 Memorial Dr Ste A&b, Jacksonville, NC 28546. The listed phone number is (910) 353-5354.

What is Port Health Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Port Health Services was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.