PORT HEALTH SERVICES
NPI 1902101496
Community/Behavioral Health in Wilmington, NC

Active since January 14, 2011
1507 MARTIN ST, WILMINGTON, NC 28401(910) 251-8944(910) 251-6200 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 24, 2023, Feb 13, 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 1902101496), doing business as Port Human Services, is a healthcare organization registered as a community/behavioral health in Wilmington, North Carolina and active in the NPI registry since January 2011. The organization maintains a secondary practice location in Wilmington and lists Brett Beavers, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1902101496
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePORT HEALTH SERVICES
Location Address1507 MARTIN STWilmington, NC 28401-6483
Mailing Address4300 Sapphire Ct Ste 110Greenville, NC 27834-9079 · (252) 830-7540 · Fax (252) 413-0932
Fax(910) 251-6200
Organization SubpartNo
Authorized OfficialBrett BeaversCredentialing Manager · (919) 210-7661
Enumeration DateJanuary 14, 2011
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
NPI 1902101496 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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
1507 MARTIN ST, Wilmington, NC 28401

Other Names 1

Former Legal Business NamePort Human Services

Secondary Practice Location 1

Location 1416 Walnut StWilmington, NC 28401-4033 · Phone (910) 762-1743 · Fax (910) 762-2921

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 1902101496. It was assigned to this organization in the NPPES registry on January 14, 2011. The provider was formerly known as Port Human Services.

Where is Port Health Services located?

Port Health Services is located at 1507 Martin St, Wilmington, NC 28401. The listed phone number is (910) 251-8944.

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 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.