PORT HEALTH SERVICES
NPI 1962913327
Community/Behavioral Health in Jacksonville, NC

Active since October 12, 2017
224 MEMORIAL DR STE B, JACKSONVILLE, NC 28546(252) 830-7540 Get Directions Write a Review

NPPES record last updated: October 12, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About PORT HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Port Health Services, a provider established in Jacksonville, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1962913327 assigned on October 2017. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's former legal business name is Port Human Services. The authorized official of this NPI record is Toyette Anthony (Benefits And Credentialing Spec)

NPI
1962913327 Verify this NPI
Provider Legal Name
PORT HEALTH SERVICES
Other Organization Name
PORT HUMAN SERVICES
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
224 MEMORIAL DR STE B JACKSONVILLE, NC 28546
Location Phone
(252) 830-7540
Mailing Address
4300 SAPPHIRE CT STE 110 GREENVILLE, NC 27834
Mailing Phone
(252) 830-7540
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2017
Last Update Date
10-12-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TOYETTE ANTHONY

Authorized Official Title
BENEFITS AND CREDENTIALING SPEC
Authorized Official Phone
(252) 830-7561

Reviews for PORT HEALTH SERVICES

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962913327, enumerated as an "organization" on October 12, 2017.

The provider is located at 224 MEMORIAL DR STE B JACKSONVILLE, NC 28546 and the phone number is (252) 830-7540.

Community/Behavioral Health with taxonomy code 251S00000X.