Organization
BLACK & ASSOCIATES GLOBAL INC
Active
Organization
BLACK & ASSOCIATES GLOBAL INC
Active
Other names
OUR HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN ROGERS BLACK OWNER (ADMINISTRATOR)
(336) 987-0572
Entity
Organization
Contact information
Practice address
618 BROAD AVE, GREENSBORO, NC 27406-1705
(336) 230-0767
(336) 454-0191
Mailing address
102 BURROWS RD, JAMESTOWN, NC 27282-8400
(336) 987-0572
(336) 454-0191
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL -041-669
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603651
—
NC
Enumeration date
03/04/2007
Last updated
07/07/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up