Provider Demographics
NPI:1497895148
Name:GOD'S HARVEST HOUSE MINISTRY INC.
Entity Type:Organization
Organization Name:GOD'S HARVEST HOUSE MINISTRY INC.
Other - Org Name:GHHM HOMES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARY
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:HS
Authorized Official - Phone:336-676-9312
Mailing Address - Street 1:105 RITTERS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-9249
Mailing Address - Country:US
Mailing Address - Phone:336-676-9312
Mailing Address - Fax:336-676-8819
Practice Address - Street 1:412 NORTHRIDGE ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1460
Practice Address - Country:US
Practice Address - Phone:336-855-8508
Practice Address - Fax:363-676-8819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC320900000X320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7803690Medicaid
NC041315Medicaid
NC3409011OtherCAP DMA
NC8301319Medicaid