| Unc Horizons At Sunrise | |
|
209 Conner Dr Apt 17 Chapel Hill NC 27514-7023 | |
| (919) 960-3775 | |
| (919) 960-3799 |
| Full Name | Unc Horizons At Sunrise |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 209 Conner Dr Apt 17, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Hendree Jones (DIRECTOR) |
| Authorized Official Contact | 9199669803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unc Horizons At Sunrise 410 N Greensboro St Suite 220 Carrboro NC 27510-1870 Ph: (919) 966-9803 | Unc Horizons At Sunrise 209 Conner Dr Apt 17 Chapel Hill NC 27514-7023 Ph: (919) 960-3775 |
| NPI Number | 1134255029 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Medicare PECOS PAC ID | 6507046844 |
|---|---|
| Medicare Enrollment ID | O20160330002274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134255029 | NPI | - | NPPES |
| 8300699G | Medicaid | NC | |
| 8300699P | Medicaid | NC | |
| 8300699B | Medicaid | NC | |
| 8300699 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | 068114 (North Carolina) | Secondary |
| Provider Name | Elisabeth Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912069121 PECOS PAC ID: 7719988039 Enrollment ID: I20080922000583 |
| Provider Name | Selden Holt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174600647 PECOS PAC ID: 6507918455 Enrollment ID: I20090723000529 |
| Provider Name | Sara E Yates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275965576 PECOS PAC ID: 7315244472 Enrollment ID: I20160405000694 |
| Provider Name | Amanda A Harwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184058257 PECOS PAC ID: 7911299144 Enrollment ID: I20160708001571 |
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