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HOME MEADOWS SERVICES LLC NPI 1265780035


NPI Information

NPI: 1265780035
Provider Name: HOME MEADOWS SERVICES LLC
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
605 WHITSETT AVE
GIBSONVILLE, NC
ZIP 27249
Phone: (336) 227-1613
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HOME MEADOWS SERVICES LLC is an assisted living and mental illness assisted living facility in Gibsonville, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. HOME MEADOWS SERVICES LLC NPI is 1265780035. The provider is registered as an organization entity type.

The provider's business location address is:

605 WHITSETT AVE
GIBSONVILLE, NC
ZIP 27249-042
Phone: (336) 227-1613
Fax: (336) 227-1613

The provider's authorized official is Mittie B Fuller .
The authorized official title is Program Director/owner and has the following contact phone number (336) 227-1613.

The enumeration date for this NPI number is 8/27/2012 and was last updated on 8/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessMHL-041-1059NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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