JOHNSTON COUNTY GROUP HOMES INC. NPI 1427254598

NPI Information

NPI: 1427254598
Provider Name: JOHNSTON COUNTY GROUP HOMES, INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 34D2006245

Address:
217 GEORGE ST
FOUR OAKS, NC
ZIP 27577
Phone: (919) 963-2563
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JOHNSTON COUNTY GROUP HOMES, INC. is an intermediate care facility mentally retarded in Four Oaks, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. JOHNSTON COUNTY GROUP HOMES, INC. NPI is 1427254598. The provider is registered as an organization entity type.

The provider's business location address is:

217 GEORGE ST
FOUR OAKS, NC
ZIP 27577-768
Phone: (919) 963-2563
Fax: (919) 963-2563

The provider's authorized official is Janet Gail Harper .
The authorized official title is Administrator and has the following contact phone number (919) 965-0340.

The CLIA number assigned to this NPI record is 34D2006245 - other - therap wound ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2007 and was last updated on 8/22/2020.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		FCL-051-006	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7802127	MEDICAID	NORTH CAROLINA

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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