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MARY TAYLOR HOMES NPI 1124157730


NPI Information

NPI: 1124157730
Provider Name: MARY TAYLOR HOMES
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
6957 NC HIGHWAY 903 S
LA GRANGE, NC
ZIP 28551
Phone: (252) 566-8455
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MARY TAYLOR HOMES is a community based residential treatment facility mental illness in La Grange, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MARY TAYLOR HOMES NPI is 1124157730. The provider is registered as an organization entity type.

The provider's business location address is:

6957 NC HIGHWAY 903 S
LA GRANGE, NC
ZIP 28551-367
Phone: (252) 566-8455
Fax: (252) 566-8455

The provider's authorized official is Charlene Gage .
The authorized official title is Executive Director and has the following contact phone number (252) 566-8455.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 9/1/2007.


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
1251B00000XCase ManagementMHL-040-036NORTH CAROLINANo
2251C00000XDay Training, Developmentally Disabled ServicesMHL-040-036NORTH CAROLINANo
3261QA0005XClinic/CenterAmbulatory Family Planning FacilityMHL-040-036NORTH CAROLINANo
43104A0625XAssisted Living FacilityAssisted Living, Mental IllnessMHL-040-036NORTH CAROLINANo
5311Z00000XCustodial Care FacilityMHL-040-036NORTH CAROLINANo
6315P00000XIntermediate Care Facility, Intellectual DisabilitiesMHL-040-036NORTH CAROLINANo
7320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-040-036NORTH CAROLINANo
8320700000XResidential Treatment Facility, Physical DisabilitiesMHL-040-036NORTH CAROLINANo
9332900000XNon-Pharmacy Dispensing SiteMHL-040-036NORTH CAROLINANo
103336L0003XPharmacyLong Term Care PharmacyMHL-040-036NORTH CAROLINANo
11343900000XNon-emergency Medical Transport (VAN)MHL-040-036NORTH CAROLINANo
12347C00000XPrivate VehicleMHL-040-036NORTH CAROLINANo
13385H00000XRespite CareMHL-040-036NORTH CAROLINANo
14320800000XCommunity Based Residential Treatment Facility, Mental IllnessMHL-040-036NORTH 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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