THERAPEUTIC ALTERNATIVES INC NPI 1164468104

NPI Information

NPI: 1164468104
Provider Name: THERAPEUTIC ALTERNATIVES INC

Other Name: PROVIDENCE GROUP HOME

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 34D2017123

Address:
941 E SALISBURY ST
ASHEBORO, NC
ZIP 27203
Phone: (336) 625-1500
Get Directions

THERAPEUTIC ALTERNATIVES INC is an adult care home custodial care facility in Asheboro, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. THERAPEUTIC ALTERNATIVES INC NPI is 1164468104. The provider is registered as an organization entity type.
The provider Other Name Is Providence Group Home.

The provider's business location address is:

941 E SALISBURY ST
ASHEBORO, NC
ZIP 27203-049
Phone: (336) 625-1500
Fax: (336) 625-2767

The provider's authorized official is Kenneth Alan Burrow .
The authorized official title is Vice President and has the following contact phone number (336) 495-2700.

The CLIA number assigned to this NPI record is 34D2017123 - other - group home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 6/13/2013.

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	251S00000X	Community/Behavioral Health				No
2	311ZA0620X	Custodial Care Facility	Adult Care Home	MHL076047	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	7801237	MEDICAID	NORTH CAROLINA
2	3408682	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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