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MACON CITIZENS FOR THE HANDICAPPED INC. NPI 1457405185


NPI Information

NPI: 1457405185
Provider Name: MACON CITIZENS FOR THE HANDICAPPED, INC.

Doing Business As: MACON COUNTY GROUP HOME

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 34D2181891

Address:
170 SECOND ST.
FRANKLIN, NC
ZIP 28734
Phone: (828) 524-5888
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MACON CITIZENS FOR THE HANDICAPPED, INC. is an intermediate care facility mentally retarded in Franklin, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MACON CITIZENS FOR THE HANDICAPPED, INC. NPI is 1457405185. The provider is registered as an organization entity type.
The provider Is Doing Business As Macon County Group Home.

The provider's business location address is:

170 SECOND ST.
FRANKLIN, NC
ZIP 28734
Phone: (828) 524-5888
Fax: (828) 369-5758

The provider's authorized official is Jeannie Garrett .
The authorized official title is Executive Director and has the following contact phone number (828) 524-5888.

The CLIA number assigned to this NPI record is 34D2181891 - other - mhl-licensed dda gr home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2007 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
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesMHL-056-003NORTH CAROLINAYes

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
13406469MEDICAIDNORTH 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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