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NEW GENERATION CHURCH/COMMUNITY DEV. CORP NPI 1497896138


NPI Information

NPI: 1497896138
Provider Name: NEW GENERATION CHURCH/COMMUNITY DEV. CORP

Doing Business As: TENDER LOVE INDEPENDENT HOME CARE

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
548 JACK RD
CLAYTON, NC
ZIP 27520
Phone: (919) 553-9251
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NEW GENERATION CHURCH/COMMUNITY DEV. CORP is a residential treatment facility, intellectual and/or developmental disabilities in Clayton, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. NEW GENERATION CHURCH/COMMUNITY DEV. CORP NPI is 1497896138. The provider is registered as an organization entity type.
The provider Is Doing Business As Tender Love Independent Home Care.

The provider's business location address is:

548 JACK RD
CLAYTON, NC
ZIP 27520-121
Phone: (919) 553-9251

The provider's authorized official is Sheila Evans .
The authorized official title is Administrator and has the following contact phone number (919) 553-9251.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 7/2/2008.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-051-129NORTH 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
17804766MEDICAIDNORTH 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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