MACS VILLAGE LLC NPI 1023671039

NPI Information

NPI: 1023671039
Provider Name: MACS VILLAGE LLC

Doing Business As: MACS VILLAGE LLC

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
205 PRINCETON XING
THOMASVILLE, NC
ZIP 27360
Phone: (336) 875-5636
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MACS VILLAGE LLC is a community based residential treatment facility mental illness in Thomasville, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MACS VILLAGE LLC NPI is 1023671039. The provider is registered as an organization entity type.
The provider Is Doing Business As Macs Village Llc.

The provider's business location address is:

205 PRINCETON XING
THOMASVILLE, NC
ZIP 27360-218
Phone: (336) 875-5636

The provider's authorized official is Amekia Ann Thomas .
The authorized official title is Director/ Owner and has the following contact phone number (336) 875-5636.

The enumeration date for this NPI number is 4/16/2019 and was last updated on 5/8/2019.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness				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	MHL-029-142	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: 4/28/2024

NPI Synchronization or Removal

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