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CENTENNIAL CARE NPI 1154502011


NPI Information

NPI: 1154502011
Provider Name: CENTENNIAL CARE
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3000 CENTENNIAL WOODS DR
UNIT 202-B
RALEIGH, NC
ZIP 27603
Phone: (919) 851-3715
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CENTENNIAL CARE is a community based residential treatment facility mental illness in Raleigh, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CENTENNIAL CARE NPI is 1154502011. The provider is registered as an organization entity type.

The provider's business location address is:

3000 CENTENNIAL WOODS DR
UNIT 202-B
RALEIGH, NC
ZIP 27603-101
Phone: (919) 851-3715

The provider's authorized official is Phyllis Helms .
The authorized official title is Director and has the following contact phone number (919) 851-3715.

The enumeration date for this NPI number is 11/20/2007 and was last updated on 11/20/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessMHL092666NORTH 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.