Provider Type Icon

THELMAS RESIDENTIAL FACILITY NPI 1184765406


NPI Information

NPI: 1184765406
Provider Name: THELMAS RESIDENTIAL FACILITY
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1923 SIMON ST
FAYETTEVILLE, NC
ZIP 28312
Phone: (910) 483-6584
Get Directions

THELMAS RESIDENTIAL FACILITY is a residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, 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. THELMAS RESIDENTIAL FACILITY NPI is 1184765406. The provider is registered as an organization entity type.

The provider's business location address is:

1923 SIMON ST
FAYETTEVILLE, NC
ZIP 28312-381
Phone: (910) 483-6584

The provider's authorized official is Doris Mckethan .
The authorized official title is Owner and has the following contact phone number (910) 483-6584.

The enumeration date for this NPI number is 2/9/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-026-790NORTH 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.