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ALL STARS GROUP LLC NPI 1285772319


NPI Information

NPI: 1285772319
Provider Name: ALL STARS GROUP LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2007 YANCEYVILLE ST
STE. 209 BOX 66
GREENSBORO, NC
ZIP 27405
Phone: (336) 691-1772
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ALL STARS GROUP LLC is a community behavioral health in Greensboro, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ALL STARS GROUP LLC NPI is 1285772319. The provider is registered as an organization entity type.

The provider's business location address is:

2007 YANCEYVILLE ST
STE. 209 BOX 66
GREENSBORO, NC
ZIP 27405-000
Phone: (336) 691-1772

The provider's authorized official is Mary J Mcduffie .
The authorized official title is President Ceo and has the following contact phone number (336) 691-1772.

The enumeration date for this NPI number is 2/1/2007 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
1251S00000XCommunity/Behavioral HealthNORTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18300889BMEDICAIDNORTH CAROLINA
28300889FMEDICAIDNORTH CAROLINA
38300889GMEDICAIDNORTH CAROLINA
48300889MEDICAIDNORTH CAROLINA
58300889AMEDICAIDNORTH CAROLINA
68300889HMEDICAIDNORTH 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: 11/14/2023

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