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HELMS COTTAGE 2 NPI 1366678112


NPI Information

NPI: 1366678112
Provider Name: HELMS COTTAGE 2
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
5505 WESTERN BLVD
RALEIGH, NC
ZIP 27606
Phone: (919) 851-6317
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HELMS COTTAGE 2 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. HELMS COTTAGE 2 NPI is 1366678112. The provider is registered as an organization entity type.

The provider's business location address is:

5505 WESTERN BLVD
RALEIGH, NC
ZIP 27606-517
Phone: (919) 851-6317
Fax: (919) 465-3872

The provider's authorized official is Phyllis A Helms .
The authorized official title is Administrator and has the following contact phone number (919) 851-6317.

The enumeration date for this NPI number is 6/8/2009 and was last updated on 6/8/2009.


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 IllnessMHL-092-324NORTH 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
17803748MEDICAIDNORTH CAROLINA
27802145MEDICAIDNORTH CAROLINA
37803143MEDICAIDNORTH CAROLINA
47805996MEDICAIDNORTH 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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