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FRIENDWAY GROUP HOME NPI 1568554293


NPI Information

NPI: 1568554293
Provider Name: FRIENDWAY GROUP HOME

Doing Business As: COMMUNITY INNOVATIONS INC

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
202 FRIENDWAY RD
GREENSBORO, NC
ZIP 27409
Phone: (336) 852-2636
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FRIENDWAY GROUP HOME is an intermediate care facility mentally retarded in Greensboro, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. FRIENDWAY GROUP HOME NPI is 1568554293. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Innovations Inc.

The provider's business location address is:

202 FRIENDWAY RD
GREENSBORO, NC
ZIP 27409-116
Phone: (336) 852-2636

The provider's authorized official is Andy Anderson .
The authorized official title is President and has the following contact phone number (910) 642-5697.

The enumeration date for this NPI number is 9/29/2006 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
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesMHL041070NORTH 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
13416216MEDICAIDNORTH 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

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