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THE STAFFORD GROUP INC. NPI 1598803082


NPI Information

NPI: 1598803082
Provider Name: THE STAFFORD GROUP, INC.

Doing Business As: STAFFORD GLEN ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2060 W 5TH ST
GREENVILLE, NC
ZIP 27834
Phone: (252) 752-3402
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THE STAFFORD GROUP, INC. is an assisted living facility in Greenville, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. THE STAFFORD GROUP, INC. NPI is 1598803082. The provider is registered as an organization entity type.
The provider Is Doing Business As Stafford Glen Assisted Living.

The provider's business location address is:

2060 W 5TH ST
GREENVILLE, NC
ZIP 27834-160
Phone: (252) 752-3402
Fax: (252) 754-2367

The provider's authorized official is Phillip Glenn Batten .
The authorized official title is President and has the following contact phone number (252) 752-3402.

The enumeration date for this NPI number is 2/5/2007 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
1310400000XAssisted Living FacilityHAL-074-030NORTH 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
17805410MEDICAIDNORTH 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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