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MY SAVIOR FAMILY CARE HOME INC NPI 1659419281


NPI Information

NPI: 1659419281
Provider Name: MY SAVIOR FAMILY CARE HOME INC

Doing Business As: PEOPLE OF PURPOSE

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
100 ADAMS BLVD
GREENVILLE, NC
ZIP 27858
Phone: (252) 347-4451
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MY SAVIOR FAMILY CARE HOME INC is a residential treatment facility emotionally disturbed children in Greenville, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. MY SAVIOR FAMILY CARE HOME INC NPI is 1659419281. The provider is registered as an organization entity type.
The provider Is Doing Business As People Of Purpose.

The provider's business location address is:

100 ADAMS BLVD
GREENVILLE, NC
ZIP 27858-815
Phone: (252) 347-4451
Fax: (252) 321-4829

The provider's authorized official is Nancy B. Boone .
The authorized official title is Ceo and has the following contact phone number (252) 347-4451.

The enumeration date for this NPI number is 2/4/2007 and was last updated on 7/22/2008.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL074153NORTH 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
16604100MEDICAIDNORTH 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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