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SOPHIA B PIERCE & ASSOCIATES INC NPI 1699847541


NPI Information

NPI: 1699847541
Provider Name: SOPHIA B PIERCE & ASSOCIATES INC

Doing Business As: SUNNY ACRES GROUP HOME

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 34D2130334

Address:
611 COUNTRY CLUB DRIVE
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 630-6818
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SOPHIA B PIERCE & ASSOCIATES INC is a community behavioral health in Fayetteville, 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. SOPHIA B PIERCE & ASSOCIATES INC NPI is 1699847541. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunny Acres Group Home.

The provider's business location address is:

611 COUNTRY CLUB DRIVE
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 630-6818
Fax: (910) 822-1951

The provider's authorized official is Sophia Blanks Pierce .
The authorized official title is Executive Director and has the following contact phone number (910) 488-8477.

The CLIA number assigned to this NPI record is 34D2130334 - other - group home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 12/3/2018.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeNo
2343900000XNon-emergency Medical Transport (VAN)No
3251S00000XCommunity/Behavioral HealthYes

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
17805339MEDICAIDNORTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.