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NEW START OF NORTH CAROLINA LLC NPI 1700083821


NPI Information

NPI: 1700083821
Provider Name: NEW START OF NORTH CAROLINA LLC

Former Legal Business Name: NEW START CHANDLERS HOME

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
708 W 14TH AVE
GREENVILLE, NC
ZIP 27834
Phone: (252) 413-0064
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NEW START OF NORTH CAROLINA LLC is a community based residential treatment facility mental illness in Greenville, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. NEW START OF NORTH CAROLINA LLC NPI is 1700083821. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is New Start Chandlers Home.

The provider's business location address is:

708 W 14TH AVE
GREENVILLE, NC
ZIP 27834-083
Phone: (252) 413-0064
Fax: (252) 439-0666

The provider's authorized official is Ramona Brewington Hart .
The authorized official title is Owner Operator and has the following contact phone number (252) 327-8225.

The enumeration date for this NPI number is 7/2/2007 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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness7803798NORTH CAROLINAYes

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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