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PATTERSON HOME CARE INC. NPI 1780719286


NPI Information

NPI: 1780719286
Provider Name: PATTERSON HOME CARE, INC.

Former Legal Business Name: PATTERSON HOME INC.

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 34D2062057

Address:
6331 RANNOCK DR.
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 527-8427
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PATTERSON HOME CARE, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. PATTERSON HOME CARE, INC. NPI is 1780719286. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Patterson Home Inc..

The provider's business location address is:

6331 RANNOCK DR.
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 527-8427
Fax: (910) 822-8202

The provider's authorized official is Charolette Bouvier Patterson .
The authorized official title is Adm and has the following contact phone number (910) 527-8427.

The CLIA number assigned to this NPI record is 34D2062057 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 6/3/2016.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL 026766NORTH CAROLINANo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNORTH 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: 11/14/2023

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