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CHEETHAM FAMILY CARE HOME NPI 1811011802


NPI Information

NPI: 1811011802
Provider Name: CHEETHAM FAMILY CARE HOME
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
2726 NEWSOME ST
RALEIGH, NC
ZIP 27603
Phone: (919) 325-0671
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CHEETHAM FAMILY CARE HOME is an assisted living and mental illness assisted living facility in Raleigh, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. CHEETHAM FAMILY CARE HOME NPI is 1811011802. The provider is registered as an organization entity type.

The provider's business location address is:

2726 NEWSOME ST
RALEIGH, NC
ZIP 27603-956
Phone: (919) 325-0671
Fax: (919) 325-0671

The provider's authorized official is Ransford Nylander Thompson .
The authorized official title is President and has the following contact phone number (919) 795-8338.

The enumeration date for this NPI number is 3/17/2007 and was last updated on 6/18/2008.


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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessMHL-092-538-27G.5600NORTH 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
17804824MEDICAIDNORTH 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: 11/14/2023

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