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PHYD INC. (PRETTY HOMES YOUTH DEVELOPMENT) NPI 1003005240


NPI Profile

NPI: 1003005240
Provider Name: PHYD, INC. (PRETTY HOMES YOUTH DEVELOPMENT)

Doing Business As: DESTINY HOMES OF PHYD, INC.

Classification:Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1611 POOLE RD
RALEIGH, NC
ZIP 27610
Get Directions

Phone: (919) 713-0035

PHYD, INC. (PRETTY HOMES YOUTH DEVELOPMENT) is a residential treatment facility emotionally disturbed children in Raleigh, 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. PHYD, INC. (PRETTY HOMES YOUTH DEVELOPMENT) NPI is 1003005240. The provider is registered as an organization entity type.
The provider Is Doing Business As Destiny Homes Of Phyd, Inc..

The provider's business location address is:

1611 POOLE RD
RALEIGH, NC
ZIP 27610-658
Phone: (919) 713-0035
Fax: (919) 713-0034

The provider's authorized official is Andrea Pretty .
The authorized official title is President and has the following contact phone number (919) 633-7800.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 3/26/2009.


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 ChildrenMHL-092-491NORTH CAROLINANo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-092-537NORTH 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
16603862MEDICAIDNORTH CAROLINA
26604280MEDICAIDNORTH 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: 5/9/2021

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