BLC GROUP HOME LLC NPI 1033007646

NPI Information

  • NPI: 1033007646
  • Provider Name: BLC GROUP HOME LLC
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 5720 SCARECROW CT
    FAYETTEVILLE, NC
    ZIP 28314
  • Phone: (641) 426-3956

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NPI Details

BLC GROUP HOME LLC is a residential treatment facility emotionally disturbed children in Fayetteville, 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. BLC GROUP HOME LLC NPI is 1033007646. The provider is registered as an organization entity type.

The provider's business location address is:

5720 SCARECROW CT
FAYETTEVILLE, NC
ZIP 28314-560
Phone: (641) 426-3956

The provider's authorized official is Naphasorn Reyes .
The authorized official title is Owner and has the following contact phone number (641) 426-3956.

The enumeration date for this NPI number is 6/24/2025 and was last updated on 6/24/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3323P00000XPsychiatric Residential Treatment FacilityNo
4322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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: 11/21/2025

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