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CYRUS HOME LLC NPI 1043641830


NPI Information

NPI: 1043641830
Provider Name: CYRUS HOME LLC

Doing Business As: CYRUS HOME

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3101 GINGER LAKE CT
ZEBULON, NC
ZIP 27597
Phone: (919) 217-0015
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CYRUS HOME LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Zebulon, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CYRUS HOME LLC NPI is 1043641830. The provider is registered as an organization entity type.
The provider Is Doing Business As Cyrus Home.

The provider's business location address is:

3101 GINGER LAKE CT
ZEBULON, NC
ZIP 27597-738
Phone: (919) 217-0015
Fax: (919) 404-8252

The provider's authorized official is Luease Cyrus .
The authorized official title is Owner/operator and has the following contact phone number (919) 217-0015.

The enumeration date for this NPI number is 12/5/2013 and was last updated on 7/21/2022.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL092262NORTH 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: 5/5/2024

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