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MCDANIEL HOMESLLC NPI 1053571299


NPI Information

NPI: 1053571299
Provider Name: MCDANIEL HOMES,LLC

Doing Business As: MCDANIEL HOME # 1, # 2, AND # 3

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
56 MAGGIE LN
ROXBORO, NC
ZIP 27573
Phone: (336) 599-9171
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MCDANIEL HOMES,LLC is a community based residential treatment facility mental illness in Roxboro, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MCDANIEL HOMES,LLC NPI is 1053571299. The provider is registered as an organization entity type.
The provider Is Doing Business As Mcdaniel Home # 1, # 2, And # 3.

The provider's business location address is:

56 MAGGIE LN
ROXBORO, NC
ZIP 27573-189
Phone: (336) 599-9171

The provider's authorized official is Peggy Davis- Mcdaniel .
The authorized official title is Director and has the following contact phone number (336) 599-1073.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 5/20/2023.


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
1251S00000XCommunity/Behavioral HealthNo
2311ZA0620XCustodial Care FacilityAdult Care HomeMHL-073-047NORTH CAROLINANo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-073-061NORTH CAROLINANo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-073-047NORTH CAROLINANo
5320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-073-041NORTH CAROLINANo
6320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 4/28/2024

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