WAY FARER COURT FACILITY NPI 1063691236

NPI Information

NPI: 1063691236
Provider Name: WAY FARER COURT FACILITY

Other Name: CARE FOCUS, INC.

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
145 WAYFARER CT
ROCKY MOUNT, NC
ZIP 27801
Phone: (252) 977-3747
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WAY FARER COURT FACILITY is a residential treatment facility, intellectual and/or developmental disabilities in Rocky Mount, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. WAY FARER COURT FACILITY NPI is 1063691236. The provider is registered as an organization entity type.
The provider Other Name Is Care Focus, Inc..

The provider's business location address is:

145 WAYFARER CT
ROCKY MOUNT, NC
ZIP 27801-282
Phone: (252) 977-3747

The provider's authorized official is Duane Brickhouse .
The authorized official title is Controller and has the following contact phone number (410) 910-1500.

The enumeration date for this NPI number is 10/24/2007 and was last updated on 10/24/2007.

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
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		033-049	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7804571	MEDICAID	NORTH 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: 5/5/2024

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