MAKING A DIFFERENCE GROUPHOME NPI 1093017238

NPI Information

  • NPI: 1093017238
  • Provider Name: MAKING A DIFFERENCE GROUPHOME
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Former Legal Business Name: MAKING A DIFFERENCE GROUPHOME
  • Address: 1820 BEDFORD RD
    ROCKY MOUNT, NC
    ZIP 27801
  • Phone: (252) 469-5264

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NPI Details

MAKING A DIFFERENCE GROUPHOME is a community based residential treatment facility, intellectual and/or developmental disabilities in Rocky Mount, 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. MAKING A DIFFERENCE GROUPHOME NPI is 1093017238. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Making A Difference Grouphome.

The provider's business location address is:

1820 BEDFORD RD
ROCKY MOUNT, NC
ZIP 27801-303
Phone: (252) 469-5264

The provider's authorized official is Willie Morris .
The authorized official title is Administrator and has the following contact phone number (252) 469-5264.

The enumeration date for this NPI number is 11/19/2010 and was last updated on 11/19/2010.

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 DisabilitiesMHL033090NORTH 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: 11/21/2025

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