MY FRIEND'S HOUSE LLC NPI 1164662466

NPI Information

NPI: 1164662466
Provider Name: MY FRIEND'S HOUSE, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address: 3607 COLUMBIA AVENUE
WILSON, NC
ZIP 27896
Phone: (252) 206-7408

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NPI Details

MY FRIEND'S HOUSE, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Wilson, 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. MY FRIEND'S HOUSE, LLC NPI is 1164662466. The provider is registered as an organization entity type.

The provider's business location address is:

3607 COLUMBIA AVENUE
WILSON, NC
ZIP 27896
Phone: (252) 206-7408
Fax: (312) 324-0677

The provider's authorized official is Connie Butterfield .
The authorized official title is Owner/member and has the following contact phone number (252) 206-7408.

The enumeration date for this NPI number is 2/26/2009 and was last updated on 2/26/2009.

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	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness	No
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Yes

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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