BO'S JOHNATHAN HOUSE INC. NPI 1194970681

NPI Information

  • NPI: 1194970681
  • Provider Name: BO'S JOHNATHAN HOUSE, INC.
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: BO'S JOHNATHAN HOUSE ADULT CARE, INC.
  • Address: 300 WILL RD
    MIDDLESEX, NC
    ZIP 27557
  • Phone: (919) 369-5394

Map and Directions

Get Directions

NPI Details

BO'S JOHNATHAN HOUSE, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Middlesex, 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. BO'S JOHNATHAN HOUSE, INC. NPI is 1194970681. The provider is registered as an organization entity type.
The provider Is Doing Business As Bo's Johnathan House Adult Care, Inc..

The provider's business location address is:

300 WILL RD
MIDDLESEX, NC
ZIP 27557-317
Phone: (919) 369-5394

The provider's authorized official is Obelia Watson Hocutt .
The authorized official title is Executive Director and has the following contact phone number (919) 369-5394.

The enumeration date for this NPI number is 11/25/2008 and was last updated on 1/27/2009.

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 Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-051-168NORTH CAROLINANo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-051-168NORTH 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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI