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JADA'S HOUSELLC NPI 1255512877


NPI Information

NPI: 1255512877
Provider Name: JADA'S HOUSE,LLC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
3987 STERLING POINTE DR
LLL-1
WINTERVILLE, NC
ZIP 28590
Phone: (252) 830-3934
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JADA'S HOUSE,LLC is a residential treatment facility emotionally disturbed children in Winterville, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. JADA'S HOUSE,LLC NPI is 1255512877. The provider is registered as an organization entity type.

The provider's business location address is:

3987 STERLING POINTE DR
LLL-1
WINTERVILLE, NC
ZIP 28590-243
Phone: (252) 830-3934

The provider's authorized official is Nicole Taft .
The authorized official title is Director and has the following contact phone number (252) 412-0797.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 11/26/2007.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-074-187NORTH 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: 5/5/2024

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