MR. MOORE BYNUM NPI 1265619274

NPI Information

  • NPI: 1265619274
  • Provider Name: MR. MOORE BYNUM
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Individual
  • Address: 518 ARLINGTON ST
    ROCKY MOUNT, NC
    ZIP 27801
  • Phone: (252) 446-2082

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NPI Details

MR. Moore Bynum is a residential treatment facility emotionally disturbed children in Rocky Mount, 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. MR. Moore Bynum NPI is 1265619274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

518 ARLINGTON ST
ROCKY MOUNT, NC
ZIP 27801-657
Phone: (252) 446-2082

The enumeration date for this NPI number is 1/22/2008 and was last updated on 1/22/2008.

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-033-054NORTH 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: 3/30/2025

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