GREATER IMAGE HC NPI 1326476383

NPI Information

NPI: 1326476383
Provider Name: GREATER IMAGE HC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1112 DEVONSHIRE TRL
ABERDEEN, NC
ZIP 28315
Phone: (910) 944-1674
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GREATER IMAGE HC is an intermediate care facility mentally retarded in Aberdeen, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GREATER IMAGE HC NPI is 1326476383. The provider is registered as an organization entity type.

The provider's business location address is:

1112 DEVONSHIRE TRL
ABERDEEN, NC
ZIP 28315-910
Phone: (910) 944-1674

The provider's authorized official is Rodney L Johnson .
The authorized official title is Ceo and has the following contact phone number (910) 321-0069.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 7/15/2020.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-063-105	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1326476383	OTHER		NPI

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: 4/28/2024

NPI Synchronization or Removal

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