KIONONIA HAVEN HOMES LLC NPI 1396095147

NPI Information

NPI: 1396095147
Provider Name: KIONONIA HAVEN HOMES, LLC

Doing Business As: KIONONIA GROUP HOME SERVICES, LLC

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
507 TOBACCO RD
ROCKY MOUNT, NC
ZIP 27801
Phone: (252) 266-5496
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KIONONIA HAVEN HOMES, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Rocky Mount, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. KIONONIA HAVEN HOMES, LLC NPI is 1396095147. The provider is registered as an organization entity type.
The provider Is Doing Business As Kiononia Group Home Services, Llc.

The provider's business location address is:

507 TOBACCO RD
ROCKY MOUNT, NC
ZIP 27801-936
Phone: (252) 266-5496

The provider's authorized official is Pamela L Foreman .
The authorized official title is Director and has the following contact phone number (252) 266-5496.

The enumeration date for this NPI number is 9/19/2012 and was last updated on 9/19/2012.

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	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health			No
2	253J00000X	Foster Care Agency			No
3	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	0000000000	NORTH CAROLINA	No
4	320600000X	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: 5/5/2024

NPI Synchronization or Removal

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