GIBSON HOMES LLC NPI 1407178205

NPI Information

  • NPI: 1407178205
  • Provider Name: GIBSON HOMES LLC
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Address: 101 N PEARTREE LN
    RALEIGH, NC
    ZIP 27610
  • Phone: (919) 896-8116

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NPI Details

GIBSON HOMES LLC is an assisted living and mental illness assisted living facility in Raleigh, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. GIBSON HOMES LLC NPI is 1407178205. The provider is registered as an organization entity type.

The provider's business location address is:

101 N PEARTREE LN
RALEIGH, NC
ZIP 27610-823
Phone: (919) 896-8116
Fax: (919) 896-8116

The provider's authorized official is Bruce Daniel .
The authorized official title is Manager and has the following contact phone number (919) 523-4942.

The enumeration date for this NPI number is 2/20/2010 and was last updated on 2/20/2010.

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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessMHL-092-758NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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