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HILLCREST FAMILY CARE HOME FACILITIES NPI 1447433404


NPI Information

NPI: 1447433404
Provider Name: HILLCREST FAMILY CARE HOME FACILITIES
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
3704 HILLCREST DR
RALEIGH, NC
ZIP 27610
Phone: (919) 231-6776
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HILLCREST FAMILY CARE HOME FACILITIES is a residential treatment facility, intellectual and/or developmental disabilities in Raleigh, 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. HILLCREST FAMILY CARE HOME FACILITIES NPI is 1447433404. The provider is registered as an organization entity type.

The provider's business location address is:

3704 HILLCREST DR
RALEIGH, NC
ZIP 27610-309
Phone: (919) 231-6776
Fax: (919) 231-6776

The provider's authorized official is Peggie Gillis Harris .
The authorized official title is Administrator and has the following contact phone number (919) 231-6776.

The enumeration date for this NPI number is 12/13/2007 and was last updated on 11/21/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesFCL092109NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17805553MEDICAIDNORTH CAROLINA

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: 11/14/2023

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