ECHO TRAIL GROUP HOME NPI 1457528788

NPI Information

NPI: 1457528788
Provider Name: ECHO TRAIL GROUP HOME
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1930 ECHO TRL
PFAFFTOWN, NC
ZIP 27040
Phone: (336) 924-6649
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ECHO TRAIL GROUP HOME is a community based residential treatment facility mental illness in Pfafftown, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. ECHO TRAIL GROUP HOME NPI is 1457528788. The provider is registered as an organization entity type.

The provider's business location address is:

1930 ECHO TRL
PFAFFTOWN, NC
ZIP 27040-518
Phone: (336) 924-6649

The provider's authorized official is Stephanie Cahoon .
The authorized official title is Billing Specialist and has the following contact phone number (704) 906-8893.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 5/15/2008.

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
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

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	6604265	MEDICAID	NORTH 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: 5/5/2024

NPI Synchronization or Removal

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