CAROLINA HUMANA INC NPI 1508003443

NPI Information

NPI: 1508003443
Provider Name: CAROLINA HUMANA INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1008 WILKINS ST
ROCKY MOUNT, NC
ZIP 27803
Phone: (252) 454-0011
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CAROLINA HUMANA INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Rocky Mount, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CAROLINA HUMANA INC NPI is 1508003443. The provider is registered as an organization entity type.

The provider's business location address is:

1008 WILKINS ST
ROCKY MOUNT, NC
ZIP 27803-822
Phone: (252) 454-0011
Fax: (252) 454-0011

The provider's authorized official is Demetrius Rayshaun Thompson .
The authorized official title is Executive Director and has the following contact phone number (252) 454-0011.

The enumeration date for this NPI number is 1/14/2009 and was last updated on 1/14/2009.

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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-064-097	NORTH CAROLINA	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: 4/28/2024

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