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NEW START OF NORTH CAROLINA NPI 1629277397


NPI Information

NPI: 1629277397
Provider Name: NEW START OF NORTH CAROLINA

Former Legal Business Name: CHANDLER'S HOME

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
708 W 14TH AVE
GREENVILLE, NC
ZIP 27834
Phone: (252) 413-0064
Get Directions

NEW START OF NORTH CAROLINA is a residential treatment facility, intellectual and/or developmental disabilities in Greenville, 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. NEW START OF NORTH CAROLINA NPI is 1629277397. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Chandler's Home.

The provider's business location address is:

708 W 14TH AVE
GREENVILLE, NC
ZIP 27834-083
Phone: (252) 413-0064
Fax: (252) 439-0666

The provider's authorized official is Ramona Hart .
The authorized official title is Owener Operator and has the following contact phone number (252) 327-8225.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 7/21/2022.


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 DisabilitiesNORTH 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
18300901BMEDICAIDNORTH CAROLINACOMMUNITY SUPPORT

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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