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FAITH HOME INC. NPI 1649449091


NPI Information

NPI: 1649449091
Provider Name: FAITH HOME, INC.

Doing Business As: FAITH HOME

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
808 MYSTIC DR
GREENSBORO, NC
ZIP 27406
Phone: (336) 856-0671
Get Directions

FAITH HOME, INC. is a residential treatment facility emotionally disturbed children in Greensboro, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. FAITH HOME, INC. NPI is 1649449091. The provider is registered as an organization entity type.
The provider Is Doing Business As Faith Home.

The provider's business location address is:

808 MYSTIC DR
GREENSBORO, NC
ZIP 27406-726
Phone: (336) 856-0671
Fax: (336) 856-0671

The provider's authorized official is Leon Harlie Sturdivant .
The authorized official title is Owner / Director and has the following contact phone number (336) 854-1718.

The enumeration date for this NPI number is 2/29/2008 and was last updated on 4/7/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL041732NORTH CAROLINAYes

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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