KEAIRA'S HOUSE ADULT GROUP HOME NPI 1700114816

NPI Information

NPI: 1700114816
Provider Name: KEAIRA'S HOUSE ADULT GROUP HOME
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
836 LINCOLN DR
ROCKY MOUNT, NC
ZIP 27801
Phone: (252) 446-8162
Get Directions

KEAIRA'S HOUSE ADULT GROUP HOME is a residential treatment facility, intellectual and/or developmental disabilities in Rocky Mount, 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. KEAIRA'S HOUSE ADULT GROUP HOME NPI is 1700114816. The provider is registered as an organization entity type.

The provider's business location address is:

836 LINCOLN DR
ROCKY MOUNT, NC
ZIP 27801-456
Phone: (252) 446-8162
Fax: (252) 446-8162

The provider's authorized official is Keith Evans .
The authorized official title is Owner and has the following contact phone number (252) 446-8162.

The enumeration date for this NPI number is 12/1/2009 and was last updated on 12/1/2009.

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	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-033-067	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: 5/5/2024

NPI Synchronization or Removal

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