PITT COUNTY GROUP HOME BOARD FOR MENTALLY RETARDED AUTISTIC PERSONS NPI 1841315132

NPI Information

NPI: 1841315132
Provider Name: PITT COUNTY GROUP HOME BOARD FOR MENTALLY RETARDED, AUTISTIC PERSONS,
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
560 WEST QUEEN ST.
GRIFTON, NC
ZIP 28530
Phone: (252) 524-4950
Get Directions

PITT COUNTY GROUP HOME BOARD FOR MENTALLY RETARDED, AUTISTIC PERSONS, is a residential treatment facility, intellectual and/or developmental disabilities in Grifton, 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. PITT COUNTY GROUP HOME BOARD FOR MENTALLY RETARDED, AUTISTIC PERSONS, NPI is 1841315132. The provider is registered as an organization entity type.

The provider's business location address is:

560 WEST QUEEN ST.
GRIFTON, NC
ZIP 28530-009
Phone: (252) 524-4950
Fax: (252) 524-3870

The provider's authorized official is Mary Grace Bright .
The authorized official title is Executive Director and has the following contact phone number (252) 524-4950.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.

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	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MHL074003	NORTH CAROLINA	No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MHL074015	NORTH CAROLINA	No
3	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MHL074097	NORTH CAROLINA	No
4	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MHL074037	NORTH CAROLINA	No
5	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MHL074021	NORTH CAROLINA	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
1	3406304	MEDICAID	NORTH CAROLINA
2	3406541	MEDICAID	NORTH CAROLINA
3	7802576	MEDICAID	NORTH CAROLINA
4	7802610	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: 4/28/2024

NPI Synchronization or Removal

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