SURRY-YADKIN RESIDENTIAL SERVICES INC NPI 1861745069

NPI Information

  • NPI: 1861745069
  • Provider Name: SURRY-YADKIN RESIDENTIAL SERVICES, INC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 1305 PARK DR
    MOUNT AIRY, NC
    ZIP 27030
  • Phone: (336) 789-6697

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NPI Details

SURRY-YADKIN RESIDENTIAL SERVICES, INC is an intermediate care facility mentally retarded in Mount Airy, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SURRY-YADKIN RESIDENTIAL SERVICES, INC NPI is 1861745069. The provider is registered as an organization entity type.

The provider's business location address is:

1305 PARK DR
MOUNT AIRY, NC
ZIP 27030
Phone: (336) 789-6697

The provider's authorized official is Joshua Denny .
The authorized official title is Executive Director and has the following contact phone number (336) 719-0062.

The enumeration date for this NPI number is 10/25/2012 and was last updated on 6/13/2018.

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
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesMHL-086-020NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1340609BMEDICAIDNORTH 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: 3/30/2025

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