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FAITH HOMES & HABILITATION LLC II NPI 1881968378


NPI Information

NPI: 1881968378
Provider Name: FAITH HOMES & HABILITATION, LLC II
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
830 N MANGUM ST
DURHAM, NC
ZIP 27701
Phone: (919) 961-1757
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FAITH HOMES & HABILITATION, LLC II is a community based residential treatment facility mental illness in Durham, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. FAITH HOMES & HABILITATION, LLC II NPI is 1881968378. The provider is registered as an organization entity type.

The provider's business location address is:

830 N MANGUM ST
DURHAM, NC
ZIP 27701-259
Phone: (919) 961-1757
Fax: (919) 400-4277

The provider's authorized official is Gloria Campbell .
The authorized official title is Administrator and has the following contact phone number (919) 961-1757.

The enumeration date for this NPI number is 2/29/2012 and was last updated on 3/21/2012.


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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessFCL-032-117NORTH 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
11134443252MEDICAIDNORTH 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

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