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WEST HILLCREST DDA GROUP HOMELLC NPI 1932978293


NPI Information

NPI: 1932978293
Provider Name: WEST HILLCREST DDA GROUP HOME,LLC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
925 S CHURCH ST
BURLINGTON, NC
ZIP 27215
Phone: (336) 227-3845
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WEST HILLCREST DDA GROUP HOME,LLC is an intermediate care facility mentally retarded in Burlington, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. WEST HILLCREST DDA GROUP HOME,LLC NPI is 1932978293. The provider is registered as an organization entity type.

The provider's business location address is:

925 S CHURCH ST
BURLINGTON, NC
ZIP 27215-845
Phone: (336) 227-3845
Fax: (336) 227-3845

The provider's authorized official is Esther Richards .
The authorized official title is Director and has the following contact phone number (336) 227-3845.

The enumeration date for this NPI number is 12/28/2023 and was last updated on 12/28/2023.


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
1310500000XIntermediate Care Facility, Mental IllnessNo
2343900000XNon-emergency Medical Transport (VAN)No
3385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
4315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

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

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