MY FRIEND'S HOUSE, LLC


Address: 3607 Columbia Avenue, Wilson, NC 27896
Phone: 2522067408

MY FRIEND'S HOUSE, LLC (NPI# 1164662466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164662466
Entity Type Organization
Organization Name MY FRIEND'S HOUSE, LLC
Practice Address 3607 Columbia Avenue
Wilson
NC 27896
Practice Telephone 2522067408
Practice Fax Number 3123240677
Mailing Telephone 2522067408
Mailing Fax Number 3123240677
Enumeration Date 2009-02-26
Last Update Date 2009-02-26
Authorized Official Name MS. CONNIE BUTTERFIELD (OWNER/MEMBER)
Authorized Official Telephone 2522067408
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities
N 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 3607 COLUMBIA AVENUE
City WILSON
State NC
Zip Code 27896

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528543972 Realo Discount Drug Stores of Eastern North Carolina, Inc Durable Medical Equipment & Medical Supplies 3724 Raleigh Road Parkway, Suite A, Wilson, NC 27896 2018-10-02
1518450865 Alysann Brooke Price Social Worker 5878 Farmwood Loop, Wilson, NC 27896 2018-06-12
1144744517 Sara Lynn Campbell Physical Therapist 3200 Nash Street North, Wilson, NC 27896 2017-07-27
1902327109 Lamont Zebediah Barnett Counselor 3904 Airport Drive, Wilson, NC 27896 2017-06-28
1578014718 Kristy Kaye Rowland Counselor 3707 Marion Court N, Wilson, NC 27896 2016-10-24
1780058057 Marsha Ricketts Harper Occupational Therapy Assistant 3105 Senior Village Lane, Wilson, NC 27896 2015-11-24
1508122615 Charlotte Hurt Social Worker 910 Raleigh Rd Parkway, Wilson, NC 27896 2012-04-03
1447542139 Sarah Elizabeth Kirby Bischoff Pharmacist 3401 Raleigh Rd, Harris Teeter, Wilson, NC 27896 2011-05-12
1235462342 Wilson Medical Group Non-Pharmacy Dispensing Site 3302 Nash St North, Wilson, NC 27896 2009-09-09
1144341439 Integrated Family Services, Pllc. Community/Behavioral Health 2000 Nash St, Ste E, Wilson, NC 27896 2007-04-03
Find all providers in zip 27896

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306455126 A Place 4 Me, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 2020-07-28
1922623792 Our Home At Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 2020-06-08
1922634484 Tracey Holton Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 2020-03-17
1710443395 Unity 4 Us Community Outreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 406 Lincoln St, Belmont, NC 28012-3045 2019-02-19
1871059444 Believing Everyone Succeeds Together Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 2019-02-19
1740744283 Tri Plex Industries Corp Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 2019-01-29
1316415037 Igr Collaborations Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 2018-11-12
1164924940 David Douglas Whitfield Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5342 Us Highway 301 North, Micro, NC 27555 2018-03-07
1710489976 Moravian Enterprises, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 122 North Elm St., Suite 810, Greensboro, NC 27401 2018-03-05
1659897833 Shelby Day Program Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 621 S Dekalb St Ste A, Shelby, NC 28150-6189 2017-08-18
Find all providers with the same taxonomy

Competitor

Search similar providers

City WILSON
Zip Code 27896

Improve Information

Please comment or provide details below to improve the information on MY FRIEND'S HOUSE, LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches