PERSON COUNTY GROUP HOMES, INC (NPI# 1336285774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336285774 |
| Entity Type | Organization |
| Organization Name | PERSON COUNTY GROUP HOMES, INC |
| Practice Address |
202 N. Main Street Roxboro NC 27573-0721 |
| Mailing Address |
Po Box 721 Roxboro NC 27573-0721 |
| Practice Telephone | 3365999421 |
| Practice Fax Number | 3365997220 |
| Mailing Telephone | 3365999421 |
| Mailing Fax Number | 3365997220 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-08-29 |
| Authorized Official Name | MR. DAVID W FORSYTHE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3365999421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL 073 026 | NC | Residential Treatment Facilities |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL 073 026 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7803486 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477988210 | Person County Group Homes, Inc | Community/Behavioral Health | 310 Bumpass Ln Unit 2, Roxboro, NC 27573-4576 | 2013-09-12 |
| 1659417624 | Person County Group Homes, Inc | Day Training, Developmentally Disabled Services | 202 N Main Street, Roxboro, NC 27573-0721 | 2007-01-29 |
| 1245376680 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1922144351 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1831235266 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1710023155 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1497891832 | Person County Group Homes, Inc | Case Management | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| Street Address |
202 N. MAIN STREET |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-0721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184760084 | Person County Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-29 |
| 1245376680 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1386780724 | Person County Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1013053446 | Person County Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1922144351 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1831235266 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1710023155 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1497891832 | Person County Group Homes, Inc | Case Management | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| Find all providers in zip 27573 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821369570 | Rha Health Services Nc, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 S Moore Dr, Roxboro, NC 27574-7884 | 2012-01-25 |
| 1053571299 | Mcdaniel Homes,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 56 Maggie Ln, Roxboro, NC 27573-4189 | 2008-06-11 |
| 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 | ||||
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| 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.