Thelmas Residential Facility in Fayetteville - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Thelmas Residential Facility - NPI 1184765406
Thelmas Residential Facility is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Fayetteville, North Carolina. Thelmas Residential Facility practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Thelmas Residential Facility is 1184765406. The last update date is 2020-08-22.
Thelmas Residential Facility's current location address is 1923 Simon St, Fayetteville, North Carolina. You can contact this provider via phone number 9104836584. The mailing address for Thelmas Residential Facility is 1923 Simon St, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thelmas Residential Facility |
|---|---|
| Address | 1923 Simon St, Fayetteville, North Carolina |
| Phone Number | 9104836584 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mckethan Doris |
| Telephone Number | 9104836584 |
NPI Number Detail
| NPI Number | 1184765406 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1923 Simon St |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283125381 |
| Phone Number | 9104836584 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | MHL-026-790 |
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Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identification code issued to Thelmas Residential Facility by the Centers for Medicare & Medicaid Services?
The Thelmas Residential Facility has been assigned the NPI (National Provider Identifier) 1184765406 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Thelmas Residential Facility located?
The Thelmas Residential Facility is located at 1923 Simon St, Fayetteville, NC 283125381.
What is Thelmas Residential Facility's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Thelmas Residential Facility is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184765406 to Thelmas Residential Facility?
The Centers for Medicare & Medicaid Services assigned the 1184765406 to Thelmas Residential Facility on 2007-02-09.
When was the information related to Thelmas Residential Facility most recently updated or refreshed?
The details pertaining to the Thelmas Residential Facility, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.