Kimberly Home in Knightdale - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Kimberly Home - NPI 1427214956

Kimberly Home is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Knightdale, North Carolina. Kimberly Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Kimberly Home is 1427214956. The last update date is 2008-08-04.

Kimberly Home's current location address is 1733 Hodge Rd, Knightdale, North Carolina. You can contact this provider via phone number 9198725412 and fax number 9198725412. The mailing address for Kimberly Home is 1733 Hodge Rd, Knightdale, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kimberly Home
Address 1733 Hodge Rd, Knightdale, North Carolina
Phone Number 9198725412
Fax Number 9198725412
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF EXEC
Authorized Official Name Alston Seaberry Charlmayne
Telephone Number 9197988638

NPI Number Detail

NPI Number 1427214956
Provider Enumeration Date 2008-08-04
Last Updated Date 2008-08-04

Provider Mailing Address Detail

Address 1733 Hodge Rd
City Knightdale
State North Carolina (NC)
Post Code 275459588
Phone Number 9198725412
Fax Number 9198725412

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
Licence No MHL092633
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7805399 NC --

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FAQs about Kimberly Home

What is the unique 10-digit identification code issued to Kimberly Home by the Centers for Medicare & Medicaid Services?

The Kimberly Home has been assigned the NPI (National Provider Identifier) 1427214956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Kimberly Home's physical address?

The Kimberly Home is physically located at 1733 Hodge Rd, in the city of Knightdale, NC, with the postal code 275459588.

What is the Kimberly Home's specialty and taxonomy code?

The Kimberly Home's specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.

On what date was the 1427214956 assigned to Kimberly Home?

The Kimberly Home was issued its 1427214956 on 2008-08-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Kimberly Home most recently updated or refreshed?

The details pertaining to the Kimberly Home, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-04.

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