Lydia'S Home in Greensboro - Community Based Residential Treatment Facility, Mental Illness
Lydia'S Home - NPI 1205011012
Lydia'S Home is a Community Based Residential Treatment Facility, Mental Illness in Greensboro, North Carolina. Lydia'S Home practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Lydia'S Home is 1205011012. The last update date is 2022-03-23.
Lydia'S Home's current location address is 2704 Grimsley St, Greensboro, North Carolina. You can contact this provider via phone number 3364567248. The mailing address for Lydia'S Home is 2704 Grimsley St, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lydia'S Home |
|---|---|
| Address | 2704 Grimsley St, Greensboro, North Carolina |
| Phone Number | 3364567248 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Pressley Crystal |
| Telephone Number | 3368556937 |
NPI Number Detail
| NPI Number | 1205011012 |
|---|---|
| Provider Enumeration Date | 2007-12-31 |
| Last Updated Date | 2022-03-23 |
Provider Mailing Address Detail
| Address | 2704 Grimsley St |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274033138 |
| Phone Number | 3364567248 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the unique 10-digit identification code assigned to Lydia'S Home by the Centers for Medicare & Medicaid Services?
The Lydia'S Home has been issued the NPI (National Provider Identifier) 1205011012, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lydia'S Home?
The Lydia'S Home is physically situated at 2704 Grimsley St, in the city of Greensboro, state of NC, with the postal code 274033138.
What is Lydia'S Home'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 Lydia'S Home is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy classification code that categorizes this area of expertise is 320800000X.
On what date did Lydia'S Home receive its 1205011012 assignment from the Centers for Medicare & Medicaid Services?
The Lydia'S Home was assigned its 1205011012 on 2007-12-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Lydia'S Home most recently updated?
The details pertaining to the Lydia'S Home, including its address, specialty, and other relevant information, were last refreshed on 2022-03-23.
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