Grandfather Home Community Services For Children in Banner Elk - Community Based Residential Treatment Facility, Mental Illness
Grandfather Home Community Services For Children - NPI 1588721591
Grandfather Home Community Services For Children is a Community Based Residential Treatment Facility, Mental Illness in Banner Elk, North Carolina. Grandfather Home Community Services For Children practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Grandfather Home Community Services For Children is 1588721591. The last update date is 2008-02-22.
Grandfather Home Community Services For Children's current location address is Po Box 98, Banner Elk, North Carolina. You can contact this provider via phone number 8288985465 and fax number 8288988513. The mailing address for Grandfather Home Community Services For Children is Po Box 98, Banner Elk, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grandfather Home Community Services For Children |
|---|---|
| Address | Po Box 98, Banner Elk, North Carolina |
| Phone Number | 8288985465 |
| Fax Number | 8288988513 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Swinkola Jim |
| Credentials | MBA, MSW |
| Telephone Number | 8288985465 |
NPI Number Detail
| NPI Number | 1588721591 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2008-02-22 |
Provider Mailing Address Detail
| Address | Po Box 98 |
|---|---|
| City | Banner Elk |
| State | North Carolina (NC) |
| Post Code | 286040098 |
| Phone Number | 8288985465 |
| Fax Number | 8288988513 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | MHL-034-015 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6603668 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Grandfather Home Community Services For Children by the Centers for Medicare & Medicaid Services?
The Grandfather Home Community Services For Children has been assigned the NPI (National Provider Identifier) 1588721591 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Grandfather Home Community Services For Children's facilities are geographically located?
The facilities of Grandfather Home Community Services For Children are physically situated at the following location: Po Box 98, Banner Elk, NC, 286040098.
What is Grandfather Home Community Services For Children's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Grandfather Home Community Services For Children's specialized field of practice is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 320800000X.
When was the Grandfather Home Community Services For Children's 1588721591 issued?
The Grandfather Home Community Services For Children's 1588721591 was issued on 2007-01-02.
When was the information regarding Grandfather Home Community Services For Children most recently updated?
The details pertaining to the Grandfather Home Community Services For Children, including its address, specialty, and other relevant information, were last refreshed on 2008-02-22.