Coltranes Group Home in Greensboro - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Coltranes Group Home - NPI 1366594715
Coltranes Group Home is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Greensboro, North Carolina. Coltranes Group Home practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Coltranes Group Home is 1366594715. The last update date is 2008-04-25.
Coltranes Group Home's current location address is 3811 Repon St, Greensboro, North Carolina. You can contact this provider via phone number 3362999757 and fax number 3362991419. The mailing address for Coltranes Group Home is 3811 Repon St, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coltranes Group Home |
|---|---|
| Address | 3811 Repon St, Greensboro, North Carolina |
| Phone Number | 3362999757 |
| Fax Number | 3362991419 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Coltrane Lorraine Lathay |
| Telephone Number | 3362999757 |
NPI Number Detail
| NPI Number | 1366594715 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2008-04-25 |
Provider Mailing Address Detail
| Address | 3811 Repon St |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274075536 |
| Phone Number | 3362999757 |
| Fax Number | 3362991419 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3408773 | NC | -- | |
| 7804354 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Coltranes Group Home?
The Coltranes Group Home has been issued the NPI (National Provider Identifier) 1366594715 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Coltranes Group Home is physically located?
The Coltranes Group Home is physically situated at the following address: 3811 Repon St, Greensboro, NC, 274075536.
What is the area of specialization for Coltranes Group Home, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Coltranes Group Home is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
When did the Coltranes Group Home receive its 1366594715?
The Coltranes Group Home was issued its 1366594715 on 2007-01-17, which is the date when the organization was assigned this unique identifier.
When was the information regarding Coltranes Group Home most recently updated?
The details pertaining to the Coltranes Group Home, including its address, specialty, and other relevant information, were last refreshed on 2008-04-25.