Sammons Group Home in Raleigh - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Sammons Group Home - NPI 1023273505
Sammons Group Home is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Raleigh, North Carolina. Sammons 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 Sammons Group Home is 1023273505. The last update date is 2008-07-23.
Sammons Group Home's current location address is 3129 Tarheel Clubhouse Rd, Raleigh, North Carolina. You can contact this provider via phone number 9192170112 and fax number 9192173962. The mailing address for Sammons Group Home is 3129 Tarheel Clubhouse Rd, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Sammons Group Home |
---|---|
Address | 3129 Tarheel Clubhouse Rd, Raleigh, North Carolina |
Phone Number | 9192170112 |
Fax Number | 9192173962 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Sammons Howard Charles |
Telephone Number | 9192170112 |
NPI Number Detail
NPI Number | 1023273505 |
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Provider Enumeration Date | 2008-07-23 |
Last Updated Date | 2008-07-23 |
Provider Mailing Address Detail
Address | 3129 Tarheel Clubhouse Rd |
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City | Raleigh |
State | North Carolina (NC) |
Post Code | 276049675 |
Phone Number | 9192170112 |
Fax Number | 9192173962 |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Taxonomy | 320900000X |
Licence No | MHL-092-470 |
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 |
---|---|---|---|
7804437 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sammons Group Home by the Centers for Medicare & Medicaid Services?
The Sammons Group Home has been issued the NPI (National Provider Identifier) 1023273505, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Sammons Group Home?
The Sammons Group Home is situated at 3129 Tarheel Clubhouse Rd, in the city of Raleigh, state of NC, with the zip code 276049675.
What is Sammons Group 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 Sammons Group Home is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.
On what date did the Sammons Group Home receive the assignment of its 1023273505 from the Centers for Medicare & Medicaid Services?
The Sammons Group Home was issued its 1023273505 by the Centers for Medicare & Medicaid Services on 2008-07-23.
When was the information regarding Sammons Group Home most recently updated?
The details pertaining to the Sammons Group Home, including its address, specialty, and other relevant information, were last refreshed on 2008-07-23.
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