L&M Group Home Inc in Fayetteville - Residential Treatment Facility, Emotionally Disturbed Children
L&M Group Home Inc - NPI 1104968932
L&M Group Home Inc is a Residential Treatment Facility, Emotionally Disturbed Children in Fayetteville, North Carolina. L&M Group Home Inc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for L&M Group Home Inc is 1104968932. The last update date is 2020-08-22.
L&M Group Home Inc's current location address is 936 Waterless St, Fayetteville, North Carolina. You can contact this provider via phone number 9104847075 and fax number 9104841704. The mailing address for L&M Group Home Inc is 936 Waterless St, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | L&M Group Home Inc |
|---|---|
| Address | 936 Waterless St, Fayetteville, North Carolina |
| Phone Number | 9104847075 |
| Fax Number | 9104841704 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Melvin Leon Shelton |
| Credentials | BA |
| Telephone Number | 9104257391 |
NPI Number Detail
| NPI Number | 1104968932 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 936 Waterless St |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283061606 |
| Phone Number | 9104847075 |
| Fax Number | 9104841704 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-026-748 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6603435 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to L&M Group Home Inc by the Centers for Medicare & Medicaid Services?
The L&M Group Home Inc has been issued the NPI (National Provider Identifier) 1104968932, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where L&M Group Home Inc is geographically located?
The L&M Group Home Inc is physically situated at the following location: 936 Waterless St, Fayetteville, NC, 283061606.
What is L&M Group Home Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for L&M Group Home Inc is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy classification code for this specialized field is 322D00000X.
On what date did L&M Group Home Inc receive its 1104968932 assignment from the Centers for Medicare & Medicaid Services?
The L&M Group Home Inc was assigned its 1104968932 on 2007-02-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to L&M Group Home Inc last refreshed?
The information related to the L&M Group Home Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.