MAKING A DIFFERENCE GROUPHOME


Address: 1820 Bedford Rd, Rocky Mount, NC 27801-6303
Phone: 2524695264

MAKING A DIFFERENCE GROUPHOME (NPI# 1093017238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093017238
Entity Type Organization
Organization Name MAKING A DIFFERENCE GROUPHOME
Other Organization Name MAKING A DIFFERENCE GROUPHOME
Practice Address 1820 Bedford Rd
Rocky Mount
NC 27801-6303
Mailing Address 1820 Bedford Rd
1820 Bedford Road
Rocky Mount
NC 27801-6303
Practice Telephone 2524695264
Mailing Telephone 2524695264
Enumeration Date 2010-11-19
Last Update Date 2010-11-19
Authorized Official Name MR. WILLIE MORRIS JR. (ADMINISTRATOR)
Authorized Official Telephone 2524695264
Authorized Official Credential BS,QP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities MHL033090 NC Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Making A Difference GroupHome Former Legal Business Name - Organization

Office Location

Street Address 1820 BEDFORD RD
City ROCKY MOUNT
State NC
Zip Code 27801-6303

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043500572 Motivated Caring Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1205 Bermuda Rd, Rocky Mount, NC 27801-5102 2011-04-18
1699080705 Thank You Lord(tyl) Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2612 Winstead Rd, Rocky Mount, NC 27804-4127 2010-08-12
1164755351 Open Arms Family Srvices, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 612 Mayfair Dr, Rocky Mount, NC 27803-1180 2009-09-07
1508003443 Carolina Humana Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1008 Wilkins St, Rocky Mount, NC 27803-3822 2009-01-14
1699834812 American Health LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 173 S Winstead Ave, Rocky Mount, NC 27804-3420 2006-12-06
1033664842 Williams Home Sweet Home 2 Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1832 Springfield Rd, Rocky Mount, NC 27801-3060 2016-08-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1871059444 Believing Everyone Succeeds Together Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 2019-02-19
1740744283 Tri Plex Industries Corp Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 2019-01-29
1316415037 Igr Collaborations Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 2018-11-12
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Competitor

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City ROCKY MOUNT
Zip Code 27801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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