LANE'S HOUSE ADULT GROUP HOME


Address: 3159 Octavia Dr, Rocky Mount, NC 27804-7959
Phone: 2529034660

LANE'S HOUSE ADULT GROUP HOME (NPI# 1306123294) 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) 1306123294
Entity Type Organization
Organization Name LANE'S HOUSE ADULT GROUP HOME
Practice Address 3159 Octavia Dr
Rocky Mount
NC 27804-7959
Practice Telephone 2529034660
Mailing Telephone 2529034660
Enumeration Date 2011-11-07
Last Update Date 2011-12-08
Authorized Official Name MRS. LILLIE B LANE (LICENSEE)
Authorized Official Telephone 2529034660
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
MHL-064-126 NC Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC MENTAL HEALTH LICENSE NUMBER MHL-064-126 01

Office Location

Street Address 3159 OCTAVIA DR
City ROCKY MOUNT
State NC
Zip Code 27804-7959

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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083128508 Almarch Family Care, LLC Clinic/Center 1924 Beverly Rd, Rocky Mount, NC 27801-6313 2017-11-20
1235388133 Eaglemere Living Facility Clinic/Center 200 Eagles Mere Trl, Rocky Mount, NC 27804-8850 2008-09-16
1932338670 Eagle Mere Living Facility/adult Care Home Clinic/Center 200 Eagles Mere Trl, Rocky Mount, NC 27804-8850 2009-07-02
1104041540 State of Nc Division of Health Services Clinic/Center 141 Storage Rd, Rocky Mount, NC 27804-8561 2007-04-13

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1669995577 L.a.s Learning Playhouse, LLC Clinic/Center 210 Craver Ave, Salisbury, NC 28146-5906 2017-07-23
1528314408 Laura Maria Mckoy Clinic/Center 122 Live Oak Drive, Jacksonville, NC 28540 2012-07-30
1639408248 Self-determination LLC Clinic/Center 103 Ebenezer Rd, Kings Mtn, NC 28086 2009-12-09
1043468796 Making It Happen, Inc. Clinic/Center 355 Ransom Rd, Winston Salem, NC 27106-3835 2008-09-07
1689841298 Safe Harbour Clinic/Center 13 East Dr, Jacksonville, NC 28546-8214 2008-05-13
1114143542 State of Nc Division of Health Services Clinic/Center 145 West Parker Road, Suite A, Morganton, NC 28655-4649 2007-04-17
1699897504 After Gateway Inc. Clinic/Center 501 S Mendenhall St, Greensboro, NC 27403-2514 2007-04-04
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Competitor

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City ROCKY MOUNT
Zip Code 27804

Improve Information

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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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