PERSON COUNTY GROUP HOMES, INC


Address: 202 N. Main Street, Roxboro, NC 27573-0721
Phone: 3365999421

PERSON COUNTY GROUP HOMES, INC (NPI# 1336285774) 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) 1336285774
Entity Type Organization
Organization Name PERSON COUNTY GROUP HOMES, INC
Practice Address 202 N. Main Street
Roxboro
NC 27573-0721
Mailing Address Po Box 721
Roxboro
NC 27573-0721
Practice Telephone 3365999421
Practice Fax Number 3365997220
Mailing Telephone 3365999421
Mailing Fax Number 3365997220
Enumeration Date 2007-01-30
Last Update Date 2013-08-29
Authorized Official Name MR. DAVID W FORSYTHE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3365999421
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320800000X Community Based Residential Treatment Facility, Mental Illness MHL 073 026 NC Residential Treatment Facilities
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities MHL 073 026 NC Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 7803486 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477988210 Person County Group Homes, Inc Community/Behavioral Health 310 Bumpass Ln Unit 2, Roxboro, NC 27573-4576 2013-09-12
1659417624 Person County Group Homes, Inc Day Training, Developmentally Disabled Services 202 N Main Street, Roxboro, NC 27573-0721 2007-01-29
1245376680 Person County Group Homes, Inc Community Based Residential Treatment Facility, Mental Illness 202 N. Main Street, Roxboro, NC 27573-0721 2007-01-30
1922144351 Person County Group Homes, Inc Community Based Residential Treatment Facility, Mental Illness 202 N. Main Street, Roxboro, NC 27573-0721 2007-01-30
1831235266 Person County Group Homes, Inc Community Based Residential Treatment Facility, Mental Illness 202 N. Main Street, Roxboro, NC 27573-0721 2007-01-30
1710023155 Person County Group Homes, Inc Community Based Residential Treatment Facility, Mental Illness 202 N. Main Street, Roxboro, NC 27573-0721 2007-01-30
1497891832 Person County Group Homes, Inc Case Management 202 N. Main Street, Roxboro, NC 27573-0721 2007-01-30

Office Location

Street Address 202 N. MAIN STREET
City ROXBORO
State NC
Zip Code 27573-0721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184760084 Person County Group Homes, Inc. Community Based Residential Treatment Facility, Mental Illness 202 N. Main Street, Roxboro, NC 27573-0721 2007-01-29
1245376680 Person County Group Homes, Inc Community Based Residential Treatment Facility, Mental Illness 202 N. Main Street, Roxboro, NC 27573-0721 2007-01-30
1386780724 Person County Group Homes, Inc. Community Based Residential Treatment Facility, Mental Illness 202 N. Main Street, Roxboro, NC 27573-0721 2007-01-30
1013053446 Person County Group Homes, Inc. Community Based Residential Treatment Facility, Mental Illness 202 N. Main Street, Roxboro, NC 27573-0721 2007-01-30
1922144351 Person County Group Homes, Inc Community Based Residential Treatment Facility, Mental Illness 202 N. Main Street, Roxboro, NC 27573-0721 2007-01-30
1831235266 Person County Group Homes, Inc Community Based Residential Treatment Facility, Mental Illness 202 N. Main Street, Roxboro, NC 27573-0721 2007-01-30
1710023155 Person County Group Homes, Inc Community Based Residential Treatment Facility, Mental Illness 202 N. Main Street, Roxboro, NC 27573-0721 2007-01-30
1497891832 Person County Group Homes, Inc Case Management 202 N. Main Street, Roxboro, NC 27573-0721 2007-01-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043786783 Caitlin Elissa Seidler Physician Assistant 910 N Madison Blvd Ste B, Roxboro, NC 27573 2018-10-21
1467821801 Iris W Jackola Nurse Practitioner 796 Doctor's Court, Roxboro, NC 27573 2015-09-16
1568897213 Person County Group Homes, Inc. Community/Behavioral Health 607 Henry Street, Roxboro, NC 27573 2013-09-12
1760820336 J-1 Consultants LLC Psychologist 315 Old Allensville Road, Roxboro, NC 27573 2013-06-05
1932445749 Ronnie Lee Chandler Pharmacist 109 North Main St., Roxboro, NC 27573 2012-12-26
1154559581 Roxboro Medaccess Primary Care Clinic/Center 3762 Durham Road, Roxboro, NC 27573 2009-06-24
1699922302 Bruce Wayne Walsh Counselor 355 C1 S. Madison Blvd, Roxboro, NC 27573 2008-08-25
1033232020 Person County Department of Social Services Durable Medical Equipment & Medical Supplies 355-b South Madison Blvd, Roxboro, NC 27573 2007-04-06
1417095886 Thomas Jones Day Jr. Dentist 407 North Main St, Roxboro, NC 27573 2007-02-01
1578622288 Corey Wayne Wilson Dentist 112 West Barden Street, Roxboro, NC 27573 2006-12-08
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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
1821369570 Rha Health Services Nc, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 109 S Moore Dr, Roxboro, NC 27574-7884 2012-01-25
1053571299 Mcdaniel Homes,llc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 56 Maggie Ln, Roxboro, NC 27573-4189 2008-06-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306455126 A Place 4 Me, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 2020-07-28
1922623792 Our Home At Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 2020-06-08
1922634484 Tracey Holton Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 2020-03-17
1710443395 Unity 4 Us Community Outreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 406 Lincoln St, Belmont, NC 28012-3045 2019-02-19
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
1164924940 David Douglas Whitfield Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5342 Us Highway 301 North, Micro, NC 27555 2018-03-07
1710489976 Moravian Enterprises, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 122 North Elm St., Suite 810, Greensboro, NC 27401 2018-03-05
1659897833 Shelby Day Program Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 621 S Dekalb St Ste A, Shelby, NC 28150-6189 2017-08-18
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City ROXBORO
Zip Code 27573

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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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