TAYLOR HOME (NPI# 1558596536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558596536 |
| Entity Type | Organization |
| Organization Name | TAYLOR HOME |
| Practice Address |
802 Taylor St Goldsboro NC 27534 |
| Mailing Address |
Po Box 1017 Goldsboro NC 27533-1017 |
| Practice Telephone | 9197340266 |
| Practice Fax Number | 9197349926 |
| Mailing Telephone | 9197340266 |
| Mailing Fax Number | 9197349926 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |
| Authorized Official Name | MRS. DIANE HARRISON (PRESIDENT) |
| Authorized Official Telephone | 9197340266 |
| Is Organization Subpart | Y |
| Parent Organization Name | RENU LIFE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL-096-109 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7803929 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TAYLOR HOME | 3937 Spring Park Rd, Jacksonville, FL 32207-5739 |
| Colorado Business Entities | Taylor Home Improvement | 5161 Leduc Dr., Castle Rock, CO 80108 |
| Colorado Business Entities | Taylor Home Improvement LLC | 1001 31st Street Lane, Evans, CO 80620 |
| Indiana Business Entities | TAYLOR HOME IMPROVEMENT, INC. | 4187 Flat Rock Dr Ste 300, Riverside, CA 92505 |
| Indiana Business Entities | TAYLOR HOME INSPECTION SERVICES, LLC | 720 S. 25th Street, Terre Haute, IN 47803 |
| Colorado Business Entities | Taylor Home Inspections LLC | 6250 Stagecoach Ave, Firestone, CO 80504 |
| Iowa Business Entities | TAYLOR HOME MAINTENANCE, LLC | 102 12 N 2nd St Apt A, Bellevue, IA 52031 |
| Colorado Business Entities | Taylor Home Partners LLC | 5568 Carmon Dr, Windsor, CO 80550 |
| Oregon Corporations, Companies and Business Names | TAYLOR HOME RENOVATIONS LLC | 1617 Se Condor Ave, Gresham, OR 97080 |
| Indiana Business Entities | TAYLOR HOME SERVICES INC. | 38 Tarry Ct., Greenwood, IN 46142 |
| Street Address |
802 TAYLOR ST |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| 1588872964 | Van Lee Adams | Internal Medicine | 204 Malloy Street, Suite A, Goldsboro, NC 27534 | 2007-05-18 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366677361 | Lakeview | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 103 Lakeview Dr, Goldsboro, NC 27530-1125 | 2009-05-19 |
| 1871788638 | Freeman House Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1806 E Ash St, Goldsboro, NC 27530-4045 | 2007-09-13 |
| 1407055858 | Renu Life LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 304 S Pineview Ave, Goldsboro, NC 27530-6037 | 2007-07-16 |
| 1316169683 | Howell & Howell's LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 725 Luther Drive, Goldsboro, NC 27534 | 2007-05-03 |
| 1255485959 | Renu Life LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Tinderwood Dr, Goldsboro, NC 27534-7856 | 2007-01-22 |
| 1346394012 | Renu Life Extended | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 501 Forest Hill Dr, Goldsboro, NC 27534-1824 | 2007-01-22 |
| 1174674220 | Wayne County Group Homes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1109 Royall Ave, Goldsboro, NC 27534-2505 | 2007-01-16 |
| 1275684664 | Hawthorne Services Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1510 S Slocumb St, Goldsboro, NC 27530-6955 | 2007-01-14 |
| 1780743815 | Rha Health Services Nc, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5709 Us Highway 70 E, Goldsboro, NC 27534-8155 | 2006-12-06 |
| 1063438695 | Nova I.c. Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 W Patetown Rd, 2307 Norwood Avenue, Goldsboro, NC 27530-1415 | 2006-07-15 |
| Find all providers in GOLDSBORO | ||||
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| 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.