LEE COUNTY GROUP HOMES, INC. (NPI# 1588760433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588760433 |
| Entity Type | Organization |
| Organization Name | LEE COUNTY GROUP HOMES, INC. |
| Other Organization Name | LEE #2 |
| Practice Address |
2412 Knollwood Dr Lee # 2 Sanford NC 27330-7671 |
| Mailing Address |
Po Box 1373 Lee # 2 Sanford NC 27331-1373 |
| Practice Telephone | 9197769189 |
| Practice Fax Number | 9197747711 |
| Mailing Telephone | 9197769189 |
| Mailing Fax Number | 9197747711 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CELIA C COUSINS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 919776-9189 |
| Authorized Official Credential | QPBS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL053041 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 780514 | 05 |
| Other Name | Type Code |
|---|---|
| Lee #2 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407952344 | Lee County Group Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3101 Carbonton Rd, Lee # 1, Sanford, NC 27330-8214 | 2006-09-16 |
| 1588936769 | Lee County Group Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3101 Carbonton Rd, Sanford, NC 27330 | 2012-02-02 |
| Street Address |
2412 KNOLLWOOD DR LEE # 2 |
| City | SANFORD |
| State | NC |
| Zip Code | 27330-7671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447374202 | Lee County Group Homes Inc. | Clinic/Center | 2412 Knollwood Dr, Sanford, NC 27330-7671 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
| Find all providers in zip 27330 | ||||
| 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 |
|---|---|---|---|---|
| 1679104673 | Dynamic Alternative Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 171 Brook St, Sanford, ME 04073-2505 | 2020-01-29 |
| 1922254085 | Baptist Children's Homes of Nc Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1428 Carthage Street, Sanford, NC 27330-8986 | 2008-08-08 |
| 1386890440 | Baptist Childrens Homes of Nc Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1434 Carthage Street, Sanford, NC 27330-8986 | 2008-08-08 |
| 1760516306 | Professional Family Care Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 122 Orchard Crest Cir, Sanford, NC 27332-1695 | 2007-03-15 |
| 1205975653 | T.l.c. Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1775 Hawkins Ave, Sanford, NC 27330-6909 | 2007-02-05 |
| 1407952344 | Lee County Group Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3101 Carbonton Rd, Lee # 1, Sanford, NC 27330-8214 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1750935839 | Heavenly Touch Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 | 2019-07-28 |
| 1073166245 | Making Kids Matter, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 | 2019-07-17 |
| 1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
| 1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1487131074 | Ronald Anthony Benjamin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 | 2018-07-26 |
| Find all providers with the same taxonomy | ||||
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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.