PERSON COUNTY GROUP HOMES, INC (NPI# 1659417624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659417624 |
| Entity Type | Organization |
| Organization Name | PERSON COUNTY GROUP HOMES, INC |
| Practice Address |
202 N Main Street Roxboro NC 27573-0721 |
| Mailing Address |
P O Box 721 Roxboro NC 27573-0721 |
| Practice Telephone | 3365999421 |
| Practice Fax Number | 3365997220 |
| Mailing Telephone | 3365999421 |
| Mailing Fax Number | 3665997220 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID W FORSYTHE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3365999421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251C00000X | Day Training, Developmentally Disabled Services | NC | Agencies | |
| X | 251X00000X | Supports Brokerage | NC | Agencies | |
| X | 315P00000X | Intermediate Care Facility, Mentally Retarded | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406144 | 05 |
| 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 |
| 1336285774 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 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 |
| Street Address |
202 N MAIN STREET |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-0721 |
| 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 |
| Find all providers in zip 27573 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295114098 | Mcdaniel Homes, LLC | Day Training, Developmentally Disabled Services | 4694 Chubb Lake Road, Roxboro, NC 27574 | 2015-05-26 |
| 1740692003 | When It Raines | Day Training, Developmentally Disabled Services | 1130 Allensville Rd, Roxboro, NC 27574-7057 | 2014-05-21 |
| 1669898391 | Gladys Moore | Day Training, Developmentally Disabled Services | 45 Southern Village Dr, Roxboro, NC 27573-2516 | 2014-03-05 |
| 1023444833 | Person County Group Homes Inc | Day Training, Developmentally Disabled Services | 615 Professional Dr, Roxboro, NC 27573-4543 | 2013-09-25 |
| 1336285337 | Person County Group Homes Inc | Day Training, Developmentally Disabled Services | 202 N Main St., Roxboro, NC 27573-0721 | 2007-01-29 |
| 1982751368 | Thursher Goodman Winstead Carehome | Day Training, Developmentally Disabled Services | 1579 Semora Rd, Roxboro, NC 27574-8525 | 2007-01-05 |
| 1720163819 | Person County Local Government | Day Training, Developmentally Disabled Services | 601 N Madison Blvd, Roxboro, NC 27573-4635 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060572 | Stand By Me Mhs L.l.s | Day Training, Developmentally Disabled Services | 3221 Loftyview Dr, High Point, NC 27260-2617 | 2020-10-12 |
| 1811508427 | Brian S Coleman | Day Training, Developmentally Disabled Services | 3205 Midvale Dr Apt 107, Wilmington, NC 28412-3800 | 2020-08-17 |
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1922626357 | Tomesha Chimere' Flow | Day Training, Developmentally Disabled Services | 1204 Hadel Pl, Knightdale, NC 27545-7513 | 2020-07-13 |
| 1710500616 | New Horizon Residential Services L.l.c | Day Training, Developmentally Disabled Services | 11120 Carver Pond Rd, Charlotte, NC 28269-5007 | 2020-05-26 |
| 1366064479 | Evolving Hands Health Care Services | Day Training, Developmentally Disabled Services | 1099 Barrett Cabin Rd, Murfreesboro, NC 27855-9380 | 2020-05-12 |
| 1730718776 | Dedicated Caregivers LLC | Day Training, Developmentally Disabled Services | 2750 E W T Harris Blvd Ste 218, Charlotte, NC 28213-4367 | 2020-04-02 |
| 1417593005 | Ehomecare | Day Training, Developmentally Disabled Services | 18 Palaside Dr Ne, Concord, NC 28025-3026 | 2019-11-19 |
| 1972149565 | All Care | Day Training, Developmentally Disabled Services | 416 Old Charlotte Rd Sw, Concord, NC 28027-6314 | 2019-11-19 |
| 1891356267 | Onas Place | Day Training, Developmentally Disabled Services | 115 W Court St Ste A, Rutherfordton, NC 28139-2820 | 2019-06-25 |
| 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.