A Jack Wall Group Home
Intermediate care facility for individuals with intellectual disabilities in Albemarle, NC, Medicare certification number 34G164.
Medicare certification
Provider of Services- CCN
- 34G164
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (non-profit)
- Participating since
- Nov 6, 1990
- Last certification
- Feb 10, 2026
- Beds
- 6
- Most recent change of ownership
- Jan 15, 2019
- Address
- 1213 Moss Springs Road
Albemarle, NC 28001
(704) 983-6696
NPI records for this facility 1
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Albemarle, NC
- NPI 1689749889
Name & address match
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.