L&M Group Home Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-026-748 Issued in NC

Legal business name

L&M GROUP HOME INC

Practice address

936 Waterless St
Fayetteville, NC 28306-1606

Phone

(910) 484-7075

Fax

(910) 484-1704

NPI assigned

Feb 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Shelton Leon Melvin, BA

Title

Ceo

Phone

(910) 425-7391

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

LM Group Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Positive Reinforcement

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fayetteville, NC
  • NPI 1518008945
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104968932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 LAKE BEND DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117661",
            "telephone_number": "910-425-7391",
            "fax_number": "910-484-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 WATERLESS ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061606",
            "telephone_number": "910-484-7075",
            "fax_number": "910-484-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&M GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELVIN",
        "authorized_official_first_name": "SHELTON",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-425-7391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-026-748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603435",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KV Consultants & Associates Inc
• Ryan David Kvarness, DO
• Iheoma Uchechi Kwazemem-Opara, MD
• Dennis Agyen Kyere, PHARMD
• L.I.F.E. Concepts
• L&M Group Homes Inc
• Grace Holleran La Porte, DPT
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings

• Emotionally Disturbed Childrens' Residential Treatment Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.