McDaniel Homes,LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL-073-041 Issued in NC

Legal business name

MCDANIEL HOMES,LLC

Doing business as

McDaniel Home # 1, # 2, # 3

Practice address

3830 McGhees Mill Rd
Semora, NC 27343-9199

Phone

(336) 599-7727

Fax

(336) 599-8186

NPI assigned

Jun 20, 2013

Last updated

Dec 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Peggy Davis- McDaniel

Title

Director

Phone

(336) 599-1073

Specialties & licenses 2

Addresses

Other names 1

• McDaniel Home # 1, # 2, # 3 Doing business as

Electronic endpoints 2

Tax ID family

McDaniel Homesllc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• McDaniel Homes,LLC

  dba McDaniel Home # 1, # 2, and # 3

  • Mental Illness Community Based Residential Treatment Facility
  • Roxboro, NC
  • NPI 1053571299
  NPD tax ID
• McDaniel Homes,LLC

  dba McDaniel Home # 1, # 2, # 3

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Roxboro, NC
  • NPI 1710326079
  NPD tax ID

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1144669409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1636",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275731636",
            "telephone_number": "336-599-1073",
            "fax_number": "336-599-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 MCGHEES MILL RD",
            "city": "SEMORA",
            "state": "NC",
            "postal_code": "273439199",
            "telephone_number": "336-599-7727",
            "fax_number": "336-599-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDANIEL HOMES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "DAVIS-",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-599-1073",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL -073-041",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-073-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.therapservices.net/ma/newfpage/admin",
            "affiliation": "N",
            "endpointDescription": "medical records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3830 McGhees Mill Rd",
            "city": "Semora",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273439199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.therapservices.net/ma/newfpage/admin",
            "affiliation": "N",
            "endpointDescription": "medical records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3830 McGhees Mill Rd",
            "city": "Semora",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273439199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "McDaniel Home # 1, # 2, # 3",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McDaniel Home # 1, # 2, # 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Semora, NC
• Providers in Semora, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.