My Friend's House, LLC

Primary specialty

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

Legal business name

MY FRIEND'S HOUSE, LLC

Practice address

3607 Columbia Avenue
Wilson, NC 27896

Phone

(252) 206-7408

Fax

(312) 324-0677

NPI assigned

Feb 26, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Connie Butterfield

Title

Owner/Member

Phone

(252) 206-7408

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1164662466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 COLUMBIA AVENUE",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27896",
            "telephone_number": "252-206-7408",
            "fax_number": "312-324-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 COLUMBIA AVENUE",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27896",
            "telephone_number": "252-206-7408",
            "fax_number": "312-324-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FRIEND'S HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "BUTTERFIELD",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "252-206-7408",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Rentz Munn, PHYSICAL THERAPIST
• Susan Helen Munro, LCSW
• Karly Mary Murphy
• William Murphy
• Ramesh Mutyala, M.D.
• Caroline Vaughn Myers
• Myles Home Health Agency
• Myles Home Health Agency II
• Frederick Myles Jr.
• Myles's Services, Inc.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wilson, NC
• Providers in Wilson, 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 Feb 26, 2009; 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.