NC Outreach Group Homes, LLC
Organization Active NPI Community/Behavioral Health Agency · Nebo, NC
NPI 1215097357 · NPPES record last updated Dec 21, 2020
Key facts
- NPI
- 1215097357
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- NC OUTREACH GROUP HOMES, LLC
- Practice address
- 252 NC 126
Nebo, NC 28761-2876 - Phone
- (828) 559-9940
- Fax
- (828) 738-1526
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Gregory V Burleson
- Title
- Ceo
- Phone
- (828) 442-4020
National Provider Directory
Locations
252 NC Hwy 126
Nebo, NC 28761
Phone (828) 460-9960
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X |
Addresses
Primary practice location
252 NC 126
Nebo, NC 28761-2876
Mailing address
PO Box 249
Nebo, NC 28761-0021
Phone (828) 652-7613
Other practice location 1
145 Lukin St
Marion, NC 28752-5246
Phone (828) 559-2680
Other practice location 2
2121 Old Highway 10 E
Nebo, NC 28761
Phone (828) 652-7613
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7805640 | Medicaid | NC |
Other providers in Nebo, NC
- MH Mission Hospital McDowell, LLLP
- MH Mission Hospital McDowell, LLLP
- MH Mission Hospital McDowell, LLLP
- MH Mission Hospital McDowell, LLLP
- MH Mission Hospital McDowell, LLLP
- Robert Newton
- Ruth Joy Newton
- Melanie Markham Orange
- Tamra Arlene Orders
- Cicely Evette Penn
All providers in Nebo, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.