Candii Homes

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-085-056 Issued in NC

Legal business name

CANDII HOMES

Doing business as

Candii Homes

Practice address

513 Raleigh Rd, Suite D
404 East Powell St
Clinton, NC 28328

Phone

(910) 260-4195

Fax

(910) 260-4195

NPI assigned

Dec 29, 2006

Last updated

Feb 20, 2024By 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. Rosalina Teel, MHL-082-056NPI 1689890113

Title

Provider/Administrator

Phone

(910) 627-4796

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Candii Homes Doing business as

Tax ID family

Candii Homes2 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.

• Candii Homes

  • Intellectual Disabilities Intermediate Care Facility
  • Clinton, NC
  • NPI 1578897450
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosalina Teel

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Clinton, NC
  • NPI 1689890113

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1265598692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 EAST POWELL ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283518",
            "telephone_number": "910-627-4796",
            "fax_number": "910-260-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 RALEIGH RD, SUITE D",
            "address_2": "404 EAST POWELL ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "28328",
            "telephone_number": "910-260-4195",
            "fax_number": "910-260-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDII HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "TEEL",
        "authorized_official_first_name": "ROSALINA",
        "authorized_official_title_or_position": "PROVIDER/ADMINISTRATOR",
        "authorized_official_telephone_number": "910-627-4796",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHL-082-056"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-082-056",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-085-056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301828",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805715",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Candii Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chandler Moore Seal Burns
• Katie Lynn Butler, OTR/L
• Butlers Pharmacy Inc (Butlers Pharmacy)
• David Cailler
• Melissa Dawn Cain, FNP-BC
• Candii Homes
• Candii Homes Inc
• Candii Homes, Inc.
• Candii Homes, Inc.
• Cape Fear Valley Health Medical Group LLC (Cape Fear Valley Huff Orthopedics and Sports Medicine)

• Community/Behavioral Health Agency in Clinton, NC
• Providers in Clinton, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.