L&M Group Homes Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-026-748 Issued in NC

Legal business name

L&M GROUP HOMES INC

Practice address

936 Waterless Street
Fayetteville, NC 28306-1606

Phone

(910) 484-1704

Fax

(910) 484-1704

NPI assigned

Feb 14, 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, BS, AP

Title

Cheif Executive Officer

Phone

(910) 425-7391

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Positive Reinforment Other name

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1275676074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 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 STREET",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061606",
            "telephone_number": "910-484-1704",
            "fax_number": "910-484-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&M GROUP HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "MELVIN",
        "authorized_official_first_name": "SHELTON",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-425-7391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, AP"
    },
    "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": [
        {
            "organization_name": "Positive Reinforment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• 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 5, 2008; 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.