Lane'S House Adult Group Home

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

MHL-064-126 Issued in NC

Legal business name

LANE'S HOUSE ADULT GROUP HOME

Practice address

3159 Octavia Dr
Rocky Mount, NC 27804-7959

Phone

(252) 903-4660

NPI assigned

Nov 7, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Lillie B Lane

Title

Licensee

Phone

(252) 903-4660

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1306123294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 OCTAVIA DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278047959",
            "telephone_number": "252-903-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 OCTAVIA DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278047959",
            "telephone_number": "252-903-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE'S HOUSE ADULT GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "252-903-4660",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NC",
            "license": "MHL-064-126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH LICENSE NUMBER",
            "identifier": "MHL-064-126",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Lamm, PT
• Madison Taylor Lamprecht, HIS
• Sandra Lamprecht
• Regina M Lane, LCAS, CCS
• Lane'S Health Care
• Edward A Lanear, PA-C
• Ashley Pearsall Lanier, DPT
• Larry J. Moray, DDS, Ms, PA
• Marzena T Laszewski, MD
• Tina Marie Latimore

• Developmental Disabilities Clinic/Center in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Developmental Disabilities Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.