Enoch Group Home

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

MHL001-207 Issued in NC

Legal business name

ENOCH GROUP HOME

Practice address

2310 Hyde St
Burlington, NC 27217-3073

Phone

(336) 539-3339

NPI assigned

May 1, 2018

Last updated

May 1, 2018By 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

Mr. Steven D Enoch, SIC

Title

Supervisor in Charge

Phone

(336) 539-3339

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1356839708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3624",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272150624",
            "telephone_number": "336-438-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HYDE ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173073",
            "telephone_number": "336-539-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENOCH GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "ENOCH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SUPERVISOR IN CHARGE",
        "authorized_official_telephone_number": "336-539-3339",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SIC"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL001-207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lorin Erickson, OTR/L

• Assisted Living Facility (Mental Illness) in Burlington, NC
• Providers in Burlington, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.