NPIMap

Organization Active NPI

Lee County Group Homes, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Sanford, NC
National Provider Identifier
1407952344
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL 053039 Issued in NC
Legal business name
LEE COUNTY GROUP HOMES, INC.
Practice address
3101 Carbonton Rd
Lee # 1
Sanford, NC 27330-8214
Phone
(919) 776-9189
Fax
(919) 774-7711
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Celia C Cousins, QPBS
Title
Executive Director
Phone
(919) 776-9189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL 053039 NC Primary

Addresses

Primary practice location

3101 Carbonton Rd
Lee # 1
Sanford, NC 27330-8214

Mailing address

PO Box 1373
Sanford, NC 27331-1373
Phone (919) 776-9189

Other identifiers 1

IdentifierTypeStateIssuer
7804513MedicaidNC

Other names 1

  • Lee # 1 and Lee # 2 Other name

National Provider Directory

National Provider Directory
Tax ID family
Lee County Group Homes5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3101 Carbonton Rd
#1
Sanford, NC 27330
Phone (919) 776-9189

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407952344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1373",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273311373",
            "telephone_number": "919-776-9189",
            "fax_number": "919-774-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 CARBONTON RD",
            "address_2": "LEE # 1",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273308214",
            "telephone_number": "919-776-9189",
            "fax_number": "919-774-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE COUNTY GROUP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COUSINS",
        "authorized_official_first_name": "CELIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-776-9189",
        "authorized_official_credential": "QPBS"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL 053039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804513",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee # 1 and Lee # 2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.