NPIMap

Organization Active NPI

Lee County Group Homes Inc.

Doing business as Lee County Group Homes

  • Developmental Disabilities Clinic/Center
  • Sanford, NC
National Provider Identifier
1447374202
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
MHL-053-041 Issued in NC
Legal business name
LEE COUNTY GROUP HOMES INC.
Doing business as
Lee County Group Homes
Practice address
2412 Knollwood Dr
Sanford, NC 27330-7671
Phone
(919) 776-9189
Fax
(919) 774-7711
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Celia Cameron Cousins, QPBS
Title
Director
Phone
(919) 776-9189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X MHL-053-041 NC Primary

Addresses

Primary practice location

2412 Knollwood Dr
Sanford, NC 27330-7671

Mailing address

1576 Kelly Dr
Sanford, NC 27330-6428
Phone (919) 776-9189

Other identifiers 1

IdentifierTypeStateIssuer
7804514MedicaidNC

Other names 1

  • Lee County Group Homes Doing business as

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

1576 Kelly Dr
Sanford, NC 27330
Phone (919) 776-4048

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447374202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 KELLY DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306428",
            "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": "2412 KNOLLWOOD DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273307671",
            "telephone_number": "919-776-9189",
            "fax_number": "919-774-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE COUNTY GROUP HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COUSINS",
        "authorized_official_first_name": "CELIA",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-776-9189",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "QPBS"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NC",
            "license": "MHL-053-041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804514",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee County Group Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.