NPIMap

Organization Active NPI

Macon Citizens for the Handicapped, Inc.

Doing business as Iotla Street Group Home

  • Intellectual Disabilities Intermediate Care Facility
  • Franklin, NC
National Provider Identifier
1629121587
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
MHL-056-005 Issued in NC
Legal business name
MACON CITIZENS FOR THE HANDICAPPED, INC.
Doing business as
Iotla Street Group Home
Practice address
406 Iotla St
Franklin, NC 28734-2579
Phone
(828) 524-5888
Fax
(828) 369-5758
NPI assigned
Jan 22, 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
Mrs. Jeannie Garrett
Title
Executive Director
Phone
(828) 524-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X MHL-056-005 NC Primary

Addresses

Primary practice location

406 Iotla St
Franklin, NC 28734-2579

Mailing address

PO Box 698
Franklin, NC 28744-0698
Phone (828) 524-5888

Other identifiers 1

IdentifierTypeStateIssuer
340603NMedicaidNC

Other names 1

  • Iotla Street Group Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629121587. Details of each certification follow.

  • CCN 34G258 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 34G258

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
IOTLA STREET GROUP HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 15, 1992
Last certification
Mar 10, 2026
Beds
6
Ownership / control type
Private (non-profit)
Most recent change of ownership
Mar 20, 2019
Facility address
406 Iotla Street
Franklin, NC 28734

National Provider Directory

National Provider Directory
Tax ID family
Macon Citizens for the Handicapped Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

406 Iotla St
Franklin, NC 28734
Phone (828) 524-5888

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629121587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287440698",
            "telephone_number": "828-524-5888",
            "fax_number": "828-369-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 IOTLA ST",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287342579",
            "telephone_number": "828-524-5888",
            "fax_number": "828-369-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON CITIZENS FOR THE HANDICAPPED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-524-5888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL-056-005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340603N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iotla Street Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, NC

Sources for this page

Verify at the official NPI Registry.