King'S Group Home

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MHL001082 Issued in NC

Legal business name

KING'S GROUP HOME

Practice address

307 Stratford Dr
Mebane, NC 27302-9614

Phone

(919) 563-0477

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Ruby King

Title

Administrator

Phone

(919) 563-0477

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1669666293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 STRATFORD DR",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029614",
            "telephone_number": "919-563-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 STRATFORD DR",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029614",
            "telephone_number": "919-563-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING'S GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-563-0477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MHL001082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804438",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Henry Juengel, MD
• Just Like Home Family Care LLC
• Simran Kaur
• Acacia Johnee Kenion, MSW, LCSW-A
• Kerr Drug Inc
• Vinay Kumar Kotturi, MD
• Keith Kreps, OTR/L
• Katherine Lamberton
• Lane and Associates Xxxi DDS PA
• Kyle Matthew Langworthy, PT, DPT

• Adult Mental Health Clinic/Center in Mebane, NC
• Providers in Mebane, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.