NPIMap

Organization Active NPI

Chatham County Group Homes, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Siler City, NC
National Provider Identifier
1699892356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL-019-023 Issued in NC
Legal business name
CHATHAM COUNTY GROUP HOMES, INC
Practice address
323 M L King Jr Blvd
Siler City, NC 27344-3112
Phone
(919) 742-2510
NPI assigned
Mar 26, 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
Diane Burns
Title
Finance Manager
Phone
(919) 742-2510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-019-023 NC Primary

Addresses

Primary practice location

323 M L King Jr Blvd
Siler City, NC 27344-3112

Mailing address

217 E Beaver St
PO Box 207
Siler City, NC 27344-3403
Phone (919) 742-2510

Other identifiers 1

IdentifierTypeStateIssuer
7803820MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Chatham County Group Homes Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

323 M L King Jr Blvd
Siler City, NC 27344
Phone (919) 742-2510

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699892356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E BEAVER ST",
            "address_2": "PO BOX 207",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273443403",
            "telephone_number": "919-742-2510",
            "fax_number": "919-742-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 M L KING JR BLVD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273443112",
            "telephone_number": "919-742-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM COUNTY GROUP HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "919-742-2510"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-019-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803820",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Siler City, 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.