Blue Group Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

BLUE GROUP HOME LLC

Practice address

8450 Allegra Trce
Browns Summit, NC 27214-9894

Phone

(336) 456-2370

Fax

(336) 763-5065

NPI assigned

Nov 4, 2024

Last updated

May 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina Rochell MebaneNPI 1649896036

Title

Owner

Phone

(336) 456-2370

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina Rochell Mebane

  • In Home Supportive Care Agency
  • Greensboro, NC
  • NPI 1649896036
  NPD Authorized official

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1750104246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5016",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274350016",
            "telephone_number": "336-456-2370",
            "fax_number": "336-763-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 ALLEGRA TRCE",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149894",
            "telephone_number": "336-456-2370",
            "fax_number": "336-763-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "MEBANE",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "ROCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-456-2370"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobby L Armstrong, PHD
• Lashai R Austin
• Sharell Bailey-Troxler
• Susanna M. G. Bell, PH.D.LPC,NCC
• Bethel Provider Services Inc
• Brighter Path Family Care # 2
• Michael F. Campbell, M.S
• Chapman Communication and Rehabilitation
• Communication, Adaptive Resources, and Educational Services, PLLC
• Community Innovations Inc

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Browns Summit, NC
• Providers in Browns Summit, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.