Blue Group Home LLC

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Browns Summit, NC

NPI 1750104246 · NPPES record last updated May 20, 2026

Key facts

NPI
1750104246
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 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
Organization subpart
No

Authorized official

Name
Tina Rochell Mebane
Title
Owner
Phone
(336) 456-2370

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2722 N Church St
Ste D
Greensboro, NC 27405

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Yes

Addresses

Primary practice location

8450 Allegra Trce
Browns Summit, NC 27214-9894

Mailing address

PO Box 5016
Greensboro, NC 27435-0016
Phone (336) 456-2370

Other providers in Browns Summit, NC

All providers in Browns Summit, NC · Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.