Lai Group Homes, LLC

Primary specialty

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

License

MHL-010-042 Issued in NC

Legal business name

LAI GROUP HOMES, LLC

Practice address

1022 Brick Landing Rd SW
Shallotte, NC 28470-5358

Phone

(910) 755-6713

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

John Long

Title

Owner

Phone

(910) 794-8104

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750444717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10244",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284040244",
            "telephone_number": "910-794-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 BRICK LANDING RD SW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284705358",
            "telephone_number": "910-755-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAI GROUP HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-794-8104"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-010-042",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-010-044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Kerr, LCMHCA, LCASA
• Julie Alston Kesterson, RPH
• Christine Knowles
• Jordan Ryley Krumanocker, CPP, PHARMD
• Leigh Lafoon, PHARMD
• Karen T Lakis, MA, CCC-SLP
• Tanya Lance, M.ED., LCMHC, LCAS
• Jonathan Lawrence Langston, PAC
• Brian Salvatore Lank, D.C.
• Aaron Latimer, DPT

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Shallotte, NC
• Providers in Shallotte, 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 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.