Active NPI
Naomi'S Group Homes
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Fayetteville, NC
National Provider Identifier
1801928395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- MHL 026 651
- Legal business name
- NAOMI'S GROUP HOMES
- Practice address
- 1836 Conover Dr
Fayetteville, NC 28304-4562 - Phone
- (910) 424-6071
- NPI assigned
- Mar 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naomi Williams
- Title
- Administrator
- Phone
- (910) 822-4736
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL 026 651 | NC | Primary |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL 026 652 | NC | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL 026 649 | NC | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL 026 664 | NC |
Addresses
Primary practice location
1836 Conover Dr
Fayetteville, NC 28304-4562
Mailing address
PO Box 478
Fayetteville, NC 28302-0478
Phone (910) 424-6071
Other names 1
- Brownstone
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801928395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 478",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283020478",
"telephone_number": "910-424-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 CONOVER DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044562",
"telephone_number": "910-424-6071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAOMI'S GROUP HOMES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "NAOMI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "910-822-4736"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL 026 651",
"primary": true
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL 026 652",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL 026 649",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL 026 664",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brownstone",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fayetteville, 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.