Mitchell County Group Home

Primary specialty

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

License

MHL-061-008 Issued in NC

Legal business name

MITCHELL COUNTY GROUP HOME

Practice address

86 Richmond Rd
Bakersville, NC 28705-9460

Phone

(828) 688-2521

Fax

(828) 688-2521

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Cecelia B Green, B.S.

Title

Executive Director

Phone

(828) 688-2521

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mitchell County Group Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mitchell County Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Bakersville, NC
  • NPI 1396916581
  NPD tax ID

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1821117839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 RICHMOND RD",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287059460",
            "telephone_number": "828-688-2521",
            "fax_number": "828-688-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 RICHMOND RD",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287059460",
            "telephone_number": "828-688-2521",
            "fax_number": "828-688-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL COUNTY GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CECELIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-688-2521",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-061-008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408909",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MH Mission Hospital, LLLP
• Mission Hospitals Inc
• Mitchell County Department of Social Services
• Mitchell County DSS
• Mitchell County Group Home
• Mitchell County Schools
• Mitchell County Transportation Authority
• Mitchell Medics
• Mountain Community Health Partnership Incorporated
• Mountain Community Health Partnership Incorporated

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bakersville, NC
• Providers in Bakersville, 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 Mar 13, 2008; 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.