Duplin Sampson Group Homes, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

MHL-031-038 Issued in NC

Legal business name

DUPLIN SAMPSON GROUP HOMES, INC.

Practice address

240 N Peterson St
Magnolia, NC 28453

Phone

(910) 592-8395

Fax

(910) 596-0005

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Maronda Steffen

Title

Admin. Assistant

Phone

(910) 592-8395

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Duplin Sampson Group Homes Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Duplin Sampson Group Homes, Inc.

  • Adult Care Home Facility
  • Clinton, NC
  • NPI 1447452024
  NPD tax ID
• Duplin Sampson Group Homes, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Warsaw, NC
  • NPI 1598960890
  NPD tax ID
• Duplin Sampson Group Homes, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Garland, NC
  • NPI 1891990198
  NPD tax ID

Locations

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871798652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 SOUTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283284322",
            "telephone_number": "910-592-8395",
            "fax_number": "910-596-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N PETERSON ST",
            "city": "MAGNOLIA",
            "state": "NC",
            "postal_code": "28453",
            "telephone_number": "910-592-8395",
            "fax_number": "910-596-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPLIN SAMPSON GROUP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEFFEN",
        "authorized_official_first_name": "MARONDA",
        "authorized_official_title_or_position": "ADMIN. ASSISTANT",
        "authorized_official_telephone_number": "910-592-8395"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL-031-038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "780 4618",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley Carter
• Farrah Catrice Farrior, MT
• Heart2Heart
• Helping Hands Care Management Services, Inc
• Leslie J Mathis
• Sharon Murray, COTA/L

• Intellectual Disabilities Intermediate Care Facility in Magnolia, NC
• Providers in Magnolia, NC by specialty
• Intellectual Disabilities Intermediate Care 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.