NPIMap

Organization Active NPI

Duplin Sampson Group Homes, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Garland, NC
National Provider Identifier
1891990198
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
MHL-082-041 Issued in NC
Legal business name
DUPLIN SAMPSON GROUP HOMES, INC.
Practice address
168 N Herring Ave
Garland, NC 28441-9225
Phone
(910) 529-2301
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X MHL-082-041 NC Primary

Addresses

Primary practice location

168 N Herring Ave
Garland, NC 28441-9225

Mailing address

826 Southeast Blvd
Clinton, NC 28328-4322
Phone (910) 592-8395

Other identifiers 1

IdentifierTypeStateIssuer
7804617OtherNCPROVIDER NUMBER

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891990198",
    "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": "168 N HERRING AVE",
            "city": "GARLAND",
            "state": "NC",
            "postal_code": "284419225",
            "telephone_number": "910-529-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPLIN SAMPSON GROUP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "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-082-041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "7804617",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, 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.

Verify at the official NPI Registry.