NPIMap

Organization Active NPI

Savin Grace II, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Selma, NC
National Provider Identifier
1962640243
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-092-719 Issued in NC
Legal business name
SAVIN GRACE II, LLC
Practice address
562 Old Dam Rd
Selma, NC 27576-8556
Phone
(919) 351-0465
NPI assigned
Jan 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Jacqueline Mitchell- Bell
Title
Owner
Phone
(919) 561-3111

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Illness Community Based Residential Treatment Facility 320800000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-092-719 NC Primary

Addresses

Primary practice location

562 Old Dam Rd
Selma, NC 27576-8556

Mailing address

562 Old Dam Rd
Selma, NC 27576-8556
Phone (919) 561-3111

Other identifiers 1

IdentifierTypeStateIssuer
6604326MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Savin Grace LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1962640243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 OLD DAM RD",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275768556",
            "telephone_number": "919-561-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 OLD DAM RD",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275768556",
            "telephone_number": "919-351-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVIN GRACE II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL- BELL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-561-3111"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-092-719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604326",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.