Griffin Supervised Living

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL-041-856 Issued in NC

Legal business name

GRIFFIN SUPERVISED LIVING

Practice address

2 Partnership CT
Greensboro, NC 27405-5200

Phone

(336) 412-5947

Fax

(336) 375-7179

NPI assigned

Aug 9, 2011

Last updated

Aug 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shelia Wall Griffin

Title

Co-Owner

Phone

(336) 412-5947

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1972882868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARTNERSHIP CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055200",
            "telephone_number": "336-412-5947",
            "fax_number": "336-375-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARTNERSHIP CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055200",
            "telephone_number": "336-412-5947",
            "fax_number": "336-375-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN SUPERVISED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "WALL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "336-412-5947",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-041-856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jane Gribbin, PA-C
• Vivian Grice
• Morgan Faith Gricks
• Ruby Griego
• Yvetta Shepherd Grier, LCSW
• Ashley Griffin, MSW, LCSWA
• Beth Griffin, SLP
• Charity Brown Griffin, PHD
• Crystal Griffin, NP
• Elaine C Griffin, MD

• Mental Illness Community Based Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.