Person County Group Homes, Inc

LBN: Person County Group Homes, Inc
Person County Group Homes, Inc is an health care organization with primary practice located at 202 N. Main Street , Roxboro NC 27573-0721. The organization recently has 13 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, Agencies / Supports Brokerage, Nursing & Custodial Care Facilities / Assisted Living Facility, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Secured Medical Transport (VAN), Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle. Agencies / Case Management is the primary health care specialty. Person County Group Homes, Inc can be contacted via phone (336) 599-9421, or through Forsythe, David W via phone (336) 599-9421.

Contact Information

Primary practice address
202 N. Main Street Roxboro NC 27573-0721
Phone: (336) 599-9421
Fax: (336) 599-7220
Website:
Map and Directions
Authorized official contact:
Name: Forsythe, David W
Phone: (336) 599-9421

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X North Carolina
Agencies / Day Training, Developmentally Disabled Services 251C00000X North Carolina
Agencies / Community/Behavioral Health 251S00000X North Carolina
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X North Carolina
Agencies / Supports Brokerage 251X00000X North Carolina
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X North Carolina
Transportation Services / Secured Medical Transport (VAN) 343800000X North Carolina
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X North Carolina
Transportation Services / Private Vehicle 347C00000X North Carolina

Profile Details

NPI number 1497891832
LBN Legal business name Person County Group Homes, Inc
DBA Doing business as
Authorized official Forsythe, David W
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497891832 NPPES
North Carolina MEDICAID 8300841

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