Welcome Home Group Home

LBN: Welcome Home Group Home
Welcome Home Group Home is an health care organization with primary practice located at 1400 West Mount Dr , Rocky Mt NC 27803-3107. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Welcome Home Group Home can be contacted via phone (252) 443-0593, or through Farrow, Stacy Vee via phone (252) 443-0593.

Contact Information

Primary practice address
1400 West Mount Dr Rocky Mt NC 27803-3107
Phone: (252) 443-0593
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farrow, Stacy Vee
Phone: (252) 443-0593

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X MHL064085 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL064085 North Carolina

Profile Details

NPI number 1104010677
LBN Legal business name Welcome Home Group Home
DBA Doing business as
Authorized official Farrow, Stacy Vee
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2007
Last updated Jul 3rd, 2008 - about 18 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 1104010677 NPPES
North Carolina MEDICAID 7805881

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