G & D RESIDENTIAL SERVICES, LLC
NPI 1003012758
Community Based Residential Treatment Facility, Mental Illness in Greensboro, NC

Active since June 21, 2007
620 GUILFORD COLLEGE RD STE G, GREENSBORO, NC 27409(336) 254-6770(336) 292-1589 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About G & D Residential Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

G & D RESIDENTIAL SERVICES, LLC (NPI 1003012758) is a healthcare organization registered as a community based residential treatment facility, mental illness in Greensboro, North Carolina and active in the NPI registry since June 2007. The organization lists Geovon Kenane Martin, Ceo Director, as its authorized official.

NPPES Registry Identity

NPI1003012758
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameG & D RESIDENTIAL SERVICES, LLC
Location Address620 GUILFORD COLLEGE RD STE GGreensboro, NC 27409-2027
Mailing Address620 Guilford College Rd Ste GGreensboro, NC 27409-2027 · (336) 254-6770 · Fax (336) 292-1589
Fax(336) 292-1589
Organization SubpartNo
Authorized OfficialGeovon Kenane MartinCeo Director · (336) 254-6770
Enumeration DateJune 21, 2007
Last NPPES UpdateJune 1, 2009
NPI 1003012758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License Licensed in NC · MHL-041-764
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
620 GUILFORD COLLEGE RD STE G, Greensboro, NC 27409

Other Identifiers 1

Medicaid8300792BNC

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Mental Illness
620 GUILFORD COLLEGE RD STE G
GREENSBORO, NC 27409
Social Worker (Clinical)
620 GUILFORD COLLEGE RD STE G
GREENSBORO, NC 27409
Case Management
620 GUILFORD COLLEGE RD STE G
GREENSBORO, NC 27409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is G & D Residential Services, LLC's NPI number?

The NPI number for G & D Residential Services, LLC is 1003012758. It was assigned to this organization in the NPPES registry on June 21, 2007.

Where is G & D Residential Services, LLC located?

G & D Residential Services, LLC is located at 620 Guilford College Rd Ste G, Greensboro, NC 27409. The listed phone number is (336) 254-6770.

What is G & D Residential Services, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for G & D Residential Services, LLC was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.