THREE FORKS HOME
NPI 1003038779
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Zionville, NC

Active since May 03, 2007CLIA 34D2229634 · Waiver
392 CAMP JOY RD, ZIONVILLE, NC 28698(828) 297-8001 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Three Forks Home NPPES

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

THREE FORKS HOME (NPI 1003038779) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Zionville, North Carolina and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through July 13, 2027 and lists F. Jane Mcmillan, Director Developmental Disabilities, as its authorized official.

NPPES Registry Identity

NPI1003038779
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameBAPTIST CHILDRENS HOMES OF NC INC
Location Address392 CAMP JOY RDZionville, NC 28698-9759
Mailing AddressPo Box 338Thomasville, NC 27361-0338 · (336) 474-1272 · Fax (336) 474-2346
Organization SubpartYes
Authorized OfficialF. Jane McmillanDirector Developmental Disabilities · (336) 474-1260
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 10, 2008
NPI 1003038779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in NC · MHL095043
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
392 CAMP JOY RD, Zionville, NC 28698

Other Names 1

Doing Business AsThree Forks Home

Other Identifiers 1

OtherMHL095043NC · License Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2229634

Three Forks Home · Zionville, NC
Active · expires Jul 13, 2027
CLIA Number34D2229634
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorLaura B. Combs
Laboratory Phone(828) 297-8004
Laboratory LocationThree Forks Home392 Camp Joy Rd, Zionville, NC 28698
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Baptist Childrens Homes Of Nc Inc's NPI number?

The NPI number for Baptist Childrens Homes Of Nc Inc is 1003038779. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Three Forks Home.

Where is Baptist Childrens Homes Of Nc Inc located?

Baptist Childrens Homes Of Nc Inc is located at 392 Camp Joy Rd, Zionville, NC 28698. The listed phone number is (828) 297-8001.

What is Baptist Childrens Homes Of Nc Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Baptist Childrens Homes Of Nc Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2229634) is associated with this NPI, valid through July 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baptist Childrens Homes Of Nc Inc was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.