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RESIDENTIAL SERVICES AT REVERE, LLC
NPI 1003197609
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hillsborough, NC

Active since September 09, 2011
516A REVERE RD, HILLSBOROUGH, NC 27278(919) 241-4474 Get Directions Write a Review

NPPES record last updated: September 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Residential Services At Revere, Llc NPPES

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

RESIDENTIAL SERVICES AT REVERE, LLC (NPI 1003197609) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Hillsborough, North Carolina and active in the NPI registry since September 2011. The organization lists Jackie J Parker, Director, as its authorized official.

NPPES Registry Identity

NPI1003197609
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameRESIDENTIAL SERVICES AT REVERE, LLC
Location Address516A REVERE RDHillsborough, NC 27278
Mailing Address4511 Nc Highway 86 NHillsborough, NC 27278-9250 · (919) 452-8903
Phone(919) 241-4474
Organization SubpartNo
Authorized OfficialJackie J ParkerDirector · (919) 452-8903
Enumeration DateSeptember 9, 2011
✔ NPI 1003197609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in NC · 068151
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

516A REVERE RD, Hillsborough, NC 27278
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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 Residential Services At Revere, LLC's NPI number?

The NPI number for Residential Services At Revere, LLC is 1003197609. It was assigned to this organization in the NPPES registry on September 9, 2011.

Where is Residential Services At Revere, LLC located?

Residential Services At Revere, LLC is located at 516A Revere Rd, Hillsborough, NC 27278. The listed phone number is (919) 241-4474.

What is Residential Services At Revere, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Residential Services At Revere, LLC was last updated on September 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.