RESIDENTIAL SERVICES AT REVERE, LLC
NPI 1003197609
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hillsborough, NC
- Organization
- Community Based Residential Treatment Fa...
About RESIDENTIAL SERVICES AT REVERE, LLC
This page provides the complete NPI Profile along with additional information for Residential Services At Revere, Llc, a provider established in Hillsborough, North Carolina operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1003197609 assigned on September 2011. The practitioner's primary taxonomy code is 320900000X with license number 068151 (NC). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mrs. Jackie J Parker (Director)
- NPI
- 1003197609 Verify this NPI
- Provider Name
- RESIDENTIAL SERVICES AT REVERE, LLC
- Entity Type
- Organization
- Location Address
- 516A REVERE RD HILLSBOROUGH, NC 27278
- Location Phone
- (919) 241-4474
- Mailing Address
- 4511 NC HIGHWAY 86 N HILLSBOROUGH, NC 27278
- Mailing Phone
- (919) 452-8903
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-09-2011
- Last Update Date
- 09-09-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- 068151
- License State
- NC
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Reviews for RESIDENTIAL SERVICES AT REVERE, LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003197609, enumerated as an "organization" on September 09, 2011.
The provider is located at 516A REVERE RD HILLSBOROUGH, NC 27278 and the phone number is (919) 241-4474.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
