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EASON COURT GROUP HOME LLC #2
NPI 1003353475
Community Based Residential Treatment Facility, Mental Illness in Youngsville, NC

Active since January 24, 2017CLIA 34D2064682 · Waiver
124 GREGORY MNR, YOUNGSVILLE, NC 27596(919) 556-5355(866) 285-8824 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eason Court Group Home Llc #2 NPPES

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

EASON COURT GROUP HOME LLC #2 (NPI 1003353475) is a healthcare organization registered as a community based residential treatment facility, mental illness in Youngsville, North Carolina and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Sonja Denise Williams, Assistant Director, as its authorized official.

NPPES Registry Identity

NPI1003353475
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameEASON COURT GROUP HOME LLC #2
Location Address124 GREGORY MNRYoungsville, NC 27596-9614
Mailing AddressPo Box 759Youngsville, NC 27596-0759 · (919) 556-5355 · Fax (866) 285-8824
Phone(919) 556-5355
Fax(866) 285-8824
Organization SubpartNo
Authorized OfficialSonja Denise WilliamsAssistant Director · (571) 288-4144
Enumeration DateJanuary 24, 2017
✔ NPI 1003353475 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
Licenses✔ Licensed in NC · MHL 035 050✔ Licensed in NC · MHL 035 029
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
124 GREGORY MNR, Youngsville, NC 27596
Open in Google Maps ↗

Other Identifiers 1

Medicaid7804575NC

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 34D2064682

Eason Court Group Home LLC · Youngsville, NC
Active · expires Aug 22, 2027
CLIA Number34D2064682
Laboratory TypeAdult Care Home
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorDaphine Lloyd-Feldman
Laboratory Phone(919) 556-5355
Laboratory LocationEason Court Group Home LLC124 Gregory Manor, Youngsville, NC 27596
CLIA data matches this NPI record on: Name Phone
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 Eason Court Group Home LLC #2's NPI number?

The NPI number for Eason Court Group Home LLC #2 is 1003353475. It was assigned to this organization in the NPPES registry on January 24, 2017.

Where is Eason Court Group Home LLC #2 located?

Eason Court Group Home LLC #2 is located at 124 Gregory Mnr, Youngsville, NC 27596. The listed phone number is (919) 556-5355.

What is Eason Court Group Home LLC #2's specialty?

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

Does Eason Court Group Home LLC #2 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2064682) is associated with this NPI, valid through August 22, 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 Eason Court Group Home LLC #2 was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.