CHAVIS MANOR, LLC
NPI 1023399292
Assisted Living Facility - Assisted Living, Mental Illness in Gibsonville, NC

Active since September 01, 2011
204 CIRCLE DR, GIBSONVILLE, NC 27249(336) 437-5873 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chavis Manor, Llc NPPES

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

CHAVIS MANOR, LLC (NPI 1023399292) is a healthcare organization registered as an assisted living, mental illness in Gibsonville, North Carolina and active in the NPI registry since September 2011. The organization lists Deirdre Lea Milton, Owner, as its authorized official.

NPPES Registry Identity

NPI1023399292
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameCHAVIS MANOR, LLC
Location Address204 CIRCLE DRGibsonville, NC 27249-2310
Mailing Address204 Circle DrGibsonville, NC 27249-2310 · (336) 437-5873
Organization SubpartNo
Authorized OfficialDeirdre Lea MiltonOwner · (336) 437-5873
Enumeration DateSeptember 1, 2011
NPI 1023399292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in NC · MHL041-1022
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
204 CIRCLE DR, Gibsonville, NC 27249

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 Chavis Manor, LLC's NPI number?

The NPI number for Chavis Manor, LLC is 1023399292. It was assigned to this organization in the NPPES registry on September 1, 2011.

Where is Chavis Manor, LLC located?

Chavis Manor, LLC is located at 204 Circle Dr, Gibsonville, NC 27249. The listed phone number is (336) 437-5873.

What is Chavis Manor, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Chavis Manor, LLC was last updated on September 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.