JIREH HAVEN
NPI 1053495523
Residential Treatment Facility, Emotionally Disturbed Children in Roseboro, NC

Q: What is Trinity Will Group's NPI number?

The NPI number for Trinity Will Group is 1053495523. It was assigned to this organization in the NPPES registry on October 24, 2006. The provider is doing business as Jireh Haven.

Q: What is Trinity Will Group's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since October 24, 2006

140 FAULKNER LN, ROSEBORO, NC 28382(910) 525-5035(910) 525-5065 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jireh Haven NPPES

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

JIREH HAVEN (NPI 1053495523) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Roseboro, North Carolina and active in the NPI registry since October 2006. The organization lists Shirley Melinda Williams, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053495523

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameTRINITY WILL GROUP

Location Address140 FAULKNER LNRoseboro, NC 28382-5415

Mailing AddressPo Box 618Clinton, NC 28329-0618 · (910) 590-2971 · Fax (910) 596-2971

Phone(910) 525-5035

Fax(910) 525-5065

Organization SubpartNo

Authorized OfficialShirley Melinda WilliamsExecutive Director · (910) 525-5035

Enumeration DateOctober 24, 2006

Last NPPES UpdateJanuary 2, 2008

✔ NPI 1053495523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

License✔ Licensed in NC · MHL082046

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

140 FAULKNER LN, Roseboro, NC 28382

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Other Names 1

Doing Business AsJireh Haven

Other Identifiers 1

Medicaid6603564NC

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 Trinity Will Group's NPI number?

The NPI number for Trinity Will Group is 1053495523. It was assigned to this organization in the NPPES registry on October 24, 2006. The provider is doing business as Jireh Haven.

Where is Trinity Will Group located?

Trinity Will Group is located at 140 Faulkner Ln, Roseboro, NC 28382. The listed phone number is (910) 525-5035.

What is Trinity Will Group's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Trinity Will Group was last updated on January 2, 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.