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CEDAR GROVE GROUP HOMES, INC.
NPI 1063567188
Community Based Residential Treatment Facility, Mental Illness in Goldsboro, NC

Active since January 25, 2007
140 COUNTRY RUN LN, GOLDSBORO, NC 27530(919) 738-1765(919) 751-0089 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cedar Grove Group Homes, Inc. NPPES

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

CEDAR GROVE GROUP HOMES, INC. (NPI 1063567188) is a healthcare organization registered as a community based residential treatment facility, mental illness in Goldsboro, North Carolina and active in the NPI registry since January 2007. The organization lists Wanda Williams Jones, Director, as its authorized official.

NPPES Registry Identity

NPI1063567188
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCEDAR GROVE GROUP HOMES, INC.
Location Address140 COUNTRY RUN LNGoldsboro, NC 27530-8901
Mailing AddressPo Box 1343Goldsboro, NC 27533-1343 · (919) 738-1765 · Fax (919) 751-0089
Phone(919) 738-1765
Fax(919) 751-0089
Organization SubpartNo
Authorized OfficialWanda Williams JonesDirector · (919) 738-1765
Enumeration DateJanuary 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063567188 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
License✔ Licensed in NC · 8300945
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
140 COUNTRY RUN LN, Goldsboro, NC 27530
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Other Identifiers 4

Medicaid3418140NC
Medicaid7804842NC
Medicaid8300945NC
Medicaid7805605NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL WINGS GROUP HOME
Assisted Living Facility (Assisted Living, Mental Illness)
140 COUNTRY RUN LN
GOLDSBORO, NC 27530
Wayne County (919) 736-0059

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 Cedar Grove Group Homes, Inc.'s NPI number?

The NPI number for Cedar Grove Group Homes, Inc. is 1063567188. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Cedar Grove Group Homes, Inc. located?

Cedar Grove Group Homes, Inc. is located at 140 Country Run Ln, Goldsboro, NC 27530. The listed phone number is (919) 738-1765.

What is Cedar Grove Group Homes, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Cedar Grove Group Homes, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.