FORD HOME
NPI 1104005735
Community/Behavioral Health in Jacksonville, NC

Active since October 31, 2007
311 BRENTWOOD AVE, JACKSONVILLE, NC 28540(910) 324-2787(910) 324-2725 Get Directions Write a Review

NPPES record last updated: September 14, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ford Home NPPES

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

FORD HOME (NPI 1104005735) is a healthcare organization registered as a community/behavioral health in Jacksonville, North Carolina and active in the NPI registry since October 2007. The organization lists Oliver Ford, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1104005735
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFORD HOME
Location Address311 BRENTWOOD AVEJacksonville, NC 28540-5405
Mailing AddressPo Box 5182Jacksonville, NC 28540-1182 · (910) 937-6000 · Fax (910) 324-2725
Fax(910) 324-2725
Organization SubpartNo
Authorized OfficialOliver FordOwner/president · (910) 381-0125
Enumeration DateOctober 31, 2007
Last NPPES UpdateSeptember 14, 2009
NPI 1104005735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in NC · MHL 067-167
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
311 BRENTWOOD AVE, Jacksonville, NC 28540

Other Identifiers 1

MedicaidMHL 067-167NC

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 Ford Home's NPI number?

The NPI number for Ford Home is 1104005735. It was assigned to this organization in the NPPES registry on October 31, 2007.

Where is Ford Home located?

Ford Home is located at 311 Brentwood Ave, Jacksonville, NC 28540. The listed phone number is (910) 324-2787.

What is Ford Home's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Ford Home was last updated on September 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.