SWAIN STREET GROUP HOME
NPI 1104939313
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in North Wilkesboro, NC

Q: What is Brushy Mountain Group Homes, Inc's NPI number?

The NPI number for Brushy Mountain Group Homes, Inc is 1104939313. It was assigned to this organization in the NPPES registry on August 15, 2006. The provider is doing business as Swain Street Group Home.

Q: What is Brushy Mountain Group Homes, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since August 15, 2006

1224 SWAIN ST, NORTH WILKESBORO, NC 28659(336) 838-7220(336) 838-3490 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Swain Street Group Home NPPES

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

SWAIN STREET GROUP HOME (NPI 1104939313) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in North Wilkesboro, North Carolina and active in the NPI registry since August 2006. The organization lists Shelley Darlene Gamble, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104939313

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameBRUSHY MOUNTAIN GROUP HOMES, INC

Location Address1224 SWAIN STNorth Wilkesboro, NC 28659-3343

Mailing AddressPo Box 1045North Wilkesboro, NC 28659-1045 · (336) 838-3789 · Fax (336) 838-3490

Phone(336) 838-7220

Fax(336) 838-3490

Organization SubpartNo

Authorized OfficialShelley Darlene GambleExecutive Director · (336) 838-3789

Enumeration DateAugust 15, 2006

Last NPPES UpdateJune 19, 2008

✔ NPI 1104939313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in NC · MHL097046

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

1224 SWAIN ST, North Wilkesboro, NC 28659

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Other Names 1

Doing Business AsSwain Street Group Home

Other Identifiers 1

Medicaid7804483NC

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 Brushy Mountain Group Homes, Inc's NPI number?

The NPI number for Brushy Mountain Group Homes, Inc is 1104939313. It was assigned to this organization in the NPPES registry on August 15, 2006. The provider is doing business as Swain Street Group Home.

Where is Brushy Mountain Group Homes, Inc located?

Brushy Mountain Group Homes, Inc is located at 1224 Swain St, North Wilkesboro, NC 28659. The listed phone number is (336) 838-7220.

What is Brushy Mountain Group Homes, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Brushy Mountain Group Homes, Inc was last updated on June 19, 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.