TRIAD OUTREACH LLC - NPI 1154911162 - Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kernersville, NC

Q: What is Triad Outreach LLC's NPI number?

The NPI number for Triad Outreach LLC is 1154911162. It was assigned to this organization in the NPPES registry on January 23, 2021.

Q: What is Triad Outreach LLC's specialty?

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

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About Triad Outreach Llc NPPES

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

TRIAD OUTREACH LLC (NPI 1154911162) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Kernersville, North Carolina and active in the NPI registry since January 2021. The organization lists Kevin Walton, Owner, as its authorized official.

NPPES Registry Identity

NPI1154911162

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameTRIAD OUTREACH LLC

Location Address4533 VERNON CIRKernersville, NC 27284-0136

Mailing Address4533 Vernon CirKernersville, NC 27284-0136

Phone(336) 615-6738

Organization SubpartNo

Authorized OfficialKevin WaltonOwner · (336) 615-6738

Enumeration DateJanuary 23, 2021

NPPES CertifiedJanuary 23, 2021

✔ NPI 1154911162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

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

Taxonomy Code320600000X

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X

Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X

4533 VERNON CIR, Kernersville, NC 27284

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Triad Outreach LLC's NPI number?

The NPI number for Triad Outreach LLC is 1154911162. It was assigned to this organization in the NPPES registry on January 23, 2021.

Where is Triad Outreach LLC located?

Triad Outreach LLC is located at 4533 Vernon Cir, Kernersville, NC 27284. The listed phone number is (336) 615-6738.

What is Triad Outreach LLC'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 Triad Outreach LLC was last updated on January 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.