PROVIDENCE GROUP HOME
NPI 1164468104
Custodial Care Facility - Adult Care Home in Asheboro, NC

Q: What is Therapeutic Alternatives Inc's NPI number?

The NPI number for Therapeutic Alternatives Inc is 1164468104. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is also known as Providence Group Home.

Q: What is Therapeutic Alternatives Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since June 20, 2006CLIA 34D2017123 · Waiver

941 E SALISBURY ST, ASHEBORO, NC 27203(336) 625-1500(336) 625-2767 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Providence Group Home NPPES

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

PROVIDENCE GROUP HOME (NPI 1164468104) is a healthcare organization registered as an adult care home in Asheboro, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Kenneth Alan Burrow, Vice President, as its authorized official.

NPPES Registry Identity

NPI1164468104

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameTHERAPEUTIC ALTERNATIVES INC

Location Address941 E SALISBURY STAsheboro, NC 27203-5049

Mailing AddressPo Box 814Randleman, NC 27317-0814 · (336) 495-2700 · Fax (336) 495-5552

Phone(336) 625-1500

Fax(336) 625-2767

Organization SubpartNo

Authorized OfficialKenneth Alan BurrowVice President · (336) 495-2700

Enumeration DateJune 20, 2006

Last NPPES UpdateJune 13, 2013

✔ NPI 1164468104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in NC · MHL076047

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

941 E SALISBURY ST, Asheboro, NC 27203

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Other Names 1

Other NameProvidence Group Home

Other Identifiers 2

Medicaid7801237NC

Medicaid3408682NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2017123

Providence Group Home · Asheboro, NC

Active · expires Dec 2, 2026

CLIA Number34D2017123

Laboratory TypeGroup Home

Certificate Effective DateDecember 3, 2024

Certificate Expiration DateDecember 2, 2026

Laboratory DirectorStacy Massey

Laboratory Phone(336) 626-5884

Laboratory LocationProvidence Group Home941 East Salisbury Street, Asheboro, NC 27203

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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 Therapeutic Alternatives Inc's NPI number?

The NPI number for Therapeutic Alternatives Inc is 1164468104. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is also known as Providence Group Home.

Where is Therapeutic Alternatives Inc located?

Therapeutic Alternatives Inc is located at 941 E Salisbury St, Asheboro, NC 27203. The listed phone number is (336) 625-1500.

What is Therapeutic Alternatives Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Therapeutic Alternatives Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2017123) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Therapeutic Alternatives Inc was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.