NEW ABUNDANT LIVING I
NPI 1164616835
Residential Treatment Facility, Emotionally Disturbed Children in Eden, NC
- Organization
- Residential Treatment Facility, Emotiona...
About NEW ABUNDANT LIVING I
This page provides the complete NPI Profile along with additional information for New Abundant Living I, a provider established in Eden, North Carolina operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1164616835 assigned on September 2007. The practitioner's primary taxonomy code is 322D00000X with license number MHL-079-076 (NC). The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as New Abundant Living I. The authorized official of this NPI record is Mrs. Janice Aniece Timpson (Owner)
- NPI
- 1164616835 Verify this NPI
- Provider Legal Name
- ABUNDANT LIVING GROUP HOME, INC
- Other Organization Name
- NEW ABUNDANT LIVING I
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 438 CREEKRIDGE DR EDEN, NC 27288
- Location Phone
- (336) 623-7669
- Location Fax
- (336) 623-1139
- Mailing Address
- 438 CREEKRIDGE DR EDEN, NC 27288
- Mailing Phone
- (336) 623-7669
- Mailing Fax
- (336) 623-1139
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-05-2007
- Last Update Date
- 09-05-2007
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Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- License No.
- MHL-079-076
- License State
- NC
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
EDEN, NC 27288
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164616835, enumerated as an "organization" on September 05, 2007.
The provider is located at 438 CREEKRIDGE DR EDEN, NC 27288 and the phone number is (336) 623-7669.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
