MRS. CYNTHIA MARIA SIMON
NPI 1164630133
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, NC

Q: What is Cynthia Simon's NPI number?

The NPI number for Cynthia Simon is 1164630133. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Cynthia Simon's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Cynthia Simon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 21, 2007

507 MYNA DR, JACKSONVILLE, NC 28540(910) 938-3037 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Cynthia Maria Simon NPPES

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

MRS. CYNTHIA MARIA SIMON (NPI 1164630133) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Jacksonville, North Carolina, licensed in North Carolina (MHL067128) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1164630133

Entity TypeIndividualFemale

Primary Taxonomy320900000X

Provider Legal NameMRS. CYNTHIA MARIA SIMON

Location Address507 MYNA DRJacksonville, NC 28540-6924

Mailing Address507 Myna DriveJacksonville, NC 28540 · (910) 938-3037

Phone(910) 938-3037

Sole ProprietorYes

Enumeration DateMay 21, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164630133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in NC · MHL067128

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

507 MYNA DR, Jacksonville, NC 28540

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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 Cynthia Simon's NPI number?

The NPI number for Cynthia Simon is 1164630133. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Cynthia Simon located?

Cynthia Simon practices at 507 Myna Dr, Jacksonville, NC 28540. The listed phone number is (910) 938-3037.

What is Cynthia Simon's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Cynthia Simon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.