THELMAS RESIDENTIAL FACILITY
NPI 1184765406
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fayetteville, NC

Active since February 09, 2007
1923 SIMON ST, FAYETTEVILLE, NC 28312(910) 483-6584 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thelmas Residential Facility NPPES

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

THELMAS RESIDENTIAL FACILITY (NPI 1184765406) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, North Carolina and active in the NPI registry since February 2007. The organization lists Doris Mckethan, Owner, as its authorized official.

NPPES Registry Identity

NPI1184765406
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameTHELMAS RESIDENTIAL FACILITY
Location Address1923 SIMON STFayetteville, NC 28312-5381
Mailing Address1923 Simon StFayetteville, NC 28312-5381 · (910) 483-6584
Organization SubpartNo
Authorized OfficialDoris MckethanOwner · (910) 483-6584
Enumeration DateFebruary 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1184765406 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 · MHL-026-790
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.

1923 SIMON ST, Fayetteville, NC 28312

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 Thelmas Residential Facility's NPI number?

The NPI number for Thelmas Residential Facility is 1184765406. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Thelmas Residential Facility located?

Thelmas Residential Facility is located at 1923 Simon St, Fayetteville, NC 28312. The listed phone number is (910) 483-6584.

What is Thelmas Residential Facility'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 Thelmas Residential Facility was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.