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DAVIE COUNTY GROUP HOME, INC.
NPI 1194807552
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mocksville, NC

Active since October 19, 2006
785 SANFORD AVE, MOCKSVILLE, NC 27028(336) 751-5014(336) 751-0036 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Davie County Group Home, Inc. NPPES

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

DAVIE COUNTY GROUP HOME, INC. (NPI 1194807552) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Mocksville, North Carolina and active in the NPI registry since October 2006. The organization lists Judy P. Rosser, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194807552
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameDAVIE COUNTY GROUP HOME, INC.
Location Address785 SANFORD AVEMocksville, NC 27028-9700
Mailing Address785 Sanford AveMocksville, NC 27028-9700 · (336) 751-5014 · Fax (336) 751-0036
Phone(336) 751-5014
Fax(336) 751-0036
Organization SubpartNo
Authorized OfficialJudy P. RosserExecutive Director · (336) 751-5014
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194807552 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-030-021
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.
785 SANFORD AVE, Mocksville, NC 27028
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Other Identifiers 3

Medicaid3418213NC
Medicaid7804494NC
Medicaid8301090NC

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 Davie County Group Home, Inc.'s NPI number?

The NPI number for Davie County Group Home, Inc. is 1194807552. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Davie County Group Home, Inc. located?

Davie County Group Home, Inc. is located at 785 Sanford Ave, Mocksville, NC 27028. The listed phone number is (336) 751-5014.

What is Davie County Group Home, Inc.'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 Davie County Group Home, Inc. was last updated on August 22, 2020. 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.