BO'S JOHNATHAN HOUSE ADULT CARE, INC.
NPI 1194970681
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Middlesex, NC

Active since November 25, 2008
300 WILL RD, MIDDLESEX, NC 27557(919) 369-5394 Get Directions Write a Review

NPPES record last updated: January 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bo's Johnathan House Adult Care, Inc. NPPES

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

BO'S JOHNATHAN HOUSE ADULT CARE, INC. (NPI 1194970681) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Middlesex, North Carolina and active in the NPI registry since November 2008. The organization lists Obelia Watson Hocutt, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194970681
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBO'S JOHNATHAN HOUSE, INC.
Location Address300 WILL RDMiddlesex, NC 27557-8317
Mailing Address12749 Buck RdMiddlesex, NC 27557-8308 · (919) 269-7502 · Fax (919) 269-7502
Organization SubpartYes
Authorized OfficialObelia Watson HocuttExecutive Director · (919) 369-5394
Enumeration DateNovember 25, 2008
Last NPPES UpdateJanuary 27, 2009
NPI 1194970681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code320900000X
License Licensed in NC · MHL-051-168
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License MHL-051-168 (NC)
300 WILL RD, Middlesex, NC 27557

Other Names 1

Doing Business AsBo's Johnathan House Adult Care, Inc.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
300 WILL RD
MIDDLESEX, NC 27557
Community/Behavioral Health
300 WILL RD
MIDDLESEX, NC 27557
Home Health
300 WILL RD
MIDDLESEX, NC 27557

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 Bo's Johnathan House, Inc.'s NPI number?

The NPI number for Bo's Johnathan House, Inc. is 1194970681. It was assigned to this organization in the NPPES registry on November 25, 2008. The provider is doing business as Bo's Johnathan House Adult Care, Inc..

Where is Bo's Johnathan House, Inc. located?

Bo's Johnathan House, Inc. is located at 300 Will Rd, Middlesex, NC 27557. The listed phone number is (919) 369-5394.

What is Bo's Johnathan House, Inc.'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 Bo's Johnathan House, Inc. was last updated on January 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.