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HOLLY HILLS GROUP HOME
NPI 1205940129
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in North Wilkesboro, NC

Active since August 18, 2006
179 HOLLY BROOK ST, NORTH WILKESBORO, NC 28659(336) 670-9352(336) 838-3490 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly Hills Group Home NPPES

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

HOLLY HILLS GROUP HOME (NPI 1205940129) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in North Wilkesboro, North Carolina and active in the NPI registry since August 2006. The organization lists Shelley Darlene Gamble, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205940129
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameBRUSHY MOUNTAIN GROUP HOMES, INC
Location Address179 HOLLY BROOK STNorth Wilkesboro, NC 28659-8754
Mailing AddressPo Box 1045North Wilkesboro, NC 28659-1045 · (336) 838-3789 · Fax (336) 838-3490
Phone(336) 670-9352
Fax(336) 838-3490
Organization SubpartNo
Authorized OfficialShelley Darlene GambleExecutive Director · (336) 838-3789
Enumeration DateAugust 18, 2006
Last NPPES UpdateJune 19, 2008
✔ NPI 1205940129 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 · MHL097045
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.
179 HOLLY BROOK ST, North Wilkesboro, NC 28659
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Other Names 1

Doing Business AsHolly Hills Group Home

Other Identifiers 1

Medicaid7804482NC

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 Brushy Mountain Group Homes, Inc's NPI number?

The NPI number for Brushy Mountain Group Homes, Inc is 1205940129. It was assigned to this organization in the NPPES registry on August 18, 2006. The provider is doing business as Holly Hills Group Home.

Where is Brushy Mountain Group Homes, Inc located?

Brushy Mountain Group Homes, Inc is located at 179 Holly Brook St, North Wilkesboro, NC 28659. The listed phone number is (336) 670-9352.

What is Brushy Mountain Group Homes, 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 Brushy Mountain Group Homes, Inc was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.