1. Home
  2. Directory
  3. North Carolina
  4. Hampstead
  5. Custodial Care Facility
  6. NPI Profile

MARY REBECCA'S VILLAGE
NPI 1255774485
Custodial Care Facility - Adult Care Home in Hampstead, NC

Active since April 08, 2013
13605 US HIGHWAY 17 N, HAMPSTEAD, NC 28443(910) 319-0450 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Rebecca's Village NPPES

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

MARY REBECCA'S VILLAGE (NPI 1255774485) is a healthcare organization registered as an adult care home in Hampstead, North Carolina and active in the NPI registry since April 2013. The organization lists Cynthia Danetta Garrison, Administrator, as its authorized official.

NPPES Registry Identity

NPI1255774485
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameMARY REBECCA'S VILLAGE
Location Address13605 US HIGHWAY 17 NHampstead, NC 28443-1945
Mailing Address1887 Spiralwood DrFayetteville, NC 28304-0499 · (910) 527-4673
Phone(910) 319-0450
Organization SubpartNo
Authorized OfficialCynthia Danetta GarrisonAdministrator · (910) 527-4673
Enumeration DateApril 8, 2013
Last NPPES UpdateApril 9, 2013
✔ NPI 1255774485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · FCL-071-013
Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

13605 US HIGHWAY 17 N, Hampstead, NC 28443
Open in Google Maps ↗

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 Mary Rebecca's Village's NPI number?

The NPI number for Mary Rebecca's Village is 1255774485. It was assigned to this organization in the NPPES registry on April 8, 2013.

Where is Mary Rebecca's Village located?

Mary Rebecca's Village is located at 13605 Us Highway 17 N, Hampstead, NC 28443. The listed phone number is (910) 319-0450.

What is Mary Rebecca's Village's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Mary Rebecca's Village was last updated on April 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.