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OUR FATHERS PLACE INC
NPI 1346303187
Residential Treatment Facility, Emotionally Disturbed Children in Statesville, NC

Active since December 19, 2006
413 STOCKTON STREET, STATESVILLE, NC 28677(704) 872-0313(704) 872-7787 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Our Fathers Place Inc NPPES

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

OUR FATHERS PLACE INC (NPI 1346303187) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Statesville, North Carolina and active in the NPI registry since December 2006. The organization lists James Russell Linton, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1346303187
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameOUR FATHERS PLACE INC
Location Address413 STOCKTON STREETStatesville, NC 28677-5325
Mailing Address256 East Broad StreetStatesville, NC 28677-5325 · (704) 872-0313 · Fax (704) 872-7787
Phone(704) 872-0313
Fax(704) 872-7787
Organization SubpartNo
Authorized OfficialJames Russell LintonChief Executive Officer · (704) 684-0197
Enumeration DateDecember 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1346303187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in NC · MHL049093
Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

413 STOCKTON STREET, Statesville, NC 28677
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Other Identifiers 1

Medicaid6603681NC

Frequently Asked Questions

What is OUR FATHERS PLACE INC's NPI number?

The NPI number assigned to this healthcare provider is 1346303187, enumerated as an "organization" on December 19, 2006.

Where is the provider located?

The provider is located at 413 STOCKTON STREET STATESVILLE, NC 28677 and the phone number is (704) 872-0313.

What is the provider's specialty?

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

What insurance does OUR FATHERS PLACE INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.