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PEOPLE OF POTENTIAL, INC
NPI 1366563777
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, NC

Active since April 03, 2007
1001 HENDERSON DR, JACKSONVILLE, NC 28540(910) 388-1892(910) 378-1391 Get Directions Write a Review

NPPES record last updated: February 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About People Of Potential, Inc NPPES

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

PEOPLE OF POTENTIAL, INC (NPI 1366563777) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, North Carolina and active in the NPI registry since April 2007. The organization lists Dawn L Mccullen, President, as its authorized official.

NPPES Registry Identity

NPI1366563777
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePEOPLE OF POTENTIAL, INC
Location Address1001 HENDERSON DRJacksonville, NC 28540-7423
Mailing Address113 Courtland DrJacksonville, NC 28546-6017 · (910) 265-1756 · Fax (910) 378-1391
Phone(910) 388-1892
Fax(910) 378-1391
Organization SubpartNo
Authorized OfficialDawn L MccullenPresident · (910) 265-1756
Enumeration DateApril 3, 2007
Last NPPES UpdateFebruary 22, 2013
✔ NPI 1366563777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Licenses✔ Licensed in NC · MHL067034✔ Licensed in NC · MHL067100
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1001 HENDERSON DR, Jacksonville, NC 28540
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Other Identifiers 1

Medicaid3409608NC

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 People Of Potential, Inc's NPI number?

The NPI number for People Of Potential, Inc is 1366563777. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is People Of Potential, Inc located?

People Of Potential, Inc is located at 1001 Henderson Dr, Jacksonville, NC 28540. The listed phone number is (910) 388-1892.

What is People Of Potential, 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 People Of Potential, Inc was last updated on February 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.