HOUSE OF JABEZ LLC
NPI 1376757252
Community Based Residential Treatment Facility, Mental Illness in Fremont, NC

Q: What is House Of Jabez LLC's NPI number?

The NPI number for House Of Jabez LLC is 1376757252. It was assigned to this organization in the NPPES registry on May 9, 2007.

Q: What is House Of Jabez LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since May 09, 2007

203 DOCK STREET, FREMONT, NC 27830(919) 242-1296 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About House Of Jabez Llc NPPES

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

HOUSE OF JABEZ LLC (NPI 1376757252) is a healthcare organization registered as a community based residential treatment facility, mental illness in Fremont, North Carolina and active in the NPI registry since May 2007. The organization lists Clyde Randolph Wilkins, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376757252

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameHOUSE OF JABEZ LLC

Location Address203 DOCK STREETFremont, NC 27830-0662

Mailing Address1516 A N. William StreetGoldsboro, NC 27530-1616 · (919) 648-1190

Phone(919) 242-1296

Organization SubpartNo

Authorized OfficialClyde Randolph WilkinsExecutive Director · 19192426115

Enumeration DateMay 9, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1376757252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in NC · MHL 096-195

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

203 DOCK STREET, Fremont, NC 27830

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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 House Of Jabez LLC's NPI number?

The NPI number for House Of Jabez LLC is 1376757252. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is House Of Jabez LLC located?

House Of Jabez LLC is located at 203 Dock Street, Fremont, NC 27830. The listed phone number is (919) 242-1296.

What is House Of Jabez LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for House Of Jabez LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.