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SAMUAL C. EVANS JR GROUP HOME
NPI 1437167798
Community/Behavioral Health in Sparta, NC

Active since August 03, 2006CLIA 34D2038471 · Waiver
53 ESTEP STREET, SPARTA, NC 28675(336) 372-5671(336) 372-5672 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samual C. Evans Jr Group Home NPPES

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

SAMUAL C. EVANS JR GROUP HOME (NPI 1437167798) is a healthcare organization registered as a community/behavioral health in Sparta, North Carolina and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists Darlene Douglas, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1437167798
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameALLEGHANY COUNTY GROUP HOMES, INC
Location Address53 ESTEP STREETSparta, NC 28675
Mailing Address53 Estep StreetSparta, NC 28675 · (336) 372-5671 · Fax (336) 372-5672
Phone(336) 372-5671
Fax(336) 372-5672
Organization SubpartYes
Authorized OfficialDarlene DouglasExecutive Director · (336) 372-5671
Enumeration DateAugust 3, 2006
Last NPPES UpdateJune 17, 2020
NPPES CertifiedJune 17, 2020
✔ NPI 1437167798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License MHL003007 (NC)
53 ESTEP STREET, Sparta, NC 28675
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Other Names 1

Other NameSamual C. Evans Jr Group Home

Other Identifiers 1

Medicaid7801839NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2038471

Alleghany County Group Homes, Inc · Sparta, NC
Active · expires Mar 20, 2028
CLIA Number34D2038471
Laboratory TypeGroup Home And Vocational
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorBecky Miller
Laboratory Phone(336) 372-5671
Laboratory LocationAlleghany County Group Homes, Inc133 Health Services Road, Sparta, NC 28675
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Alleghany County Group Homes, Inc's NPI number?

The NPI number for Alleghany County Group Homes, Inc is 1437167798. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is also known as Samual C. Evans Jr Group Home.

Where is Alleghany County Group Homes, Inc located?

Alleghany County Group Homes, Inc is located at 53 Estep Street, Sparta, NC 28675. The listed phone number is (336) 372-5671.

What is Alleghany County Group Homes, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Alleghany County Group Homes, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2038471) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alleghany County Group Homes, Inc was last updated on June 17, 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.