GRANVILLE ICF GROUP HOME
NPI 1457554594
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Oxford, NC

Active since June 07, 2007
5509 DORSEY RD, OXFORD, NC 27565(919) 528-4610 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Granville Icf Group Home NPPES

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

GRANVILLE ICF GROUP HOME (NPI 1457554594) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Oxford, North Carolina and active in the NPI registry since June 2007. The organization lists Skip Skinner, Director, as its authorized official.

NPPES Registry Identity

NPI1457554594
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameGRANVILLE COUNTY GROUP HOMES, INC.
Location Address5509 DORSEY RDOxford, NC 27565-8309
Mailing Address5509 Dorsey RdOxford, NC 27565-8309 · (919) 528-4610
Organization SubpartNo
Authorized OfficialSkip SkinnerDirector · (252) 438-6700
Enumeration DateJune 7, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1457554594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in NC · MHL039002
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
5509 DORSEY RD, Oxford, NC 27565

Other Names 1

Other NameGranville Icf Group Home

Other Identifiers 1

Medicaid3406229NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Intermediate Care Facility, Intellectual Disabilities
5509 DORSEY RD
OXFORD, NC 27565

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 Granville County Group Homes, Inc.'s NPI number?

The NPI number for Granville County Group Homes, Inc. is 1457554594. It was assigned to this organization in the NPPES registry on June 7, 2007. The provider is also known as Granville Icf Group Home.

Where is Granville County Group Homes, Inc. located?

Granville County Group Homes, Inc. is located at 5509 Dorsey Rd, Oxford, NC 27565. The listed phone number is (919) 528-4610.

What is Granville County Group Homes, 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 Granville County Group Homes, Inc. 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 5 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.