COUNTRY LIVING GUEST HOME #5
NPI 1477610657
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Washington, NC

Q: What is Country Living Guest Home, Inc.'s NPI number?

The NPI number for Country Living Guest Home, Inc. is 1477610657. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as Country Living Guest Home #5.

Q: What is Country Living Guest Home, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since January 03, 2007

204 STEWART DRIVE, WASHINGTON, NC 27889(252) 975-3741(252) 975-3044 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2023, Jun 3, 2020 (2 updates tracked since 2020).

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About Country Living Guest Home #5 NPPES

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

COUNTRY LIVING GUEST HOME #5 (NPI 1477610657) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Washington, North Carolina and active in the NPI registry since January 2007. The organization lists Kellie Michelle Hardison, Administrator, as its authorized official.

NPPES Registry Identity

NPI1477610657

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameCOUNTRY LIVING GUEST HOME, INC.

Location Address204 STEWART DRIVEWashington, NC 27889

Mailing Address217 East 9th StreetWashington, NC 27889 · (252) 975-3741 · Fax (252) 975-3044

Phone(252) 975-3741

Fax(252) 975-3044

Organization SubpartNo

Authorized OfficialKellie Michelle HardisonAdministrator · (252) 975-3741

Enumeration DateJanuary 3, 2007

Last NPPES UpdateNovember 21, 20232 updates tracked since enumeration

NPPES CertifiedJune 3, 2020

✔ NPI 1477610657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

204 STEWART DRIVE, Washington, NC 27889

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Other Names 1

Doing Business AsCountry Living Guest Home #5

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 Country Living Guest Home, Inc.'s NPI number?

The NPI number for Country Living Guest Home, Inc. is 1477610657. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as Country Living Guest Home #5.

Where is Country Living Guest Home, Inc. located?

Country Living Guest Home, Inc. is located at 204 Stewart Drive, Washington, NC 27889. The listed phone number is (252) 975-3741.

What is Country Living Guest Home, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Country Living Guest Home, Inc. was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.