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1ST & 10 GROUP HOME INC
NPI 1538234372
Residential Treatment Facility, Emotionally Disturbed Children in Rosebore, NC

Active since November 21, 2006
206 NORTH EAST STREET, ROSEBORE, NC 28382(910) 525-5488(910) 525-5433 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 1st & 10 Group Home Inc NPPES

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

1ST & 10 GROUP HOME INC (NPI 1538234372) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Rosebore, North Carolina and active in the NPI registry since November 2006. The organization lists Jerris Cornelius Mcphail, President, as its authorized official.

NPPES Registry Identity

NPI1538234372
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business Name1ST & 10 GROUP HOME INC
Location Address206 NORTH EAST STREETRosebore, NC 28382-1353
Mailing AddressPo Box 41Clinton, NC 28329-0041 · (910) 299-0096 · Fax (910) 299-0010
Phone(910) 525-5488
Fax(910) 525-5433
Organization SubpartNo
Authorized OfficialJerris Cornelius McphailPresident · (910) 299-0099
Enumeration DateNovember 21, 2006
Last NPPES UpdateMarch 28, 2008
✔ NPI 1538234372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in NC · MHL082059
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
206 NORTH EAST STREET, Rosebore, NC 28382
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Other Identifiers 1

Medicaid6603962NC

Other Providers at the Same Location NPPES 2

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

RESTART, INC.
Community/Behavioral Health
206 NORTH EAST STREET
ROSEBORO, NC 28382
Sampson County (252) 355-4725
HOPE IN THE CAROLINA, L.L.C.
Residential Treatment Facility, Emotionally Disturbed Children
206 NORTH EAST STREET
ROSEBORO, NC 28382
Sampson County (910) 916-3929

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 1st & 10 Group Home Inc's NPI number?

The NPI number for 1st & 10 Group Home Inc is 1538234372. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is 1st & 10 Group Home Inc located?

1st & 10 Group Home Inc is located at 206 North East Street, Rosebore, NC 28382. The listed phone number is (910) 525-5488.

What is 1st & 10 Group Home Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for 1st & 10 Group Home Inc was last updated on March 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.