OUR HOME
NPI 1598894842
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Greensboro, NC

Active since March 04, 2007
618 BROAD AVE, GREENSBORO, NC 27406(336) 230-0767(336) 454-0191 Get Directions Write a Review

NPPES record last updated: July 7, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Our Home NPPES

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

OUR HOME (NPI 1598894842) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Greensboro, North Carolina and active in the NPI registry since March 2007. The organization lists Ellen Rogers Black, Administrator, as its authorized official.

NPPES Registry Identity

NPI1598894842
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBLACK & ASSOCIATES GLOBAL INC
Location Address618 BROAD AVEGreensboro, NC 27406-1705
Mailing Address102 Burrows RdJamestown, NC 27282-8400 · (336) 987-0572 · Fax (336) 454-0191
Fax(336) 454-0191
Organization SubpartNo
Authorized OfficialEllen Rogers BlackAdministrator · (336) 987-0572
Enumeration DateMarch 4, 2007
Last NPPES UpdateJuly 7, 2008
NPI 1598894842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in NC · MHL -041-669
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

618 BROAD AVE, Greensboro, NC 27406

Other Names 1

Doing Business AsOur Home

Other Identifiers 1

Medicaid6603651NC

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598894842, enumerated as an "organization" on March 04, 2007.

The provider is located at 618 BROAD AVE GREENSBORO, NC 27406 and the phone number is (336) 230-0767.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.