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COUNTRY LIVING ESTATES
NPI 1629135116
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Washington, NC

Active since January 03, 2007
424 WHARTON STATION ROAD, WASHINGTON, NC 27889(252) 975-3741(252) 975-3044 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2023, Jun 3, 2020 (2 updates tracked since 2020).

About Country Living Estates NPPES

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

COUNTRY LIVING ESTATES (NPI 1629135116) 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

NPI1629135116
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCOUNTRY LIVING GUEST HOME, INC.
Location Address424 WHARTON STATION ROADWashington, NC 27889-8472
Mailing Address217 East 9th StreetWashington, NC 27889-8472 · (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 UpdateOctober 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 3, 2020
✔ NPI 1629135116 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
424 WHARTON STATION ROAD, Washington, NC 27889
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Other Names 1

Doing Business AsCountry Living Estates

Other Identifiers 1

Medicaid7805416NC

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 1629135116. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as Country Living Estates.

Where is Country Living Guest Home, Inc. located?

Country Living Guest Home, Inc. is located at 424 Wharton Station Road, 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 October 12, 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.