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GRANDFATHER HOME - RALEIGH
NPI 1629251293
Community Based Residential Treatment Facility, Mental Illness in Raleigh, NC

Active since December 06, 2007
5000 HOLLY RIDGE FARM RD, RALEIGH, NC 27616(828) 898-5465(828) 898-6140 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grandfather Home - Raleigh NPPES

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

GRANDFATHER HOME - RALEIGH (NPI 1629251293) is a healthcare organization registered as a community based residential treatment facility, mental illness in Raleigh, North Carolina and active in the NPI registry since December 2007. The organization lists Jim Swinkola, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629251293
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameGRANDFATHER HOME - RALEIGH
Location Address5000 HOLLY RIDGE FARM RDRaleigh, NC 27616-6121
Mailing AddressPo Box 98Banner Elk, NC 28604-0098 · (828) 898-5465 · Fax (828) 898-6140
Phone(828) 898-5465
Fax(828) 898-6140
Organization SubpartNo
Authorized OfficialJim SwinkolaCeo · (828) 898-5465
Enumeration DateDecember 6, 2007
Last NPPES UpdateAugust 8, 2008
✔ NPI 1629251293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

5000 HOLLY RIDGE FARM RD, Raleigh, NC 27616
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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

SCHOOLS FOR CHILDREN
Community/Behavioral Health
5000 HOLLY RIDGE FARM RD
RALEIGH, NC 27616
Wake County (828) 898-5465

Frequently Asked Questions

What is GRANDFATHER HOME - RALEIGH's NPI number?

The NPI number assigned to this healthcare provider is 1629251293, enumerated as an "organization" on December 06, 2007.

Where is the provider located?

The provider is located at 5000 HOLLY RIDGE FARM RD RALEIGH, NC 27616 and the phone number is (828) 898-5465.

What is the provider's specialty?

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.