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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: August 16, 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 NPPES

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

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

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 Grandfather Home - Raleigh's NPI number?

The NPI number for Grandfather Home - Raleigh is 1629251293. It was assigned to this organization in the NPPES registry on December 6, 2007.

Where is Grandfather Home - Raleigh located?

Grandfather Home - Raleigh is located at 5000 Holly Ridge Farm Rd, Raleigh, NC 27616. The listed phone number is (828) 898-5465.

What is Grandfather Home - Raleigh's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Grandfather Home - Raleigh was last updated on August 8, 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.