THE HOME PLACE
NPI 1649764762
Custodial Care Facility - Adult Care Home in Colerain, NC

Active since June 21, 2018
404 W RIVER ST, COLERAIN, NC 27924(252) 642-4666(252) 356-9954 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About THE HOME PLACE

This page provides the complete NPI Profile along with additional information for The Home Place, a provider established in Colerain, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1649764762 assigned on June 2018. The practitioner's primary taxonomy code is 311ZA0620X with license number FCH008043 (NC). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as The Home Place. The authorized official of this NPI record is Tonya Clark Freeman (Administrator)

NPI
1649764762 Verify this NPI
Provider Legal Name
TONYA CLARK FREEMAN
Other Organization Name
THE HOME PLACE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
404 W RIVER ST COLERAIN, NC 27924
Location Phone
(252) 642-4666
Location Fax
(252) 356-9954
Mailing Address
404 W RIVER ST COLERAIN, NC 27924
Mailing Phone
(252) 642-4666
Mailing Fax
(252) 356-9954
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-21-2018
Last Update Date
06-21-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
FCH008043
License State
NC
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TONYA CLARK FREEMAN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(252) 356-9954

Reviews for THE HOME PLACE

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Custodial Care Facility (Adult Care Home)
404 W RIVER ST
COLERAIN, NC 27924
Custodial Care Facility (Adult Care Home)
404 W RIVER ST
COLERAIN, NC 27924

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649764762, enumerated as an "organization" on June 21, 2018.

The provider is located at 404 W RIVER ST COLERAIN, NC 27924 and the phone number is (252) 642-4666.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.