A. JACK WALL GROUP HOME
NPI 1689749889
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Albemarle, NC

Q: What is Gha Autism Supports's NPI number?

The NPI number for Gha Autism Supports is 1689749889. It was assigned to this organization in the NPPES registry on November 22, 2006. The provider is doing business as A. Jack Wall Group Home.

Q: What is Gha Autism Supports's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since November 22, 2006

1213 MOSS SPRINGS ROAD, ALBEMARLE, NC 28001(704) 982-9600(704) 982-8155 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About A. Jack Wall Group Home NPPES

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

A. JACK WALL GROUP HOME (NPI 1689749889) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Albemarle, North Carolina and active in the NPI registry since November 2006. The organization lists Dawn Harwood Allen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689749889

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameGHA AUTISM SUPPORTS

Location Address1213 MOSS SPRINGS ROADAlbemarle, NC 28001-7810

Mailing AddressPo Box 2487Albemarle, NC 28002-2487 · (704) 982-9600 · Fax (704) 982-8155

Phone(704) 982-9600

Fax(704) 982-8155

Organization SubpartNo

Authorized OfficialDawn Harwood AllenCeo · (704) 982-9600

Enumeration DateNovember 22, 2006

Last NPPES UpdateJuly 15, 2015

✔ NPI 1689749889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in NC · MHL084017

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 ListedIntermediate Care Facility, Intellectual DisabilitiesTaxonomy 315P00000X · License MHL084017 (NC)

Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X · License MHL084017 (NC)

1213 MOSS SPRINGS ROAD, Albemarle, NC 28001

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Other Names 1

Doing Business AsA. Jack Wall Group Home

Other Identifiers 1

Medicaid3406165NC

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 Gha Autism Supports's NPI number?

The NPI number for Gha Autism Supports is 1689749889. It was assigned to this organization in the NPPES registry on November 22, 2006. The provider is doing business as A. Jack Wall Group Home.

Where is Gha Autism Supports located?

Gha Autism Supports is located at 1213 Moss Springs Road, Albemarle, NC 28001. The listed phone number is (704) 982-9600.

What is Gha Autism Supports'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 Gha Autism Supports was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.