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RUSSELL HOUSE
NPI 1689932865
Custodial Care Facility - Adult Care Home in Asheboro, NC

Active since April 25, 2012
1691 OLD BUFFALO FORD RD, ASHEBORO, NC 27205(336) 672-0169(336) 672-0169 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018 (2 updates tracked since 2018).

About Russell House NPPES

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

RUSSELL HOUSE (NPI 1689932865) is a healthcare organization registered as an adult care home in Asheboro, North Carolina and active in the NPI registry since April 2012. The organization lists Maynard Russell, Director, as its authorized official.

NPPES Registry Identity

NPI1689932865
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameRUSSELL HOUSE
Location Address1691 OLD BUFFALO FORD RDAsheboro, NC 27205-7893
Mailing Address1691 Old Buffalo Ford RdAsheboro, NC 27205-7893 · (336) 672-0169 · Fax (336) 672-0169
Phone(336) 672-0169
Fax(336) 672-0169
Organization SubpartNo
Authorized OfficialMaynard RussellDirector · (336) 672-0169
Enumeration DateApril 25, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1689932865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · MHL-076-108
Definition
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.
Also ListedMedicare Defined Swing Bed UnitTaxonomy 275N00000X
Also ListedIntermediate Care Facility, Intellectual DisabilitiesTaxonomy 315P00000X · License MHL-076-108 (NC)
1691 OLD BUFFALO FORD RD, Asheboro, NC 27205
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Other Providers at the Same Location NPPES 2

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

CAROLINA RESIDENTIAL SERVICES, INC
Community Based Residential Treatment Facility, Mental Illness
1691 OLD BUFFALO FORD RD
ASHEBORO, NC 27205
Randolph County (336) 879-8587
CAROLINA RESIDENTIAL SERVICES, INC
Community Based Residential Treatment Facility, Mental Illness
1691 OLD BUFFALO FORD RD
ASHEBORO, NC 27205
Randolph County (336) 633-4255

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 Russell House's NPI number?

The NPI number for Russell House is 1689932865. It was assigned to this organization in the NPPES registry on April 25, 2012.

Where is Russell House located?

Russell House is located at 1691 Old Buffalo Ford Rd, Asheboro, NC 27205. The listed phone number is (336) 672-0169.

What is Russell House's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Russell House was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.