NORTHSIDE GROUP HOME
NPI 1699850891
Intermediate Care Facility, Intellectual Disabilities in Fayetteville, NC

Q: What is Sophia B Pierce & Associates Inc's NPI number?

The NPI number for Sophia B Pierce & Associates Inc is 1699850891. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Northside Group Home.

Q: What is Sophia B Pierce & Associates Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since October 26, 2006CLIA 34D2083605 · Waiver

3301 BARKSDALE ROAD, FAYETTEVILLE, NC 28301(910) 822-4455(910) 822-4455 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Northside Group Home NPPES

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

NORTHSIDE GROUP HOME (NPI 1699850891) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Fayetteville, North Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 8, 2028 and lists Sophia Blanks Pierce, Executive Directive, as its authorized official.

NPPES Registry Identity

NPI1699850891

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameSOPHIA B PIERCE & ASSOCIATES INC

Location Address3301 BARKSDALE ROADFayetteville, NC 28301

Mailing AddressPo Box 2813Fayetteville, NC 28302 · (910) 822-4455 · Fax (910) 822-4455

Phone(910) 822-4455

Fax(910) 822-4455

Organization SubpartNo

Authorized OfficialSophia Blanks PierceExecutive Directive · (910) 488-8477

Enumeration DateOctober 26, 2006

Last NPPES UpdateDecember 3, 2018

✔ NPI 1699850891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in NC · MHL026125

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

3301 BARKSDALE ROAD, Fayetteville, NC 28301

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Other Names 1

Doing Business AsNorthside Group Home

Other Identifiers 1

Medicaid3406042NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2083605

Northside Group Home · Fayetteville, NC

Active · expires Sep 8, 2028

CLIA Number34D2083605

Laboratory TypeGroup Home

Certificate Effective DateSeptember 9, 2026

Certificate Expiration DateSeptember 8, 2028

Laboratory DirectorSophia Pierce

Laboratory Phone(910) 822-4455

Laboratory LocationNorthside Group Home3301 Barksdale Road, Fayetteville, NC 28301

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Sophia B Pierce & Associates Inc's NPI number?

The NPI number for Sophia B Pierce & Associates Inc is 1699850891. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Northside Group Home.

Where is Sophia B Pierce & Associates Inc located?

Sophia B Pierce & Associates Inc is located at 3301 Barksdale Road, Fayetteville, NC 28301. The listed phone number is (910) 822-4455.

What is Sophia B Pierce & Associates Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Sophia B Pierce & Associates Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2083605) is associated with this NPI, valid through September 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sophia B Pierce & Associates Inc was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.