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GARDEN LAKES
NPI 1720222615
Residential Treatment Facility, Emotionally Disturbed Children in Greensboro, NC

Active since April 23, 2009
3824 YANCEYVILLE ST, GREENSBORO, NC 27405(336) 375-4186(336) 273-6522 Get Directions Write a Review

NPPES record last updated: April 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Garden Lakes NPPES

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

GARDEN LAKES (NPI 1720222615) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Greensboro, North Carolina and active in the NPI registry since April 2009. The organization lists Derek Mitchell, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1720222615
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameGARDEN LAKES
Location Address3824 YANCEYVILLE STGreensboro, NC 27405-3348
Mailing Address1000 Revolution Mill Dr, Studio#2Greensboro, NC 27405-5082 · (336) 273-2640 · Fax (336) 273-6522
Phone(336) 375-4186
Fax(336) 273-6522
Organization SubpartYesParent: Alberta Professional Services, Inc.
Authorized OfficialDerek MitchellOperations Manager · (336) 273-2640
Enumeration DateApril 23, 2009
✔ NPI 1720222615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in NC · MHL-041-229
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
3824 YANCEYVILLE ST, Greensboro, NC 27405
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Other Identifiers 1

Medicaid6603533NC

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 Garden Lakes's NPI number?

The NPI number for Garden Lakes is 1720222615. It was assigned to this organization in the NPPES registry on April 23, 2009.

Where is Garden Lakes located?

Garden Lakes is located at 3824 Yanceyville St, Greensboro, NC 27405. The listed phone number is (336) 375-4186.

What is Garden Lakes's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Garden Lakes was last updated on April 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.