COUNTRY LIVING: MAGNOLIA HOUSE
NPI 1720798804
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Washington, NC
- Organization
- Residential Treatment Facility, Intellec...
About COUNTRY LIVING: MAGNOLIA HOUSE
This page provides the complete NPI Profile along with additional information for Country Living: Magnolia House, a provider established in Washington, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1720798804 assigned on November 2022. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Country Living: Magnolia House. The authorized official of this NPI record is Miss Kellie Michelle Hardison Msw, Lcsw, Qp, Admir (Administrator)
- NPI
- 1720798804 Verify this NPI
- Provider Legal Name
- COUNTRY LIVING GUEST HOME, INC.
- Other Organization Name
- COUNTRY LIVING: MAGNOLIA HOUSE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3650 CHERRY ROAD WASHINGTON, NC 27889
- Location Phone
- (252) 975-3741
- Location Fax
- (252) 975-3044
- Mailing Address
- 217 EAST 9TH STREET WASHINGTON, NC 27889
- Mailing Phone
- (252) 975-3741
- Mailing Fax
- (252) 975-3044
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-30-2022
- Last Update Date
- 01-26-2023
- Code Navigator
Location Map
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
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | |
| 3 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
WASHINGTON, NC 27889
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720798804, enumerated as an "organization" on November 30, 2022.
The provider is located at 3650 CHERRY ROAD WASHINGTON, NC 27889 and the phone number is (252) 975-3741.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
