COLTRANES GROUP HOME
NPI 1750576997
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Greensboro, NC

Active since September 11, 2007
3811 REPON ST, GREENSBORO, NC 27407(336) 299-9757(336) 299-1419 Get Directions Write a Review

NPPES record last updated: September 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coltranes Group Home NPPES

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

COLTRANES GROUP HOME (NPI 1750576997) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Greensboro, North Carolina and active in the NPI registry since September 2007. The organization lists Lathay Lorraine Coltrane, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1750576997
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCOLTRANES GROUP HOME
Location Address3811 REPON STGreensboro, NC 27407-5536
Mailing AddressPo Box 79113Greensboro, NC 27417-9113 · (336) 299-9757 · Fax (336) 299-1419
Fax(336) 299-1419
Organization SubpartYes
Authorized OfficialLathay Lorraine ColtraneOwner/operator · (336) 299-9757
Enumeration DateSeptember 11, 2007
NPI 1750576997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in NC · MHL-041-620
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3811 REPON ST, Greensboro, NC 27407

Other Identifiers 2

Medicaid3408773NC
Medicaid7804354NC

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Adult Day Care)
3811 REPON ST
GREENSBORO, NC 27407
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3811 REPON ST
GREENSBORO, NC 27407
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3811 REPON ST
GREENSBORO, NC 27407
Clinic/Center (Adult Day Care)
3811 REPON ST
GREENSBORO, NC 27407

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 Coltranes Group Home's NPI number?

The NPI number for Coltranes Group Home is 1750576997. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Coltranes Group Home located?

Coltranes Group Home is located at 3811 Repon St, Greensboro, NC 27407. The listed phone number is (336) 299-9757.

What is Coltranes Group Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Coltranes Group Home was last updated on September 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.