PATTERSON HOME CARE, INC.
NPI 1780719286
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fayetteville, NC
- Organization
- Residential Treatment Facility, Intellec...
- CLIA Number: 34D2062057
- CLIA Cert. Type: Other - DDA GROUP HOME
- CLIA Exp. Date: 07-09-2027
About PATTERSON HOME CARE, INC.
This page provides the complete NPI Profile along with additional information for Patterson Home Care, Inc., a provider established in Fayetteville, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1780719286 assigned on February 2007. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's former legal business name is Patterson Home Inc.. The authorized official of this NPI record is Mrs. Charolette Bouvier Patterson (Adm)
- NPI
- 1780719286 Verify this NPI
- Provider Legal Name
- PATTERSON HOME CARE, INC.
- Other Organization Name
- PATTERSON HOME INC.
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 6331 RANNOCK DR. FAYETTEVILLE, NC 28304
- Location Phone
- (910) 527-8427
- Location Fax
- (910) 822-8202
- Mailing Address
- PO BOX 64013 6331 RANNOCK DR. FAY, NC 28304
- Mailing Phone
- (910) 527-8427
- Mailing Fax
- (910) 822-8202
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-23-2007
- Last Update Date
- 06-03-2016
- 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
- License State
- NC
- 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 | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | MHL 026766 (NC) |
| 2 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2062057
- Facility Type
- Other - DDA GROUP HOME
- Certificate Effective Date
- July 10, 2025
- Certificate Expiration Date
- July 09, 2027
- Laboratory Director
- CHARLOTTE PATTERSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Patterson Home Care, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780719286, enumerated as an "organization" on February 23, 2007.
The provider is located at 6331 RANNOCK DR. FAYETTEVILLE, NC 28304 and the phone number is (910) 527-8427.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
