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MIMS MANOR LLC
NPI 1801950191
Residential Treatment Facility, Emotionally Disturbed Children in Wilmington, NC

Active since December 20, 2006
621 PLYMOUTH DR, WILMINGTON, NC 28405(910) 796-9040 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mims Manor Llc NPPES

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

MIMS MANOR LLC (NPI 1801950191) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Wilmington, North Carolina and active in the NPI registry since December 2006. The organization lists Terry Mims, Owner, as its authorized official.

NPPES Registry Identity

NPI1801950191
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameMIMS MANOR LLC
Location Address621 PLYMOUTH DRWilmington, NC 28405-2544
Mailing Address3020 Brookcrossing Dr, Village At LakewoodFayetteville, NC 28306-9790 · (910) 273-5838
Phone(910) 796-9040
Organization SubpartNo
Authorized OfficialTerry MimsOwner · (910) 273-5838
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 10, 2007
✔ NPI 1801950191 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 · MHL065170
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.

621 PLYMOUTH DR, Wilmington, NC 28405
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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 Mims Manor LLC's NPI number?

The NPI number for Mims Manor LLC is 1801950191. It was assigned to this organization in the NPPES registry on December 20, 2006.

Where is Mims Manor LLC located?

Mims Manor LLC is located at 621 Plymouth Dr, Wilmington, NC 28405. The listed phone number is (910) 796-9040.

What is Mims Manor LLC'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 Mims Manor LLC was last updated on July 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.