AMAZING QUEENS GROUP HOME LLC
NPI 1821985375
Community Based Residential Treatment Facility, Mental Illness in Pinetops, NC
About Amazing Queens Group Home Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMAZING QUEENS GROUP HOME LLC (NPI 1821985375) is a healthcare organization registered as a community based residential treatment facility, mental illness in Pinetops, North Carolina and active in the NPI registry since June 2025. The organization lists Tawanda Tenika Tillery, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Amazing Queens Group Home LLC's NPI number?
The NPI number for Amazing Queens Group Home LLC is 1821985375. It was assigned to this organization in the NPPES registry on June 18, 2025.
Where is Amazing Queens Group Home LLC located?
Amazing Queens Group Home LLC is located at 910 Jenkins Farm Rd, Pinetops, NC 27864. The listed phone number is (252) 640-9194.
What is Amazing Queens Group Home LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
When was this NPI record last updated?
The NPPES record for Amazing Queens Group Home LLC was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Amazing Queens Group Home Llc · NPI 1821985375
Community Based Residential Treatment Facility, Mental Illness organization in Pinetops, North Carolina. Organization record, active in the CMS NPPES registry since June 18, 2025.
## Identity
- **NPI:** 1821985375 (Entity type: Organization)
- **Enumerated:** June 18, 2025
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Organization subpart:** No
- **Authorized official:** Tawanda Tillery, OWNER
## Practice location
- **Address:** 910 JENKINS FARM RD, Pinetops, NC 27864-7022
- **Phone:** (252) 640-9194
## Record status
- **NPPES last updated:** June 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821985375) · Data from the CMS NPPES public registry.