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WICKER STREET GROUP HOME
NPI 1861780322
Assisted Living Facility - Assisted Living, Mental Illness in Burlington, NC

Active since July 19, 2011
1620 FLORA AVE, BURLINGTON, NC 27217(336) 227-4350(336) 227-4350 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wicker Street Group Home NPPES

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

WICKER STREET GROUP HOME (NPI 1861780322) is a healthcare organization registered as an assisted living, mental illness in Burlington, North Carolina and active in the NPI registry since July 2011. The organization lists Dorothea Vivian Rogers, Director/owner, as its authorized official.

NPPES Registry Identity

NPI1861780322
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameWICKER STREET GROUP HOME
Location Address1620 FLORA AVEBurlington, NC 27217-1018
Mailing AddressPo Box 981Haw River, NC 27258-0981 · (336) 578-0004 · Fax (336) 227-4350
Phone(336) 227-4350
Fax(336) 227-4350
Organization SubpartNo
Authorized OfficialDorothea Vivian RogersDirector/owner · (336) 578-0004
Enumeration DateJuly 19, 2011
Last NPPES UpdateFebruary 12, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1861780322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License✔ Licensed in NC · 001-217
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
1620 FLORA AVE, Burlington, NC 27217
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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 Wicker Street Group Home's NPI number?

The NPI number for Wicker Street Group Home is 1861780322. It was assigned to this organization in the NPPES registry on July 19, 2011.

Where is Wicker Street Group Home located?

Wicker Street Group Home is located at 1620 Flora Ave, Burlington, NC 27217. The listed phone number is (336) 227-4350.

What is Wicker Street Group Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Wicker Street Group Home was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.