MARYS MAJOR III
NPI 1891819389
Community Based Residential Treatment Facility, Mental Illness in Raleigh, NC

Q: What is Marys Major III's NPI number?

The NPI number for Marys Major III is 1891819389. It was assigned to this organization in the NPPES registry on March 19, 2007.

Q: What is Marys Major III's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Marys Major III was last updated on July 9, 2008. 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.

Active since March 19, 2007

4208 LABRADOR DRIVE, RALEIGH, NC 27616(919) 261-0572(919) 266-7901 Get Directions Write a Review

NPPES record last updated: July 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marys Major Iii NPPES

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

MARYS MAJOR III (NPI 1891819389) is a healthcare organization registered as a community based residential treatment facility, mental illness in Raleigh, North Carolina and active in the NPI registry since March 2007. The organization lists Mary Lilly Mccullers-jackson, Owner Administrator, as its authorized official.

NPPES Registry Identity

NPI1891819389

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameMARYS MAJOR III

Location Address4208 LABRADOR DRIVERaleigh, NC 27616-9746

Mailing Address5641 Quail Covey LaneWendell, NC 27591-7901 · (919) 266-5291 · Fax (919) 266-7901

Phone(919) 261-0572

Fax(919) 266-7901

Organization SubpartNo

Authorized OfficialMary Lilly Mccullers-jacksonOwner Administrator · (919) 266-5291

Enumeration DateMarch 19, 2007

Last NPPES UpdateJuly 9, 2008

✔ NPI 1891819389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in NC · MHL 092 351

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License MHL 092 351 (NC)

4208 LABRADOR DRIVE, Raleigh, NC 27616

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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 Marys Major III's NPI number?

The NPI number for Marys Major III is 1891819389. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Marys Major III located?

Marys Major III is located at 4208 Labrador Drive, Raleigh, NC 27616. The listed phone number is (919) 261-0572.

What is Marys Major III'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 Marys Major III was last updated on July 9, 2008. 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.