COUNTRY LIVING GUEST HOME, INC.
NPI 1902963499
Psychiatric Residential Treatment Facility in Washington, NC

Active since January 03, 2007
3134 MARKET STREET EXT, WASHINGTON, NC 27889(252) 975-3741 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Country Living Guest Home, Inc. NPPES

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

COUNTRY LIVING GUEST HOME, INC. (NPI 1902963499) is a healthcare organization registered as a psychiatric residential treatment facility in Washington, North Carolina and active in the NPI registry since January 2007. The organization lists Tim Hardison, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902963499
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameCOUNTRY LIVING GUEST HOME, INC.
Location Address3134 MARKET STREET EXTWashington, NC 27889-8127
Mailing Address3134 Market Street ExtWashington, NC 27889-8127 · (252) 975-3741
Organization SubpartNo
Authorized OfficialTim HardisonAdministrator · (252) 402-7823
Enumeration DateJanuary 3, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1902963499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
License Licensed in NC · MHL-007-043
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
3134 MARKET STREET EXT, Washington, NC 27889

Other Identifiers 1

Medicaid7805415NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3134 MARKET STREET EXT
WASHINGTON, NC 27889

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 Country Living Guest Home, Inc.'s NPI number?

The NPI number for Country Living Guest Home, Inc. is 1902963499. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Country Living Guest Home, Inc. located?

Country Living Guest Home, Inc. is located at 3134 Market Street Ext, Washington, NC 27889. The listed phone number is (252) 975-3741.

What is Country Living Guest Home, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Country Living Guest Home, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.