COUNTRY LIVING GUEST HOME, INC.
NPI 1912064064
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Washington, NC

Q: What is Country Living Guest Home, Inc.'s NPI number?

The NPI number for Country Living Guest Home, Inc. is 1912064064. It was assigned to this organization in the NPPES registry on January 1, 2007.

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

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since January 01, 2007

3094 MARKET STREET EXTENSION, WASHINGTON, NC 27889(252) 975-3741(252) 975-3044 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1912064064) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Washington, North Carolina and active in the NPI registry since January 2007. The organization lists Angela Carrow Hardison, Owner, as its authorized official.

NPPES Registry Identity

NPI1912064064

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameCOUNTRY LIVING GUEST HOME, INC.

Location Address3094 MARKET STREET EXTENSIONWashington, NC 27889-8126

Mailing Address217 East 9th StreetWashington, NC 27889-8126 · (252) 975-3741 · Fax (252) 975-3044

Phone(252) 975-3741

Fax(252) 975-3044

Organization SubpartNo

Authorized OfficialAngela Carrow HardisonOwner · (252) 975-3741

Enumeration DateJanuary 1, 2007

Last NPPES UpdateJune 3, 2020

NPPES CertifiedJune 3, 2020

✔ NPI 1912064064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

3094 MARKET STREET EXTENSION, Washington, NC 27889

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Other Identifiers 1

Medicaid7804659NC

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 1912064064. It was assigned to this organization in the NPPES registry on January 1, 2007.

Where is Country Living Guest Home, Inc. located?

Country Living Guest Home, Inc. is located at 3094 Market Street Extension, 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 Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Country Living Guest Home, Inc. was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.