Passionate Care Group Home
Community Based Residential Treatment Facility, Mental Illness in Clayton, North Carolina
1104940782- Practice location
- 105 Walnut Creek Drive, Clayton, NC 27520-7242
- Phone
- 919-332-2171
- Fax
- —
- Last updated
- September 25, 2023
Passionate Care Group Home is a healthcare organization based in Clayton, NC. Passionate Care Group Home practices in Clayton, NC. The NPI Number for Passionate Care Group Home is 1104940782 and holds a License No. MHL 051144 (NC). The current practice location address for Passionate Care Group Home is 105 Walnut Creek Drive, Clayton, NC 27520-7242 and can be reached out via phone at 919-332-2171.
Provider Profile Details
- NPI Number
- 1104940782
- Provider Name
- Passionate Care Group Home
- Provider Entity Type
- Organization
- Address
- 105 Walnut Creek Drive, Clayton, NC 27520-7242
- Phone Number
- 919-332-2171
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- Chanta'E Altman · Director Of Operations/Cfo · 919-332-2171
- Provider Enumeration Date
- March 19, 2007
- Last Update Date
- September 25, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 105 Walnut Creek Drive
Clayton, NC 27520-7242 - City
- Clayton
- State
- North Carolina
- Zip
- 27520-7242
- Phone Number
- 919-332-2171
Provider Business Mailing Address Details
- Address
- 727 Honeyspot RD
Suite 200
Stratford, CT 06615-7172 - City
- Stratford
- State
- CT
- Zip
- 06615-7172
- Phone Number
- 203-378-0433
License Information
- License Number
- MHL 051144
- License State
- NC
- Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community Based Residential Treatment Facility, Mental Illness providers near Clayton, NC
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Frequently Asked Questions
What is the NPI number of Passionate Care Group Home?
The NPI number of Passionate Care Group Home is 1104940782. It was assigned on March 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Passionate Care Group Home?
Passionate Care Group Home is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X), licensed in NC under license number MHL 051144.
Where does Passionate Care Group Home practice?
The practice location is 105 Walnut Creek Drive, Clayton, NC 27520-7242. The office can be reached at 919-332-2171 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104940782 directly on the NPPES registry website.