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Russell House
Intellectual Disabilities Intermediate Care Facility in Asheboro, North Carolina
NPI 1689932865

Russell House is a Intellectual Disabilities Intermediate Care Facility based in Asheboro, NC. Russell House practices in Asheboro, NC. The NPI Number for Russell House is 1689932865 and holds a License No. (North Carolina).

The current practice location address for Russell House is 1691 Old Buffalo Ford Rd, Asheboro, NC and can be reached out via phone at 336-672-0169 and via fax at 336-672-0169.

Location: 1691 Old Buffalo Ford Rd, Asheboro, NC, 27205-7893
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689932865
Provider Name
Russell House
Credential
Provider Entity Type
Organization
Address
1691 Old Buffalo Ford Rd, Asheboro, NC, 27205-7893
Phone Number
336-672-0169
Fax Number
336-672-0169
Provider Enumeration Date
04/25/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1691 Old Buffalo Ford Rd
City
Asheboro
State
North Carolina
Zip
27205-7893
Phone Number
336-672-0169
Fax Number
336-672-0169
person
Provider Business Mailing Address Details
Address
1691 Old Buffalo Ford Rd
City
Asheboro
State
North Carolina
Zip
27205-7893
Phone Number
336-672-0169
Fax Number
336-672-0169
person
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Medicare Defined Swing Bed Unit
Speciality
-
Taxonomy
275N00000X
License No.
MHL-076-108 (North Carolina)
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
MHL-076-108 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(North Carolina)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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