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Country Living Guest Home, Inc.
Non-emergency Medical Transport (VAN) in Washington, North Carolina
NPI 1912064064

Country Living Guest Home, Inc. is a Non-emergency Medical Transport (VAN) based in Washington, NC. Country Living Guest Home, Inc. practices in Washington, NC. The NPI Number for Country Living Guest Home, Inc. is 1912064064 and holds a License No. (North Carolina).

The current practice location address for Country Living Guest Home, Inc. is 3094 Market Street Extension, Washington, NC and can be reached out via phone at 252-975-3741 and via fax at 252-975-3044.

Location: 3094 Market Street Extension, Washington, NC, 27889-8126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912064064
Provider Name
Country Living Guest Home, Inc.
Credential
Provider Entity Type
Organization
Address
3094 Market Street Extension, Washington, NC, 27889-8126
Phone Number
252-975-3741
Fax Number
252-975-3044
Provider Enumeration Date
01/01/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804659 05 NC
institution
Provider Business Practice Location Address Details
Address
3094 Market Street Extension
City
Washington
State
North Carolina
Zip
27889-8126
Phone Number
252-975-3741
Fax Number
252-975-3044
person
Provider Business Mailing Address Details
Address
3094 Market Street Extension
City
Washington
State
North Carolina
Zip
27889-8126
Phone Number
252-975-3741
Fax Number
252-975-3044
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
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
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
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.
person
Provider's Taxonomy Details 4
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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