EYES WYDE SHUT II, INC. – NPI #1427914167
Community/Behavioral Health

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.

Health Care Provider Taxonomy Code for Community/Behavioral Health

EYES WYDE SHUT II, INC. is an agency located in MONROE, NC. NPPES has assigned the NPI number 1427914167 to EYES WYDE SHUT II, INC. on December 26, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 251S00000X from the Health Care Provider Taxonomy code set, which is classified as Community/Behavioral Health.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EYES WYDE SHUT II, INC. below.

NPI Profile for
EYES WYDE SHUT II, INC.

NPI Number
1427914167
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EYES WYDE SHUT II, INC.
Primary location
1964 SLIPPERY ROCK LN
MONROE, NC 28112-0005
Phone: (980) 777-0801 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KINENA DENT SMITH
OWNER
Phone: (980) 777-0801
Updated
Certification Date
Dec 26, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251S00000X
- Community/Behavioral Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.