HILLS DDA GROUP HOME INC – NPI #1053595546
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

HILLS DDA GROUP HOME INC is an AHC clinic located in KINSTON, NC. NPPES has assigned the NPI number 1053595546 to HILLS DDA GROUP HOME INC on December 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was previously updated about 18 years ago on Jul 21, 2008. 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 HILLS DDA GROUP HOME INC below.

NPI Profile for
HILLS DDA GROUP HOME INC

NPI Number
1053595546
Enumeration Date

(more than 18 years 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
HILLS DDA GROUP HOME INC
Primary location
2017 EAST RIDGE CIR
KINSTON, NC 28501
Phone: (252) 522-4869 Fax:
Mailing address
PO BOX 5425
2017 EAST RIDGE CIRCLE
KINSTON, NC 28501
Phone: (252) 522-4869 Fax: (252) 522-4869
Organization Subpart
No
Authorized Official
ALICETINE ROUSE
ADMINISTRATOR
Phone: (252) 522-4869
Updated
Identifiers

Identifiers for HILLS DDA GROUP HOME INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLICENSE #NCMHL054111
MEDICAIDNC7805117
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
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)
NC MHL054111

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.