COUNTRY LIVING: WILLOW HOUSE – NPI #1588374581
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
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.
COUNTRY LIVING: WILLOW HOUSE is a residential treatment facility located in WASHINGTON, NC. NPPES has assigned the NPI number 1588374581 to COUNTRY LIVING: WILLOW HOUSE on November 30, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COUNTRY LIVING: WILLOW HOUSE” is a dba name, the actual legal business name for this organization is COUNTRY LIVING GUEST HOME, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
The NPI profile was previously updated about 3 years ago on Jan 26, 2023. 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 COUNTRY LIVING: WILLOW HOUSE below.
NPI Profile for
COUNTRY LIVING GUEST HOME, INC.
(more than 3 years ago)
WASHINGTON, NC 27889 Phone: (252) 975-3741 Fax: (252) 975-3044
WASHINGTON, NC 27889 Phone: (252) 975-3741 Fax: (252) 975-3044
ADMINISTRATOR
Phone: (252) 975-3741
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.
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 |
|---|---|---|
| 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
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| 343900000X - Non-emergency Medical Transport (VAN) |
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| 311ZA0620X - Custodial Care Facility / Adult Care Home |
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| 251S00000X - Community/Behavioral Health |
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.