PEARLS FAMILY CARE HOME # 4 – NPI #1174710529
Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
PEARLS FAMILY CARE HOME # 4 is a community based residential treatment facility located in JACKSONVILLE, NC. NPPES has assigned the NPI number 1174710529 to PEARLS FAMILY CARE HOME # 4 on October 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.
The NPI profile was previously updated about 18 years ago on Jul 25, 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 PEARLS FAMILY CARE HOME # 4 below.
NPI Profile for
PEARLS FAMILY CARE HOME # 4
(more than 18 years ago)
JACKSONVILLE, NC 28546 Phone: (910) 326-3526 Fax:
JACKSONVILLE, NC 28546-9120 Phone: (910) 326-3526 Fax:
ADM
Phone: (910) 326-3526
Identifiers for PEARLS FAMILY CARE HOME # 4
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | NC | 7804972 |
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 |
|---|---|---|
| 320800000X - Community Based Residential Treatment Facility, Mental Illness (Primary) |
NC | 067014 |
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.