OUR FATHERS PLACE INC – NPI #1275637423
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.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

OUR FATHERS PLACE INC is a community based residential treatment facility located in STATESVILLE, NC. NPPES has assigned the NPI number 1275637423 to OUR FATHERS PLACE INC on September 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 last updated on Sep 11, 2025. 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 OUR FATHERS PLACE INC below.

NPI Profile for
OUR FATHERS PLACE INC

NPI Number
1275637423
Enumeration Date

(about 20 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
OUR FATHERS PLACE INC
Primary location
256 EAST BROAD STREET
STATESVILLE, NC 28677
Phone: (704) 872-0313 Fax: (704) 872-7787
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES LINTON
CHIEF EXECUTIVE OFFICER
Phone: (704) 684-0197
Updated
Identifiers

Identifiers for OUR FATHERS PLACE 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
medicaidNC6603748
medicaidNC6603681
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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 NC
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children		 NC

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.