FALCON CREST RESIDENTIAL CARE – NPI #1306284195
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.

FALCON CREST RESIDENTIAL CARE is a community based residential treatment facility located in MEBANE, NC. NPPES has assigned the NPI number 1306284195 to FALCON CREST RESIDENTIAL CARE on June 13, 2013. 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 previously updated about 8 years ago on May 14, 2018. 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 FALCON CREST RESIDENTIAL CARE below.

NPI Profile for
FALCON CREST RESIDENTIAL CARE

NPI Number
1306284195
Enumeration Date

(about 13 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
FALCON CREST RESIDENTIAL CARE
Primary location
2094 HAITH-FULLER TRAIL
MEBANE, NC 27302
Phone: (336) 226-2575 Fax: (336) 226-2474
Mailing address
1101 S FIFTH ST
PO BOX 1670
MEBANE, NC 27302-9182
Phone: (336) 226-2575 Fax: (336) 226-2474
Organization Subpart
No
Authorized Official
WENDY BRADSHER
ADMINISTRATOR MANAGER
Phone: (336) 226-2575
Updated
Identifiers

Identifiers for FALCON CREST RESIDENTIAL CARE

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
MEDICAIDNC6603998
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 MHL-001-141
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children
NC MHL-001-141
251S00000X
- Community/Behavioral Health
NC MHL-001-141

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.