WAVERLY HOUSE – NPI #1316160302
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.

WAVERLY HOUSE is a community based residential treatment facility located in ALBEMARLE, NC. NPPES has assigned the NPI number 1316160302 to WAVERLY HOUSE on April 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WAVERLY HOUSE” is a dba name, the actual legal business name for this organization is THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC.. 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 6 years ago on Aug 22, 2020. 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 WAVERLY HOUSE below.

NPI Profile for
THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC.

NPI Number
1316160302
Enumeration Date

(more than 19 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
THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC.
Doing Business As (dba): WAVERLY HOUSE
Primary location
2215 WAVERLY ST
ALBEMARLE, NC 28001
Phone: (704) 983-2777 Fax:
Mailing address
1331 SUNDAY DR
RALEIGH, NC 27607-5166
Phone: (919) 866-3287 Fax:
Organization Subpart
No
Authorized Official
KEVIN COCHRAN
FINANCIAL ASSISTANT
Phone: (919) 866-3287
Updated
Identifiers

Identifiers for WAVERLY HOUSE

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
MEDICAIDNC7805042
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-084-016

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.