CARROLLS GROUP CARE HOME INC – NPI #1417221375
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

CARROLLS GROUP CARE HOME INC is a community based residential treatment facility located in SALEM, OR. NPPES has assigned the NPI number 1417221375 to CARROLLS GROUP CARE HOME INC on February 23, 2012. 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.

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 CARROLLS GROUP CARE HOME INC below.

NPI Profile for
CARROLLS GROUP CARE HOME INC

NPI Number
1417221375
Enumeration Date

(more than 14 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
CARROLLS GROUP CARE HOME INC
Primary location
293 14TH ST SE
SALEM, OR 97301-4109
Phone: (503) 399-0189 Fax: (503) 581-8799
Mailing address
PO BOX 12035
SALEM, OR 97309-0035
Phone: (503) 399-0189 Fax: (503) 581-8799
Organization Subpart
No
Authorized Official
NEIL CARROLL
OWNER
Phone: (503) 399-0189
Updated
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)		 OR 508201

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.