RESIDENTIAL SERVICES AT REVERE, LLC – NPI #1003197609
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

RESIDENTIAL SERVICES AT REVERE, LLC is a community based residential treatment facility located in HILLSBOROUGH, NC. NPPES has assigned the NPI number 1003197609 to RESIDENTIAL SERVICES AT REVERE, LLC on September 09, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 RESIDENTIAL SERVICES AT REVERE, LLC below.

NPI Profile for
RESIDENTIAL SERVICES AT REVERE, LLC

NPI Number
1003197609
Enumeration Date

(about 15 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
RESIDENTIAL SERVICES AT REVERE, LLC
Primary location
516A REVERE RD
HILLSBOROUGH, NC 27278
Phone: (919) 241-4474 Fax:
Mailing address
4511 NC HIGHWAY 86 N
HILLSBOROUGH, NC 27278-9250
Phone: (919) 452-8903 Fax:
Organization Subpart
No
Authorized Official
JACKIE PARKER
DIRECTOR
Phone: (919) 452-8903
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 NC 068151

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.