PELHAM GARDENS – NPI #1740517697
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

PELHAM GARDENS is a community based residential treatment facility located in PELHAM, NC. NPPES has assigned the NPI number 1740517697 to PELHAM GARDENS on November 13, 2009. 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.

The NPI profile was previously updated about 17 years ago on Nov 17, 2009. 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 PELHAM GARDENS below.

NPI Profile for
PELHAM GARDENS

NPI Number
1740517697
Enumeration Date

(more than 16 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
PELHAM GARDENS
Doing Business As (dba): PELHAM GARDENS
Primary location
306 OLD HWY 29
PELHAM, NC 27311
Phone: (336) 210-1446 Fax:
Mailing address
PO BOX 38551
GREENSBORO, NC 27438
Phone: Fax:
Organization Subpart
No
Authorized Official
GREGORY VINCENT
OWNER/CEO
Phone: (336) 210-1446
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)

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.