1ST & 10 GROUP HOME INC – NPI #1538234372
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

1ST & 10 GROUP HOME INC is a residential treatment facility located in ROSEBORO, NC. NPPES has assigned the NPI number 1538234372 to 1ST & 10 GROUP HOME INC on November 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 18 years ago on Mar 28, 2008. 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 1ST & 10 GROUP HOME INC below.

NPI Profile for
1ST & 10 GROUP HOME INC

NPI Number
1538234372
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
1ST & 10 GROUP HOME INC
Primary location
206 NORTH EAST STREET
ROSEBORO, NC 28382-1353
Phone: (910) 525-5488 Fax: (910) 525-5433
Mailing address
PO BOX 41
CLINTON, NC 28329-0041
Phone: (910) 299-0096 Fax: (910) 299-0010
Organization Subpart
No
Authorized Official
JERRIS MCPHAIL
PRESIDENT
Phone: (910) 299-0099
Updated
Identifiers

Identifiers for 1ST & 10 GROUP HOME INC

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
MEDICAIDNC6603962
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)		 NC MHL082059

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.