GRACE HOUSE – NPI #1548472434
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.

GRACE HOUSE is a residential treatment facility located in RAEFORD, NC. NPPES has assigned the NPI number 1548472434 to GRACE HOUSE on May 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GRACE HOUSE” is a dba name, the actual legal business name for this organization is PREMIER HEALTHCARE SERVICES INC. With multiple taxonomy codes selected, 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 19 years ago on Aug 15, 2007. 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 GRACE HOUSE below.

NPI Profile for
PREMIER HEALTHCARE SERVICES INC

NPI Number
1548472434
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
PREMIER HEALTHCARE SERVICES INC
Doing Business As (dba): GRACE HOUSE
Primary location
1892 TURNPIKE ROAD
RAEFORD, NC 28376
Phone: (910) 733-0617 Fax:
Mailing address
401 E 11TH ST
LUMBERTON, NC 28358-4807
Phone: (910) 733-0617 Fax:
Organization Subpart
No
Authorized Official
FRED SURGEON
DIRECTOR
Phone: (910) 733-0617
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.

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.