MARC'S MANOR LLC – NPI #1962566182
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.

MARC'S MANOR LLC is a residential treatment facility located in CASTLE HAYNE, NC. NPPES has assigned the NPI number 1962566182 to MARC'S MANOR LLC on December 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 19 years ago on Jul 10, 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 MARC'S MANOR LLC below.

NPI Profile for
MARC'S MANOR LLC

NPI Number
1962566182
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
MARC'S MANOR LLC
Primary location
3207 REMINISCE RD
CASTLE HAYNE, NC 28429
Phone: (910) 675-7878 Fax:
Mailing address
3020 BROOKCROSSING DR
VILLAGE AT LAKEWOOD
FAYETTEVILLE, NC 28306-9790
Phone: (910) 273-5838 Fax:
Organization Subpart
No
Authorized Official
TERRY MIMS
OWNER
Phone: (910) 273-5838
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
NC MHL065165

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.