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NPI 1003957556ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Albemarle, NC

Intermediate Care Facility, Intellectual Disabilities in Albemarle, North Carolina, registered in NPPES in February 2007. The authorized official on file is Cindy Jones, Cfo.

Overview

NPI1003957556
StatusActive
Entity typeOrganization
NPI issuedFeb 9, 2007
Last updated in NPPESMar 31, 2021
Certified by providerMar 31, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Intermediate Care Facility, Intellectual Disabilities Primary315P00000XMHL-084-065NC
Community/Behavioral Health251S00000X——
Custodial Care Facility311Z00000X——
Residential Treatment Facility, Intellectual and/or Developmental Disabilities320600000X——
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities320900000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Intermediate Care Facility, Intellectual Disabilities providers in Albemarle

All Intermediate Care Facility, Intellectual Disabilities providers in North Carolina