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NPI · 1821389776 · NPPES-sourced

Church Street Group Home LLC

ActiveAssisted Living Facility (Mental Illness)
NPI Number
1821389776
Type 2 · Organisation
Contact
(336) 227-1613
License NC · MHL-001-213
Last Updated
Enumerated
Primary practice addressNC · 27215-5045
1017 S Church StBurlington, NC 27215-5045
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About this NPIWhat this record shows.

NPI 1821389776 is registered to Church Street Group Home LLC, a healthcare organisation classified as "Assisted Living Facility (Mental Illness)" and located at 1017 S Church St in Burlington, North Carolina. The organisation's authorised official is Mittie Fuller. The organisation has been enumerated in the NPI registry since 2011.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Church Street Group Home LLC accepts. To confirm in-network status with your specific health plan, contact Church Street Group Home LLC directly at (336) 227-1613.

Frequently asked

Yes. NPI 1821389776 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Assisted Living Facility (Mental Illness) is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (336) 227-1613.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Church Street Group Home LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy3104A0625X
Last updated
Enumerated
StatusActive
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