# SELECT CARE HOME INCORPORATED

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255453163
- **Authorized official:** MRS. SHARRON BRADSHAW (DIRECTOR)
- **Authorized official phone:** (919) 702-2870

## Contact information

- **Practice address:** 233 GHOLSON AVE, HENDERSON, NC 27536-4547
- **Practice address phone:** (252) 433-8200
- **Mailing address:** PO BOX 456, HENDERSON, NC 27536-0456
- **Mailing address phone:** (252) 433-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL091068 | NC | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 12/10/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603785 | — | NC |