# SIPES ORCHARD HOME

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

## Provider details

- **NPI number:** 1710026679
- **Authorized official:** MR. BRIAN L PHELPS ED.D (CEOPRESIDENT)
- **Authorized official phone:** (828) 256-5056

## Contact information

- **Practice address:** 4431 COUNTY HOME RD, CONOVER, NC 28613-9641
- **Practice address phone:** (828) 256-5056
- **Practice address fax:** (828) 256-4031
- **Mailing address:** 4431 COUNTY HOME RD, CONOVER, NC 28613-9641
- **Mailing address phone:** (828) 256-5056
- **Mailing address fax:** (828) 256-4031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | MHL-018065 | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-018063 | NC | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-018080 | NC | — |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603256 | — | NC |
| 05 | — | 6603275 | — | NC |
| 05 | — | 8301368 | — | NC |
| 05 | — | 8301368R | — | NC |