Organization
MARY TAYLOR HOMES
Active
Organization
MARY TAYLOR HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLENE GAGE RN (EXECUTIVE DIRECTOR)
(252) 566-8455
Entity
Organization
Contact information
Practice address
6957 NC HIGHWAY 903 S, LA GRANGE, NC 28551-8367
(252) 566-8455
(252) 566-8455
Mailing address
6957 NC HIGHWAY 903 S, LA GRANGE, NC 28551-8367
(252) 566-8455
(252) 566-8455
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
MHL-040-036
NC
251C00000X
Developmentally Disabled Services Day Training Agency
MHL-040-036
NC
261QA0005X
Ambulatory Family Planning Facility
MHL-040-036
NC
3104A0625X
Assisted Living Facility (Mental Illness)
MHL-040-036
NC
311Z00000X
Custodial Care Facility
MHL-040-036
NC
315P00000X
Intellectual Disabilities Intermediate Care Facility
MHL-040-036
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-040-036
NC
320700000X
Physical Disabilities Residential Treatment Facility
MHL-040-036
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-040-036
NC
332900000X
Non-Pharmacy Dispensing Site
MHL-040-036
NC
3336L0003X
Long Term Care Pharmacy
MHL-040-036
NC
343900000X
Non-emergency Medical Transport (VAN)
MHL-040-036
NC
347C00000X
Private Vehicle
MHL-040-036
NC
385H00000X
Respite Care
MHL-040-036
NC
Other
Enumeration date
03/02/2007
Last updated
09/01/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up