Healthcare Provider Details

I. General information

NPI: 1891972741
Provider Name (Legal Business Name): NEW POSSIBILITIES HOME FOR CHILDREN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 TRAIL ONE
BURLINGTON NC
27215-6243
US

IV. Provider business mailing address

PO BOX 591
BURLINGTON NC
27216-0591
US

V. Phone/Fax

Practice location:
  • Phone: 336-437-2645
  • Fax: 336-226-4674
Mailing address:
  • Phone: 336-437-2645
  • Fax: 336-226-4674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number001-155
License Number StateNC

VIII. Authorized Official

Name: EDITH WARD
Title or Position: EX. DIRECTOR
Credential:
Phone: 336-437-2645