Healthcare Provider Details

I. General information

NPI: 1487529442
Provider Name (Legal Business Name): ANN NJUGUNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 WESTRIDGE DR
HIGH POINT NC
27262-8203
US

IV. Provider business mailing address

2917 FERNLEY CT
HIGH POINT NC
27262-8474
US

V. Phone/Fax

Practice location:
  • Phone: 913-999-1366
  • Fax:
Mailing address:
  • Phone: 913-999-1366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number3139247
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: