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General NPI Number Information
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NPI Number | 1225997034
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Entity Type | Organization
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Legal Business Name | HEARTSTONE HOME, LLC
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Dates
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Enumeration Date | 01/17/2026
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 406 MERCER ST
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City | GOLDSBORO
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State | NC
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Zip | 27530-1338
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Country | US
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Telephone | 919-648-7240
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Fax |
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Provider Business Mailing Address
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Address Line | 109 N CENTER ST
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City | GOLDSBORO
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State | NC
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Zip | 27530-3620
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Country | US
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Telephone | 919-648-7240
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAURICIO HOWELL
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Credential |
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Telephone | 919-648-7240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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