Three Forks Home
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Zionville, NC. Organization (NPI-2).
NPI number1780875138
StatusActive
Last updated in NPPESAug 9, 2007
Details
- NPI
- 1780875138
- Entity type
- Organization (NPI-2)
- Legal business name
- Three Forks Home
- Organization subpart
- No
- Enumeration date
- Aug 9, 2007
- Last updated
- Aug 9, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | MHL 095 043 | NC | Yes |
Other names
- Baptist Children'S Homes Of Nc, INC. (Other Name)
Practice location
392 Camp Joy RoadThree Forks Home
Zionville, NC 28698-9759
Phone 828-350-1254
Mailing address
Po Box 338Baptist Children'S Homes Of Nc, INC
Thomasville, NC 27361-0338
Phone 336-474-1260
Authorized official
C. F. McDowell
Executive Vice President
3364741260
Is something wrong?
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