Organization · Type 2 NPI

Blue Group Home LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Browns Summit, NC

NPI number 1750104246 Active

Practice location

8450 Allegra Trce
Browns Summit, NC 27214-9894

Fax (336) 763-5065

Mailing address

PO Box 5016
Greensboro, NC 27435-0016

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1750104246

Blue Group Home LLC's National Provider Identifier is 1750104246, issued on Nov 4, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Browns Summit, NC. The record was last updated on May 20, 2026.