Ford Home
Ford Home is a healthcare organization registered as Community/Behavioral Health Agency in Jacksonville, NC, holding Type 2 (organization) NPI 1104005735 since 2007. The authorized official on file is Oliver Ford, Owner/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104005735 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ford Home |
| Practice address | 311 BRENTWOOD AVE, Jacksonville, NC, 28540 |
| Phone | 9103242787 |
| Fax | 9103242725 |
| Enumeration date | 2007-10-31 |
| Last updated in NPPES | 2009-09-14 |
Authorized official
| Name | Oliver Ford |
|---|---|
| Title | Owner/President |
| Phone | 9103810125 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | MHL 067-167 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MHL 067-167 | Medicaid | NC | — |
Copy-ready billing details
Provider: Ford Home NPI: 1104005735 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 311 BRENTWOOD AVE, Jacksonville, NC, 28540
Verify this record
Cross-check NPI 1104005735 against the authoritative CMS record: view Ford Home on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Ford Home?
What is the NPI number for Ford Home?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-09-14.