Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Country Living Guest Home, Inc.

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Washington, NC · enumerated 2007 · authorized official Kellie Hardison, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629135116

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Country Living Guest Home, Inc.

Other name <Unavail>

Practice address 424 Wharton Station Road, Washington, NC, 27889

Phone (252) 975-3741

Fax (252) 975-3044

Enumeration date Jan 3, 2007

Last updated in NPPES Oct 12, 2023

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Secondary

311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities Secondary

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Primary

343900000X Non-emergency Medical Transport (VAN) Transportation Services Secondary

Authorized official

Name Kellie Hardison

Title Administrator

Phone (252) 975-3741

Other identifiers

Identifier	Type	State	Issuer
7805416	Medicaid	NC	-

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 → Validate an NPI →

Frequently asked questions

Where is Country Living Guest Home, Inc. located?

The practice location on file with NPPES is in Washington, NC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-10-12. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-12.