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Country Living Guest Home, Inc.

Mental Illness Community Based Residential Treatment Facility in Washington, NC · enumerated 2022 · authorized official Kellie Hardison, Administrator.

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

National Provider Identifier

1770293763

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Country Living Guest Home, Inc.
Other name <Unavail>
Parent organization Country Living Guest Home, Inc.
Practice address 3680 Cherry Road, Washington, NC, 27889
Fax (252) 975-3044
Enumeration date Nov 30, 2022
Last updated in NPPES Jan 26, 2023

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Secondary
311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities Secondary
320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Primary
343900000X Non-emergency Medical Transport (VAN) Transportation Services Secondary

Authorized official

Name Kellie Hardison
Title Administrator

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.

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Frequently asked questions

What type of organization is Country Living Guest Home, Inc.?
Country Living Guest Home, Inc. is registered in NPPES as a Mental Illness Community Based Residential Treatment Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-26.