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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Country Living Guest Home, Inc.

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Washington, NC · enumerated 2012 · authorized official Kellie Hardison, Administrator.

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

National Provider Identifier

1972847390

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Country Living Guest Home, Inc.
Parent organization Country Living Guest Home, Inc.
Practice address 207 W 11th St, Washington, NC, 27889
Phone (252) 975-3741
Fax (252) 975-3044
Enumeration date Nov 26, 2012
Last updated in NPPES Jul 27, 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

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 is the NPI number for Country Living Guest Home, Inc.?
The NPI for Country Living Guest Home, Inc. is 1972847390, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Country Living Guest Home, Inc.?
NPPES lists Kellie Hardison (Administrator) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-27.