Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bo'S Johnathan House, Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1194970681

Bo'S Johnathan House, Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Middlesex, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 Will Rd
Middlesex, NC 27557-8317
Phone: (919) 369-5394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence MHL-051-168 (NC)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence MHL-051-168 (NC)

Record details

NPI number1194970681
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBo'S Johnathan House, Inc
Authorized official Obelia Hocutt — Executive Director · (919) 369-5394
Other names Bo'S Johnathan House Adult Care, Inc.
NPI enumeratedNovember 25, 2008
Last updated in NPPESJanuary 27, 2009
Mailing address12749 Buck Rd, Middlesex, NC 27557-8308

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