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

Country Living Guest Home, Inc

Organization Community/Behavioral Health Agency · NPI 1467164145

Country Living Guest Home, Inc is a Community/Behavioral Health Agency in Washington, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
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

3636 Cherry Rd
Washington, NC 27889
Phone: (252) 975-3741
Fax: (252) 975-3044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X
Community/Behavioral Health Agency Taxonomy 251S00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1467164145
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCountry Living Guest Home, Inc
Authorized official Kellie Hardison — Administrator · (252) 975-3741
Other names Country Living: Hickory House
NPI enumeratedDecember 14, 2022
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing address217 East 9th Street, Washington, NC 27889

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