Provider Demographics
NPI:1124248737
Name:STANCIL'S CARE HOME
Entity type:Organization
Organization Name:STANCIL'S CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCNEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-965-6410
Mailing Address - Street 1:298 PRICE RD
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:NC
Mailing Address - Zip Code:27576-6361
Mailing Address - Country:US
Mailing Address - Phone:919-965-8410
Mailing Address - Fax:919-202-4847
Practice Address - Street 1:195 MONTGOMERY HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:NC
Practice Address - Zip Code:27576-6407
Practice Address - Country:US
Practice Address - Phone:919-965-6410
Practice Address - Fax:919-202-4847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHML051127320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities