Provider Demographics
NPI:1154344141
Name:RAIFORD HOMES
Entity type:Organization
Organization Name:RAIFORD HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:RAIFORD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:919-394-2213
Mailing Address - Street 1:191 HOWELL RD
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-9020
Mailing Address - Country:US
Mailing Address - Phone:919-731-4085
Mailing Address - Fax:919-735-5591
Practice Address - Street 1:803 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-6681
Practice Address - Country:US
Practice Address - Phone:919-429-3817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities