Pcgh, Inc · Community/Behavioral Health Agency

202 N. Main Street, Roxboro, NC 27573-0721

Overview

Pcgh, Inc is a Community/Behavioral Health Agency (organization) practicing in Roxboro, North Carolina. The National Provider Identifier (NPI) is #1497891832, which was assigned on January 30, 2007, and the registration record was last updated on July 2, 2025. The practitioner's main practice location is at 202 N. Main Street, Roxboro, NC 27573-0721; the contact telephone number is 3365999421, and the fax number is 3365997220. The primary taxonomy of Pcgh, Inc is Community/Behavioral Health Agency (251S00000X). The authorized official for Pcgh, Inc is Melissa S Day (Clinical Director). Pcgh, Inc is licensed to practice in the state of North Carolina, North Carolina, North Carolina, North Carolina, North Carolina, North Carolina, North Carolina, North Carolina, North Carolina, North Carolina, North Carolina, North Carolina, North Carolina.

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Provider Information

NPI 1497891832
Entity Type Organization
Organization Name PCGH, INC
Provider Name PCGH, INC
Practice Address 202 N. Main Street
Roxboro
NC 27573-0721
Practice Telephone 3365999421
Practice Fax Number 3365997220
Mailing Address Po Box 721
Roxboro
NC 27573-0721
Mailing Telephone 3365999421
Mailing Fax Number 3365997220
Certification Date 2025-07-02
Enumeration Date 2007-01-30
Last Update Date 2025-07-02
Is Organization Subpart N

Authorized Official Information

Official Name MELISSA S DAY
Official Title CLINICAL DIRECTOR
Telephone 3365999421

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N251B00000XCase ManagementNC
N251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationNC
N251X00000XSupports BrokerageNC
N310400000XAssisted Living FacilityNC
N320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNC
N320700000XResidential Treatment Facility, Physical DisabilitiesNC
N320800000XCommunity Based Residential Treatment Facility, Mental IllnessNC
N320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNC
N343800000XSecured Medical Transport (VAN)NC
N343900000XNon-emergency Medical Transport (VAN)NC
N251C00000XDay Training, Developmentally Disabled ServicesNC
N347C00000XPrivate VehicleNC
Y251S00000XCommunity/Behavioral HealthNC

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
8300841NCMEDICAID

Other Provider Names

Other Organization NameType
Person County Group Homes, IncFormer Legal Business Name

Taxonomy Information

Primary Taxonomy

Code 251S00000X
Taxonomy Community/Behavioral Health Agency
Classification Community/Behavioral Health
Grouping Agencies
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition, 1/1/2021: modified definition]

Other Taxonomy

Code 251B00000X
Taxonomy Case Management Agency
Classification Case Management
Grouping Agencies
Definition: An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified]

Other Taxonomy

Code 251T00000X
Taxonomy PACE Provider Organization
Classification Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Grouping Agencies
Definition: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new]

Other Taxonomy

Code 251X00000X
Taxonomy Supports Brokerage Agency
Classification Supports Brokerage
Grouping Agencies
Definition: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.
Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new]

Other Taxonomy

Code 310400000X
Taxonomy Assisted Living Facility
Classification Assisted Living Facility
Grouping Nursing & Custodial Care Facilities
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Other Taxonomy

Code 320600000X
Taxonomy Intellectual and/or Developmental Disabilities Residential Treatment Facility
Classification Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Grouping Residential Treatment Facilities
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Notes: [7/1/2003: new. 1/1/2021: modified title and definition]

Other Taxonomy

Code 320700000X
Taxonomy Physical Disabilities Residential Treatment Facility
Classification Residential Treatment Facility, Physical Disabilities
Grouping Residential Treatment Facilities
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Notes: [7/1/2003: new, 1/1/2021: modified definition]

Other Taxonomy

Code 320800000X
Taxonomy Mental Illness Community Based Residential Treatment Facility
Classification Community Based Residential Treatment Facility, Mental Illness
Grouping Residential Treatment Facilities
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Other Taxonomy

Code 320900000X
Taxonomy Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Classification Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Grouping Residential Treatment Facilities
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Notes: [7/1/2003: new, 1/1/2021: modified title, modified definition]

Other Taxonomy

Code 343800000X
Taxonomy Secured Medical Transport (VAN)
Classification Secured Medical Transport (VAN)
Grouping Transportation Services
Definition: A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.

Other Taxonomy

Code 343900000X
Taxonomy Non-emergency Medical Transport (VAN)
Classification Non-emergency Medical Transport (VAN)
Grouping Transportation Services
Definition: A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Other Taxonomy

Code 251C00000X
Taxonomy Developmentally Disabled Services Day Training Agency
Classification Day Training, Developmentally Disabled Services
Grouping Agencies
Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Other Taxonomy

Code 347C00000X
Taxonomy Private Vehicle
Classification Private Vehicle
Grouping Transportation Services
Definition: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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Location Information

Street Address 202 N. MAIN STREET
City ROXBORO
State NC
Zip Code 27573-0721
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Carrie Albert Bowers 796 Doctors Ct, Roxboro, NC 27573-4571Pediatric Nurse Practitioner2018-08-16
Amarika Family Medicine. P.C. 911 Ridge Rd, Suite D, Roxboro, NC 27573-4574Family Medicine Physician2006-06-11
Bayada Home Health Care, Inc. 807 N Madison Blvd, Roxboro, NC 27573-4639Home Health Agency2012-05-07
Anna Chambers 796 Doctors Ct, Roxboro, NC 27573-4571Family Nurse Practitioner2025-08-06
North Carolina Eye Ear Nose & Throat Pa 911 Ridge Rd Ste A, Roxboro, NC 27573-4574Ophthalmology Physician2006-09-27
Msa Home Health and Hospice of The Piedmont Inc 665 Carver Dr Ste B, Roxboro, NC 27573-4580Community Based Hospice Care Agency2018-10-19
Andrea Moore Dubocq Bernstein · Andrea Dubocq Bernstein 615 Ridge Rd, Roxboro, NC 27573-4629Physician Assistant2016-09-08
Dva Renal Healthcare Inc 1005 Ridge Rd, Roxboro, NC 27573-4513End-Stage Renal Disease (ESRD) Treatment Clinic/Center2006-03-21
Kirstin Kuo-Tung Wu 615 Ridge Rd, Roxboro, NC 27573-4629Physical Therapist2020-03-20
Vijay R Dhoopati 911 Ridge Rd, Ste D, Roxboro, NC 27573-4574Family Medicine Physician2006-06-11
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.