Pcgh, Inc · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

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

Overview

Pcgh, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (organization) practicing in Roxboro, North Carolina. The National Provider Identifier (NPI) is #1922144351, 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 Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X). The authorized official for Pcgh, Inc is Melissa S Day (Clinical Director). Pcgh, Inc is licensed to practice in the state of North Carolina (#MHL 073 034), North Carolina (#MHL 073 034).

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider Information

NPI 1922144351
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
N320800000XCommunity Based Residential Treatment Facility, Mental IllnessMHL 073 034NC
Y320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL 073 034NC

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
7804216NCMEDICAID

Other Provider Names

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

Taxonomy Information

Primary 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 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]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Pearl Grace Care LLC 648 Timber Bay Cir E, Oldsmar, FL 34677-4310Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-11
Allies, Inc. 148 Burnt Hill Road, Skillman, NJ 08558Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-07
Arc Morris County Chapter Nj Inc 241 Mission Rd, Hackettstown, NJ 07840-5641Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-10
One Stop Residential Services LLC 1825 San Jacinto St Unit 643, Houston, TX 77002-8261Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-11
Zhyiers Independent Living LLC 5040 High Timbers Way, Princeton, TX 75407-3543Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-10
Elizabeth Embrace Community Home, LLC 73 Hidden Brook Blvd, Dover, DE 19904-1896Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-02
Grace Built Foundation LLC 1803 E Brown St, Lubbock, TX 79403-4029Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-10
Taylors Touch Enterprises 206 Pocahontas Ave, Franklin, VA 23851-1543Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-08
The Good Samaritan House 29 W 124th St Fl 2, Chicago, IL 60628-7301Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-09
Anchor Point Residential LLC 1589 Sunrise Gables Dr, Katy, TX 77493-5332Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-06
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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
Vijay R Dhoopati 911 Ridge Rd, Ste D, Roxboro, NC 27573-4574Family Medicine Physician2006-06-11
Person Family Medical Center Incorporated 702 North Main Street, Roxboro, NC 27573-4755Federally Qualified Health Center (FQHC)2006-09-29
Scott Michael Mcmillan 615 Ridge Rd, Suite 202, Roxboro, NC 27573-4629Certified Registered Nurse Anesthetist2006-05-26
Sonalee Patel 107 Weeks Dr, Roxboro, NC 27573-3929Family Medicine Physician2025-07-22
William R. Boone 234 Manchester Dr, Roxboro, NC 27573-4891Mental Health Counselor2007-04-20
Andrea Moore Dubocq Bernstein · Andrea Dubocq Bernstein 615 Ridge Rd, Roxboro, NC 27573-4629Physician Assistant2016-09-08
Bayada Home Health Care, Inc. 807 N Madison Blvd, Roxboro, NC 27573-4639Home Health Agency2012-05-07
Kirstin Kuo-Tung Wu 615 Ridge Rd, Roxboro, NC 27573-4629Physical Therapist2020-03-20
Crystal Lynn Martin 783 Doctors Ct, Roxboro, NC 27573-4571Nurse Practitioner2022-01-26
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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.