OrganizationActive
Magnanimous Group Home LLC
NPI 1003047069 · Emotionally Disturbed Childrens' Residential Treatment Facility · Pink Hill, NC
Provider details
- NPI number
- 1003047069
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Isaiah Johnson, Ceo(910) 382-9985
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense MHL-052-016 (NC)
Residential Treatment Facilities
- Case Management Agency251B00000X
Agencies
- Respite Care385H00000X
Respite Care Facility
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9407 Hwy 41 W
Pink Hill, NC 28572-7021
Phone: (910) 324-3276
Street-level locationGet directions
Mailing address
9407 Hwy 41 W
Pink Hill, NC 28572-7021
Registry dates
- Enumerated
- 2009-08-06
- Last updated
- 2009-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.