Residential Services at Revere, LLC
NPI 1003197609 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hillsborough, NC
Residential Services at Revere, LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Hillsborough, NC (NPI 1003197609).
Provider details
- NPI number
- 1003197609
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jackie Parker, Director(919) 452-8903
- License
- 068151 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 068151 (NC)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2011-09-09
- Last updated
- 2011-09-09
Frequently asked questions
- What is Residential Services at Revere, LLC's NPI number?
- Residential Services at Revere, LLC's National Provider Identifier (NPI) is 1003197609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Residential Services at Revere, LLC?
- Residential Services at Revere, LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Residential Services at Revere, LLC located?
- Residential Services at Revere, LLC's practice location on file with NPPES is 516a Revere Rd, Hillsborough, NC 27278.
- What is Residential Services at Revere, LLC's phone number?
- The practice phone number listed in the NPPES registry for Residential Services at Revere, LLC is (919) 241-4474.
- Who is the authorized official for Residential Services at Revere, LLC?
- The authorized official listed on Residential Services at Revere, LLC's NPPES record is Jackie Parker, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Residential Services at Revere, LLC's NPI active?
- Yes — Residential Services at Revere, LLC's NPI (1003197609) is active in the NPPES registry as of the last update on 2011-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.