OrganizationActive
Brushy Mountain Group Homes, Inc
NPI 1205940129 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · North Wilkesboro, NC
Provider details
- NPI number
- 1205940129
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shelley Gamble, Executive Director(336) 838-3789
- License
- MHL097045 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL097045 (NC)
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
179 Holly Brook St
North Wilkesboro, NC 28659-8754
Phone: (336) 670-9352
Fax: (336) 838-3490
Street-level locationGet directions
Mailing address
Po Box 1045
North Wilkesboro, NC 28659-1045
Other names (DBA / former)
- Doing business as
- Holly Hills Group Home
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2008-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.