Nicole St. Clair Services
NPI 1336272723 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Roanoke Rapids, NC
Nicole St. Clair Services is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Roanoke Rapids, NC (NPI 1336272723).
Provider details
- NPI number
- 1336272723
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Karen Mallory, Ceo(252) 578-9071
- License
- MHL042039 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL042039 (NC)
Residential Treatment Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Other name
- Amanda'S Place
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Nicole St. Clair Services's NPI number?
- Nicole St. Clair Services's National Provider Identifier (NPI) is 1336272723, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nicole St. Clair Services?
- Nicole St. Clair Services is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Nicole St. Clair Services located?
- Nicole St. Clair Services's practice location on file with NPPES is 4894 Highway 158, Roanoke Rapids, NC 27870.
- What is Nicole St. Clair Services's phone number?
- The practice phone number listed in the NPPES registry for Nicole St. Clair Services is (252) 535-1192.
- Who is the authorized official for Nicole St. Clair Services?
- The authorized official listed on Nicole St. Clair Services's NPPES record is Karen Mallory, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nicole St. Clair Services's NPI active?
- Yes — Nicole St. Clair Services's NPI (1336272723) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.