OrganizationActive
Coltranes Group Home
NPI 1366594715 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Greensboro, NC
Provider details
- NPI number
- 1366594715
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lathay Coltrane, Owner(336) 299-9757
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
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
3811 Repon St
Greensboro, NC 27407-5536
Phone: (336) 299-9757
Fax: (336) 299-1419
Street-level locationGet directions
Mailing address
3811 Repon St
Greensboro, NC 27407-5536
Other names (DBA / former)
- Former legal business name
- Coltranes Group Home Inc
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2008-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.