OrganizationActive
Beros Enterprise LLC
NPI 1578743795 · Emotionally Disturbed Childrens' Residential Treatment Facility · Kernersville, NC
Provider details
- NPI number
- 1578743795
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Beros Enterprise LLC
- Organization subpart
- Yes
- Authorized official
- Beverlie Grizzle, Habtechican(336) 491-7190
- License
- MHL-034-218 (NC)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense MHL-034-218 (NC)
Residential Treatment Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
5331 Stigall Rd
Kernersville, NC 27284-7673
Phone: (336) 491-7190
Fax: (336) 510-7490
Street-level locationGet directions
Mailing address
5331 Stigall Rd
Kernersville, NC 27284-7673
Other names (DBA / former)
- Doing business as
- Ebenezer House
Registry dates
- Enumerated
- 2007-11-05
- Last updated
- 2009-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.