OrganizationActive
Bynum'S Place LLC
NPI 1588706667 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Manson, NC
Provider details
- NPI number
- 1588706667
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Moore Bynum, Owner(252) 915-9174
- License
- MHL091076 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL091076 (NC)
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 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
4235 Jacksontown Rd
Manson, NC 27553-9740
Phone: (252) 456-4921
Street-level locationGet directions
Mailing address
4235 Jacksontown Rd
Manson, NC 27553-9740
Other names (DBA / former)
- Doing business as
- Michael'S Place
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 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.