Pickett Grove Supervised Living
NPI 1669689766 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Durham, NC
Pickett Grove Supervised Living is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Durham, NC (NPI 1669689766).
Provider details
- NPI number
- 1669689766
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cedrika Holliday, Program Director(919) 403-9644
- License
- MHL 032244 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL 032244 (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
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pickett Grove Supervised Living's NPI number?
- Pickett Grove Supervised Living's National Provider Identifier (NPI) is 1669689766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pickett Grove Supervised Living?
- Pickett Grove Supervised Living is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Pickett Grove Supervised Living located?
- Pickett Grove Supervised Living's practice location on file with NPPES is 3809 Pickett Rd, Durham, NC 27705-5331.
- What is Pickett Grove Supervised Living's phone number?
- The practice phone number listed in the NPPES registry for Pickett Grove Supervised Living is (919) 403-9644.
- Who is the authorized official for Pickett Grove Supervised Living?
- The authorized official listed on Pickett Grove Supervised Living's NPPES record is Cedrika Holliday, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pickett Grove Supervised Living's NPI active?
- Yes — Pickett Grove Supervised Living's NPI (1669689766) 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.