OrganizationActive
Blue Group Home LLC
NPI 1750104246 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Browns Summit, NC
Provider details
- NPI number
- 1750104246
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Tina Mebane, Owner
Practice location
8450 Allegra Trce
Browns Summit, NC 27214-9894
Phone: (336) 456-2370
Fax: (336) 763-5065
Mailing address
Po Box 5016
Greensboro, NC 27435-0016
Registry dates
- Enumerated
- 2024-11-04
- Last updated
- 2026-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.