Church Street Group Home LLC
NPI 1821389776 · Assisted Living Facility (Mental Illness) · Burlington, NC
Church Street Group Home LLC is a Assisted Living Facility (Mental Illness) organization in Burlington, NC (NPI 1821389776).
Provider details
- NPI number
- 1821389776
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mittie Fuller, President/Owner(336) 227-1613
- License
- MHL-001-213 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2011-04-27
- Last updated
- 2011-04-27
Frequently asked questions
- What is Church Street Group Home LLC's NPI number?
- Church Street Group Home LLC's National Provider Identifier (NPI) is 1821389776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Church Street Group Home LLC?
- Church Street Group Home LLC is classified in the NPPES registry as Assisted Living Facility (Mental Illness) (Nursing & Custodial Care Facilities).
- Where is Church Street Group Home LLC located?
- Church Street Group Home LLC's practice location on file with NPPES is 1017 S Church St, Burlington, NC 27215-5045.
- What is Church Street Group Home LLC's phone number?
- The practice phone number listed in the NPPES registry for Church Street Group Home LLC is (336) 227-1613.
- Who is the authorized official for Church Street Group Home LLC?
- The authorized official listed on Church Street Group Home LLC's NPPES record is Mittie Fuller, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Church Street Group Home LLC's NPI active?
- Yes — Church Street Group Home LLC's NPI (1821389776) is active in the NPPES registry as of the last update on 2011-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.