AMAZING QUEENS GROUP HOME LLC
NPI 1821985375
Community Based Residential Treatment Facility, Mental Illness in Pinetops, NC

NPI Status: Active since June 18, 2025

Contact Information

910 JENKINS FARM RD
PINETOPS, NC
ZIP 27864
Phone: (252) 640-9194

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About AMAZING QUEENS GROUP HOME LLC

This page provides the complete NPI Profile along with additional information for Amazing Queens Group Home Llc, a provider established in Pinetops, North Carolina operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1821985375 assigned on June 2025. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated June 2025. The authorized official of this NPI record is Ms. Tawanda Tenika Tillery (Owner)

NPI
1821985375
Provider Name
AMAZING QUEENS GROUP HOME LLC
Entity Type
Organization
Location Address
910 JENKINS FARM RD PINETOPS, NC 27864
Location Phone
(252) 640-9194
Mailing Address
910 JENKINS FARM RD PINETOPS, NC 27864
Mailing Phone
(252) 640-9194
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-18-2025
Last Update Date
06-18-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. TAWANDA TENIKA TILLERY

Authorized Official Title
OWNER
Authorized Official Phone
(252) 640-9194

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821985375
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
284118810314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 1 + 8 + 8 + 1 + 0 + 3 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1821985375 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619794856 TAWANDA TENIKA TILLERY
Individual
Community Health Worker910 JENKINS FARM RD
PINETOPS, NC 27864
(252) 640-9194

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821985375, enumerated in the NPI registry as an "organization" on June 18, 2025

The provider is located at 910 Jenkins Farm Rd Pinetops, Nc 27864 and the phone number is (252) 640-9194

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on June 18, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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