Provider Demographics
NPI:1912022070
Name:HEIGHT HOME,LLC
Entity Type:Organization
Organization Name:HEIGHT HOME,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ALBERTA
Authorized Official - Last Name:SHARPE-BLAKELY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:252-355-3284
Mailing Address - Street 1:1200 E FIRE TOWER RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-6179
Mailing Address - Country:US
Mailing Address - Phone:252-355-3284
Mailing Address - Fax:252-321-2439
Practice Address - Street 1:1200 E FIRE TOWER RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-6179
Practice Address - Country:US
Practice Address - Phone:252-321-6927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-074-12320900000X, 322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301637Medicaid