CMS-1500 Box 24J / 33a • NPI
1245542745
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
253J00000X
Licensed & Credentialed Foster Care Agency
Box 32 Service Location & ZIP+4
104 E OLD HIGHWAY 74 76, LAKE WACCAMAW, NC, 28450-2512
✓ 9-Digit EDI 837 ZIP+4 (28450-2512)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1245542745 (BOYS & GIRLS HOMES OF NC, INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1245542745 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BOYS & GIRLS HOMES OF NC, INC |
| Plain-English Specialty | Licensed & Credentialed Foster Care Agency NUCC Code: 253J00000X (Foster Care Agency) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 104 E OLD HIGHWAY 74 76, LAKE WACCAMAW, NC, 28450-2512 |
| Practice Telephone / Fax | Tel: (910) 646-3083 | Fax: (910) 356-0081 |
| Administrative Mailing Address | PO BOX 127, LAKE WACCAMAW, NC, 28450-0127 |
| Enumeration & Last Sync | Enumerated: 2010-07-13 | CMS Record Updated: 2022-01-31 |
| Authorized Official | RICKY CREECH (CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (253J00000X)
What Does Taxonomy Code 253J00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 253J00000X translates to:
"Licensed & Credentialed Foster Care Agency"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BOYS & GIRLS HOMES OF NC, INC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
251S00000X — Community/Behavioral HealthPlain English: Licensed & Credentialed Community/Behavioral Health | State: NC | License: B00004 | Primary: Secondary |
253J00000X — Foster Care AgencyPlain English: Licensed & Credentialed Foster Care Agency | State: NC | License: B00004 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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