LEWIS TREATMENT FACILITY (NPI# 1033243761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033243761 |
| Entity Type | Organization |
| Organization Name | LEWIS TREATMENT FACILITY |
| Practice Address |
116 Marion-amos Road Roseboro NC 28382 |
| Mailing Address |
6183 Timberland Dr Fayetteville NC 28314-2185 |
| Practice Telephone | 9105253144 |
| Mailing Telephone | 9108686189 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. GALE VALENCIA RAY (DIRECTOR) |
| Authorized Official Telephone | 9102614553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-082-050 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603847 | 05 |
| Street Address |
116 MARION-AMOS ROAD |
| City | ROSEBORO |
| State | NC |
| Zip Code | 28382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922373174 | Lisa Smith | Pharmacist | 218 Martin Luther King Jr. Hwy, Roseboro, NC 28382 | 2012-03-20 |
| 1023321874 | Thomas Latham West | Pharmacist | 218 Mlk Jr Hwy, Roseboro, NC 28382 | 2010-07-22 |
| 1942497086 | Upscale Residential Care, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 614 North Maple Place, Roseboro, NC 28382 | 2007-10-03 |
| 1952470999 | Atlantic Radiology Associates | Radiology | 105 West Street, Roseboro, NC 28382 | 2006-11-06 |
| 1922184779 | Mathew John Schmitt | Dentist | 401 Hwy 24 West, Roseboro, NC 28382 | 2006-10-27 |
| 1356451058 | Kerr Drug Inc | Pharmacy | 218 W Martin Luther King Blvd, Roseboro, NC 28382 | 2006-08-30 |
| 1285740142 | Powells Medical Facility | Medical Genetics, Ph.D. Medical Genetics | 201 W Clinton St, Roseboro, NC 28382 | 2006-08-22 |
| 1053326686 | Tart and West Druggists | Pharmacy | 110 Roseboro St, Roseboro, NC 28382 | 2006-07-30 |
| 1467888313 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 218 W Martin Luther King Blvd, Roseboro, NC 28382 | 2013-09-24 |
| 1518043355 | Sninski and Schmitt Dmd Pa | Dentist | 401 Hwy 24 West, Roseboro, NC 28382 | 2006-10-27 |
| Find all providers in zip 28382 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437332285 | Hope In The Carolina | Residential Treatment Facility, Emotionally Disturbed Children | 4479 Hayne Stretch Rd, Roseboro, NC 28382-8436 | 2007-12-14 |
| 1821172743 | Hope In The Carolina, L.L.C. | Residential Treatment Facility, Emotionally Disturbed Children | 206 North East Street, Roseboro, NC 28382-5233 | 2006-10-25 |
| 1053495523 | Trinity Will Group | Residential Treatment Facility, Emotionally Disturbed Children | 140 Faulkner Ln, Roseboro, NC 28382-5415 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
| 1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.