J-LO HOMES, LLC (NPI# 1033318969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033318969 |
| Entity Type | Organization |
| Organization Name | J-LO HOMES, LLC |
| Practice Address |
208 Randall Ln Goldsboro NC 27534-8837 |
| Mailing Address |
400 S Pineview Ave Goldsboro NC 27530-6039 |
| Practice Telephone | 9192216719 |
| Practice Fax Number | 9197344950 |
| Mailing Telephone | 9197343924 |
| Mailing Fax Number | 9197344950 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Authorized Official Name | MISS DANA ELAINE WILLIAMS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9192222407 |
| Authorized Official Credential | B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-096-200 | NC | Residential Treatment Facilities |
| Street Address |
208 RANDALL LN |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-8837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245465012 | Sunny Point, LLC | Community Based Residential Treatment Facility, Mental Illness | 2108 Koonce St, Goldsboro, NC 27530-7266 | 2009-05-22 |
| 1235395294 | Houseofprosperity | Community Based Residential Treatment Facility, Mental Illness | 118 Ellis Dr, Goldsboro, NC 27534-9500 | 2008-07-30 |
| 1447411939 | William E Vaughn | Community Based Residential Treatment Facility, Mental Illness | 900 E Elm St, Goldsboro, NC 27530-5914 | 2008-06-18 |
| 1528242484 | Harbor House # V | Community Based Residential Treatment Facility, Mental Illness | 1205 S Best St, Goldsboro, NC 27530-6703 | 2007-12-27 |
| 1851573661 | Turning Pointe Group Home Inc. | Community Based Residential Treatment Facility, Mental Illness | 2513 E Elm St, Goldsboro, NC 27534-5626 | 2007-12-04 |
| 1427271428 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 404 S Claiborne St, Goldsboro, NC 27530-5310 | 2007-04-10 |
| 1215068341 | Harbor House Inc | Community Based Residential Treatment Facility, Mental Illness | 203 N Jackson St, Goldsboro, NC 27530-3857 | 2007-03-08 |
| 1023143112 | Golden Gate Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 519 W Pine St, Goldsboro, NC 27530-4733 | 2007-02-22 |
| 1063567188 | Cedar Grove Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 140 Country Run Ln, Goldsboro, NC 27530-8901 | 2007-01-25 |
| 1992857890 | Autumn Falls, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1016 E Ash St, Suite 3, Goldsboro, NC 27530-3854 | 2007-01-18 |
| Find all providers in GOLDSBORO | ||||
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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.