GARY (NPI# 1063747319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063747319 |
| Entity Type | Organization |
| Organization Name | GARY |
| Practice Address |
301 Mcauley Circle Belmont NC 28012-0710 |
| Mailing Address |
6600 W Wilkinson Blvd Belmont NC 28012-2796 |
| Practice Telephone | 7048254161 |
| Practice Fax Number | 7048250401 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2017-08-30 |
| Authorized Official Name | SHANNON CHILDRESS (CHIEF CLINICAL OFFICER) |
| Authorized Official Telephone | 7048254161 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOLY ANGELS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-036-112 | NC | Residential Treatment Facilities |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | STATE FUNDS | 1619310851 | 01 |
| NC | 7803424 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Gary & Associates, LLC | 4729 County Road 17, Hayneville, AL 36040 |
| New York State Corporations | GARY & BEA DOMINICK & DAUGHTERS, LLC | 9877 Simonds Road, Corfu, Ny 14036 |
| Connecticut Business Registrations | Gary & Brian, LLC | 220 Albany Turnpike, Po Box 564, Canton, CT 06019 |
| New York State Corporations | GARY & BROS CONFECTIONARY LTD. | 90 State Street, Suite 700, Office 40, Albany, Ny 12207 |
| Oregon Corporations, Companies and Business Names | GARY & CARL CUSTOM HAY HAULING LLC | 17350 Sw Hahlen Ave, Powell Butte, OR 97753 |
| Oregon Corporations, Companies and Business Names | GARY & CHERI'S BISTRO LLC | 404 Main Street, Klamath Falls, OR 97601 |
| Virginia Business Entities | GARY & COMPANY | 1910 Byrd Ave, Ste 210, Richmond, Virginia 23230-3034 |
| Oregon Corporations, Companies and Business Names | GARY & COMPANY, INC. OR | 12302 Ne 21st St, Vancouver, WA 98684 |
| Oregon Corporations, Companies and Business Names | GARY & DENISE KLEGSETH LLC | 23023 Merrill Pit Rd, Merrill, OR 97633 |
| Colorado Business Entities | Gary & Dylon LLC | 5714 Cr 502, Bayfield, CO 81122 |
| Street Address |
301 MCAULEY CIRCLE |
| City | BELMONT |
| State | NC |
| Zip Code | 28012-0710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447873 | Lisa Emi Mclemore | Technician | 704 Armstrong Rd, Belmont, NC 28012 | 2019-10-02 |
| 1902453244 | Eli Zipkin | Dentist | 965 South Point Road, Belmont, NC 28012 | 2019-08-21 |
| 1457879892 | Sharon H Miller | Acupuncturist | 684 Park St, Belmont, NC 28012 | 2017-09-06 |
| 1083138242 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 905 South Point Rd, Belmont, NC 28012 | 2017-07-31 |
| 1285079533 | Edoardo Pate | Chiropractor | 6021 W Wilkinson Blvd, Belmont, NC 28012 | 2013-04-30 |
| 1023367430 | Abby C Blowe Dds Pa | Dentist | 8024 Water View Drive, Belmont, NC 28012 | 2012-08-30 |
| 1972885598 | Michelle Marie Watkins | Counselor | 32 N Main St Ste 204, Belmont, NC 28012 | 2011-09-10 |
| 1598050791 | Lauren Swafford | Pharmacist | 6750 Wilkinson Boulevard, Belmont, NC 28012 | 2011-06-15 |
| 1316264831 | Evelyn Maiers Bailey | Respiratory Therapist, Certified | 230 River Loop Rd, Belmont, NC 28012 | 2010-04-23 |
| 1376866079 | Metrolina Psychotherapy Associates P.a. | Social Worker | 1212 Spruce St., Suite 315, Belmont, NC 28012 | 2010-03-09 |
| Find all providers in zip 28012 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902375645 | Supportive Homes Inc. | Community/Behavioral Health | 120 Roper St, Belmont, NC 28012-2119 | 2018-11-23 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1467699280 | Hope Intervention Services, Inc. | Community/Behavioral Health | 1535 Southpoint Rd, Belmont, NC 28012-8544 | 2009-01-15 |
| 1083822357 | Boston Aba Inc. | Community/Behavioral Health | 464 Common St, #106, Belmont, MA 02478-2704 | 2007-05-19 |
| 1881751568 | Crawford's Caring Hands, Inc. | Community/Behavioral Health | 7204 W Wilkinson Blvd, Suite 4, Belmont, NC 28012-6212 | 2007-01-02 |
| 1356719710 | Serendipity Therapy, Pllc | Community/Behavioral Health | 1165 Mckee Farm Ln, Belmont, NC 28012-8671 | 2015-09-02 |
| 1811317365 | Kathryn A Donnelly, Licsw | Community/Behavioral Health | 115 Mill St, Belmont, MA 02478 | 2014-04-23 |
| 1801147327 | Holy Angels Inc. | Community/Behavioral Health | 6600 W Wilkinson Blvd, Belmont, NC 28012-2796 | 2012-09-24 |
| 1558617597 | Diana C Gomez | Community/Behavioral Health | 400 Harbor Blvd, Suite E, Belmont, CA 94002-4047 | 2012-07-27 |
| 1063655751 | Taylor Touch | Community/Behavioral Health | 505 Woodlawn Ave, Belmont, NC 28012-2196 | 2009-04-11 |
| Find all providers in BELMONT | ||||
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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.