HOUSE OF CARE, INC (NPI# 1063854503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063854503 |
| Entity Type | Organization |
| Organization Name | HOUSE OF CARE, INC |
| Practice Address |
109 Deer Farm Ln Willow Spring NC 27592-8505 |
| Mailing Address |
3500 Westgate Dr Suite 501 Durham NC 27707-2567 |
| Practice Telephone | 9194936871 |
| Practice Fax Number | 9194936878 |
| Mailing Telephone | 9194936871 |
| Mailing Fax Number | 9194936878 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | OGO EMODI-ONWUKA (DIRECTOR) |
| Authorized Official Telephone | 9194936871 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-051-189 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300547 | 05 | |
| NC | 3409340 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609275833 | House of Care, Inc | Community/Behavioral Health | 5800 Lake Elton Rd, Durham, NC 27713-2016 | 2014-08-13 |
| 1720410426 | House of Care, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1817 Bivins St, Durham, NC 27707-1503 | 2013-08-05 |
| Street Address |
109 DEER FARM LN |
| City | WILLOW SPRING |
| State | NC |
| Zip Code | 27592-8505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609926575 | Impact Youth and Family Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 109 Deer Farm Ln, Willow Spring, NC 27592-8505 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830905 | Lift Responders | Clinic/Center | 8108 Burgwyn Ln, Willow Spring, NC 27592 | 2018-05-08 |
| 1598136376 | Ramp It Up, LLC | Durable Medical Equipment & Medical Supplies | 8431 Settlers Hill Rd, Willow Spring, NC 27592 | 2015-10-19 |
| 1912178591 | Cheryl Ann Henderson | Nurse Practitioner | 8116 Mosby Way, Willow Spring, NC 27592 | 2008-03-21 |
| 1639225683 | Keith Ollen Noles | Psychologist | 13009 Nc 50n, Willow Spring, NC 27592 | 2007-01-25 |
| 1588659601 | Tegran Osafu Fraites | Dentist | 101 Oak Fern Ln, Willow Spring, NC 27592-6002 | 2005-09-14 |
| 1124424858 | Catherine Daniels Sparkman | Counselor | 1904 Middle Ridge Dr, Willow Spring, NC 27592-6821 | 2014-11-06 |
| 1225676935 | Meaghan M Henry | Social Worker | 7216 Messenger Dr, Willow Spring, NC 27592-7413 | 2019-12-12 |
| 1386715852 | Katherine Leigh Velarde | Social Worker | 1300 Aspen Falls Ct, Willow Springs, NC 27592-7417 | 2006-11-13 |
| 1760957906 | The Nicu & Beyond, Inc. | Occupational Therapist | 245 Gardner Lake Dr, Willow Spring, NC 27592-7435 | 2018-10-03 |
| 1497361505 | Kisha Monique Lendore | Counselor | 2133 Rowland Pond Dr, Willow Spring, NC 27592-7575 | 2020-09-23 |
| Find all providers in zip 27592 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
| 1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1710443395 | Unity 4 Us Community Outreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 Lincoln St, Belmont, NC 28012-3045 | 2019-02-19 |
| 1871059444 | Believing Everyone Succeeds Together | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 | 2019-02-19 |
| 1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
| 1316415037 | Igr Collaborations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 | 2018-11-12 |
| 1164924940 | David Douglas Whitfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5342 Us Highway 301 North, Micro, NC 27555 | 2018-03-07 |
| 1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
| 1659897833 | Shelby Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 S Dekalb St Ste A, Shelby, NC 28150-6189 | 2017-08-18 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW SPRING |
| Zip Code | 27592 |
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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.