BROKEN PIECES SERVICES LLC (NPI# 1093245417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093245417 |
| Entity Type | Organization |
| Organization Name | BROKEN PIECES SERVICES LLC |
| Practice Address |
8021 Bella Vista Ct Charlotte NC 28216-2043 |
| Practice Telephone | 9802589315 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2018-05-04 |
| Authorized Official Name | MARQUITTA RUSSELL (PEER SUPPORT SPECIALIST) |
| Authorized Official Telephone | 9802589315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | SC | Behavioral Health & Social Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | NC | Other Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 175T00000X | Peer Specialist | NC | Other Service Providers | |
| N | 251E00000X | Home Health | NC | Agencies | |
| N | 251S00000X | Community/Behavioral Health | NC | Agencies | |
| N | 253Z00000X | In Home Supportive Care | NC | Agencies | |
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP7951 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265959100 | Broken Pieces Services LLC | Counselor | 2020 Remount Rd, Gastonia, NC 28054-7476 | 2017-08-22 |
| Street Address |
8021 BELLA VISTA CT |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28216-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545340 | Another Vision Inc | Social Worker | 8021 Bella Vista Ct, Charlotte, NC 28216 | 2018-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837331 | Transit Consortium of South Carolina, LLC | Non-emergency Medical Transport (VAN) | 5025 Roundstone Way, Suite 103, Charlotte, NC 28216 | 2020-03-25 |
| 1811538796 | Strengthening Families Within Communities LLC | Community/Behavioral Health | 4135 Bryan Furr Drive, Charlotte, NC 28216 | 2019-10-02 |
| 1841705159 | Karen Sue Rhea | Registered Nurse | 4004 Nicole Eileen Lane, Charlotte, ND 28216 | 2017-12-08 |
| 1992225890 | Be Free Counseling, Pllc | Social Worker | 7800 Bridle Court, Charlotte, NC 28216 | 2017-06-21 |
| 1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1346600699 | Elizabeth Ayodele Agiri | Registered Nurse | 9404 Perimeter Station Dr, Apt. 108, Charlotte, NC 28216 | 2016-02-29 |
| 1922479179 | Prashant Patel | Pharmacist | 9820 Callibridge Court, Charlotte, NC 28216 | 2015-10-14 |
| 1205226685 | Sarah Baker | Social Worker | 10506 Grobie Way Apt 104, Charlotte, NC 28216 | 2015-01-23 |
| 1578967089 | The Moon Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4548 Hyperion Court, Charlotte, NC 28216 | 2014-10-13 |
| Find all providers in zip 28216 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598377731 | Lux Glamorous Wigs & Company | Case Management | 1237 Tyvola Dr # Rd, Charlotte, NC 28210-3870 | 2020-08-19 |
| 1679111769 | Lawana Ussery Hill | Case Management | 1740 Misty Morn Drive, Charlotte, NC 28215 | 2019-12-19 |
| 1477196970 | New Era II | Case Management | 5412a Central Ave, Charlotte, NC 28212-2706 | 2019-10-28 |
| 1598329765 | Carolinas Quality Family Services, LLC | Case Management | 7619 Eben Dr, Charlotte, NC 28269-1113 | 2019-04-23 |
| 1295210409 | Baitul Hemayah, Inc. | Case Management | 4301 Shamrock Dr, Charlotte, NC 28215-3915 | 2018-10-03 |
| 1144716499 | Resourceful Solutions II | Case Management | 4920 Albmarle Roadd, Charlotte, NC 28205 | 2018-07-10 |
| 1508360892 | Concrete Roses Life Center | Case Management | 5960 Fairview Rd Ste 323, Charlotte, NC 28210-3102 | 2018-03-21 |
| 1194234328 | Specialized Health Care Services | Case Management | 2750 E. Wt Harris Blvd, Suite 128, Charlotte, NC 28213 | 2017-09-19 |
| 1134643919 | Dream Savers | Case Management | 4236 Tipperary Pl, Charlotte, NC 28215-3327 | 2017-08-02 |
| 1578008918 | Johnisha Ashaki Mcphaul | Case Management | 5736 N Tryon St Ste 225a, Charlotte, NC 28213-0820 | 2016-12-20 |
| Find all providers in CHARLOTTE | ||||
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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.