WILKINS HOME (NPI# 1114105830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114105830 |
| Entity Type | Organization |
| Organization Name | WILKINS HOME |
| Practice Address |
1517 Parks Village Rd Zebulon NC 27597-9580 |
| Practice Telephone | 9192690918 |
| Mailing Telephone | 9192690918 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |
| Authorized Official Name | MRS. ROSA MARIE WILKINS (ADMINISTRATOR) |
| Authorized Official Telephone | 9192690918 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804237 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639567134 | Wilkins Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 117 Carmel Ridge Rd, Henderson, NC 27537-8306 | 2015-01-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Wilkins Home Improvement, LLC | 130 Pennsylvania Street, Denver, CO 80203 |
| Street Address |
1517 PARKS VILLAGE RD |
| City | ZEBULON |
| State | NC |
| Zip Code | 27597-9580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457668 | Tiffani Morson | Massage Therapist | 15055 Nc 96, Zebulon, NC 27597 | 2020-08-11 |
| 1639692775 | Katherine Skinner | Counselor | 21 Carlyle Rd., Zebulon, NC 27597 | 2017-07-20 |
| 1851703821 | Kimberly Griswold | Pharmacist | 2021 Wynnscott Farm Lane, Zebulon, NC 27597 | 2014-05-27 |
| 1770922502 | Thompson Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1701 West Gannon Avenue, Zebulon, NC 27597 | 2013-06-14 |
| 1780924266 | Jones Outreach Services,llp | Counselor | 700b Pony Road, Zebulon, NC 27597 | 2013-02-21 |
| 1053692806 | Allcare Health Source L.L.C. | Home Health | 806 Arendale, B, Zebulon, NC 27597 | 2011-09-07 |
| 1700104171 | Clearly Speaking, Inc. | Speech-Language Pathologist | 9100 Ashton Glen Dr, Zebulon, NC 27597 | 2010-05-11 |
| 1497975817 | Connie Mullins | Nurse Practitioner | 1002 Dogwood Drive, Zebulon, NC 27597 | 2007-04-26 |
| 1073730370 | Amanda Cottle Kapl | Speech-Language Pathologist | 13270 Brantley Woods Rd, Zebulon, NC 27597 | 2007-04-19 |
| 1578780169 | Heber W. Windley IIi, D.d.s.,m.s.,p.a. | Dentist | 315 Hospital Road, Zebulon, NC 27597 | 2007-04-18 |
| Find all providers in zip 27597 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073982443 | Q1 Clinical Consultants, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 417 Hunter Ln, Zebulon, Zebulon, NC 27597-5107 | 2015-09-16 |
| 1770922502 | Thompson Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1701 West Gannon Avenue, Zebulon, NC 27597 | 2013-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1750935839 | Heavenly Touch Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 | 2019-07-28 |
| 1073166245 | Making Kids Matter, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 | 2019-07-17 |
| 1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
| 1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1487131074 | Ronald Anthony Benjamin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 | 2018-07-26 |
| 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.