SUCCESSFUL VISIONS LLC (NPI# 1114290608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114290608 |
| Entity Type | Organization |
| Organization Name | SUCCESSFUL VISIONS LLC |
| Practice Address |
1005 Benjamin Pkwy Greensboro NC 27408-7715 |
| Practice Telephone | 3362558279 |
| Practice Fax Number | 3365104411 |
| Mailing Telephone | 3362558279 |
| Mailing Fax Number | 3365104411 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |
| Authorized Official Name | MS. LISA ANN MORRISON (SUPERVISOR) |
| Authorized Official Telephone | 3362558279 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
1005 BENJAMIN PKWY |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27408-7715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134285018 | Comprehensive Therapeutic Programs #2 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1005 Benjamin Pkwy, Greensboro, NC 27408-7715 | 2006-12-28 |
| 1689853467 | Cc & A Family Services Inc #2 | Community Based Residential Treatment Facility, Mental Illness | 1005 Benjamin Pkwy, Greensboro, NC 27408-7715 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702216 | Nova Home Health LLC | Registered Nurse | 18418 Banking Street Num 9141, Greensboro, NC 27408 | 2020-08-26 |
| 1801410394 | Rachel Lynn Harmon | Behavior Technician | 717 Green Valley Road, Suite 200, Greensboro, NC 27408 | 2020-06-01 |
| 1013551605 | Paige August Becker | Physical Therapist | Southeastern Orthopaedic Specialists, 1915 Lendew Street, Greensboro, NC 27408 | 2019-11-06 |
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1154979912 | Adrian Wilkins | Behavior Technician | 717 Green Valley Rd., Suite 200 Office 231, Greensboro, NC 27408 | 2019-08-26 |
| 1902392723 | Monaca Johnson | Counselor | 1515 W Cornwallis Dr G105, Greensboro, NC 27408 | 2018-07-04 |
| 1801395850 | Germaine Nichols | Behavioral Analyst | 2311 West Cone Boulevard, Studio 110 A, Greensboro, NC 27408 | 2018-02-06 |
| 1790283844 | Naomi Lane, D.d.s., P.a. | Dentist | 2600-a Oakcrest Ave, Greensboro, NC 27408 | 2018-01-24 |
| 1578084034 | Cone Health Connected Care, LLC | Nurse Practitioner | 2800 Lawndale Dr Ste 109, Greensboro, NC 27408 | 2017-07-05 |
| 1598204315 | The Pleasants Group, Pllc | Social Worker | 1400 Battleground Ave Suite 112 A & B, Greensboro, NC 27408 | 2017-02-13 |
| Find all providers in zip 27408 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568693778 | Zenith Providers | Residential Treatment Facility, Emotionally Disturbed Children | 3802 Broadacres Dr, Greensboro, NC 27407-6502 | 2009-08-05 |
| 1013148519 | Zenith Providers, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 7 Kelley Ct, Greensboro, NC 27401-4679 | 2009-07-31 |
| 1811125669 | Hope House Restoration Center | Residential Treatment Facility, Emotionally Disturbed Children | 4102 Cornerrock Dr, Greensboro, NC 27406-8586 | 2009-06-30 |
| 1952539314 | Keystone Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4411 Belfield Dr, Greensboro, NC 27405-6313 | 2009-06-24 |
| 1548497795 | Fresh Start Service Support | Residential Treatment Facility, Emotionally Disturbed Children | 4708 Meadowcroft Rd, Greensboro, NC 27406-8085 | 2009-06-15 |
| 1396970521 | Safe-haven House II, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 4202 Old Liberty Place, Safe-haven House II, LLC, Greensboro, NC 27406-7218 | 2009-05-18 |
| 1407090392 | New Beginnings | Residential Treatment Facility, Emotionally Disturbed Children | 5709 Northlake Dr, Greensboro, NC 27410-2630 | 2009-04-23 |
| 1720222615 | Garden Lakes | Residential Treatment Facility, Emotionally Disturbed Children | 3824 Yanceyville St, Greensboro, NC 27405-3348 | 2009-04-23 |
| 1588801294 | Victory House | Residential Treatment Facility, Emotionally Disturbed Children | 804 Quail Cove Ct, Greensboro, NC 27406-8082 | 2009-01-16 |
| 1215181953 | New Life Family Service | Residential Treatment Facility, Emotionally Disturbed Children | 112 Corliss St, Greensboro, NC 27406-5208 | 2008-11-07 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27408 |
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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.