ENVISION HEALTHCARE, INC. (NPI# 1144376864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144376864 |
| Entity Type | Organization |
| Organization Name | ENVISION HEALTHCARE, INC. |
| Other Organization Name | BARKER ROAD GROUP HOME |
| Practice Address |
490 Barker Rd Henderson NC 27537-8873 |
| Practice Telephone | 2524928686 |
| Mailing Telephone | 2524928686 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. VIC B. GULATI (OWNER) |
| Authorized Official Telephone | 2524928686 |
| 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 | MHL-091-066 | NC | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Barker Road Group Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427154889 | Envision Healthcare, Inc. | Physiological Laboratory | 3715 E South St, Long Beach, CA 90805-4521 | 2006-09-15 |
| Street Address |
490 BARKER RD |
| City | HENDERSON |
| State | NC |
| Zip Code | 27537-8873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931564 | Bonie Teal | Technician | 24 Waters Edge Rd, Henderson, NC 27537 | 2019-09-13 |
| 1720517147 | Jackson Thompson | Specialist/Technologist | 296 Cross Creek Rd, Henderson, NC 27537 | 2017-06-08 |
| 1346643160 | The Turner Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1945 Carey Chapel Road, Henderson, NC 27537 | 2014-10-07 |
| 1306285994 | Brown Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6789 Vicksboro Road, Henderson, NC 27537 | 2013-06-18 |
| 1518306349 | Peace Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Bliley Lane, Henderson, NC 27537 | 2013-06-14 |
| 1346555349 | New Direction Ministries, Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 825 Thomas Road, Henderson, NC 27537 | 2010-08-13 |
| 1326371881 | Transforming Therapeutic Intensive Services | Clinic/Center | 416 Forest Hills Drive, Henderson, NC 27537 | 2009-09-15 |
| 1811166507 | D.d. Residential Services, Inc | Community/Behavioral Health | 941 U.S. 158, Vance Adult Group Home, Henderson, NC 27537 | 2008-02-27 |
| 1083770598 | A.g.a.p.e. Community Development Corporation, Inc. | Case Management | 265 Satterwhite Point Road, Henderson, NC 27537 | 2006-12-29 |
| 1316438948 | Beulah Margaret Gracelyn Daniel Nirmal Singh | Physical Therapist | 2275 Ruin Creek Rd, Henderson, NC 27537 | 2018-05-18 |
| Find all providers in zip 27537 | ||||
| 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 |
|---|---|---|---|---|
| 1639567134 | Wilkins Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 117 Carmel Ridge Rd, Henderson, NC 27537-8306 | 2015-01-06 |
| 1346643160 | The Turner Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1945 Carey Chapel Road, Henderson, NC 27537 | 2014-10-07 |
| 1306285994 | Brown Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6789 Vicksboro Road, Henderson, NC 27537 | 2013-06-18 |
| 1881033546 | Hansard Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4361 Warrenton Rd, Henderson, NC 27537-9339 | 2013-06-17 |
| 1245679992 | Suggs Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 831 E Montgomery St, Henderson, NC 27536-5024 | 2013-06-17 |
| 1518306349 | Peace Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Bliley Lane, Henderson, NC 27537 | 2013-06-14 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1477762904 | P&w Group | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2636 Warrenton Rd, Henderson, NC 27537-9355 | 2007-05-22 |
| 1770603920 | Savannah House of Love Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 334 Pearl St, Henderson, NC 27536-3639 | 2007-03-30 |
| 1346396793 | Guardian Angel Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 314 S Garnett St, Suite 202, Henderson, NC 27536-4538 | 2007-01-26 |
| Find all providers in HENDERSON | ||||
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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.