GHA AUTISM SUPPORTS


Address: 1920 Woodhaven Drive, Albemarle, NC 28001-6309
Phone: 7049829600

GHA AUTISM SUPPORTS (NPI# 1154497055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154497055
Entity Type Organization
Organization Name GHA AUTISM SUPPORTS
Other Organization Name ROBERT W. THOMPSON GROUP HOME
Practice Address 1920 Woodhaven Drive
Albemarle
NC 28001-6309
Mailing Address Po Box 2487
Albemarle
NC 28002-2487
Practice Telephone 7049829600
Practice Fax Number 7049828155
Mailing Telephone 7049829600
Mailing Fax Number 7049828155
Enumeration Date 2006-11-24
Last Update Date 2015-07-15
Authorized Official Name MRS. DAWN HARWOOD ALLEN (CEO)
Authorized Official Telephone 7049829600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 315P00000X Intermediate Care Facility, Mentally Retarded MHL084015 NC Nursing & Custodial Care Facilities
N 323P00000X Psychiatric Residential Treatment Facility MHL084015 NC Residential Treatment Facilities
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities MHL084015 NC Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 3406500 05

Other Provider/Organization Names

Other Name Type Code
Robert W. Thompson Group Home Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730702937 Gha Autism Supports Intermediate Care Facility, Mentally Retarded 44012 Morrow Mountain Rd, Albemarle, NC 28001-8616 2020-05-21
1275911471 Gha Autism Supports Community/Behavioral Health 221 B N 2nd St, Albemarle, NC 28001-3939 2015-05-08
1851712988 Gha Autism Supports Community/Behavioral Health 2406 Tanglewood Dr, Albemarle, NC 28001-6713 2013-12-16
1770918617 Gha Autism Supports Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 24950 Bost Rd, Albemarle, NC 28001-7488 2013-09-11
1104264639 Gha Autism Supports Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 24798 Ramsey Road, Albemarle, NC 28001-9427 2013-06-06
1053758847 Gha Autism Supports Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 117 Delham Ct, Wilmington, NC 28412-7674 2013-06-03
1346687126 Gha Autism Supports Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 824 Blake Road, Albemarle, NC 28001-9309 2013-06-03
1700223583 Gha Autism Supports Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1621 Saunders Ln, Albemarle, NC 28001-5440 2013-06-03
1427495209 Gha Autism Supports Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 112 Linwood Drive, Albemarle, NC 28001-2923 2013-06-03
1063859858 Gha Autism Supports Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 125 Charter Street, Albemarle, NC 28001-8608 2013-06-03

Office Location

Street Address 1920 WOODHAVEN DRIVE
City ALBEMARLE
State NC
Zip Code 28001-6309

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1558794974 Ted Allen Thompson Jr. Pharmacist 835 Hwy 24-27, Albemarle, NC 28001 2013-08-21
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457793119 Elite Care Services, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 619 Mountain Pl, Albemarle, NC 28001-6613 2013-07-23
1912349606 Elite Care Services Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 33973 Lowder Reunion Rd, Albemarle, NC 28001 2013-07-23
1619222346 Monarch Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2228 E Main St, Albemarle, NC 28001-8182 2012-07-18
1205197803 Monarch Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 207 Anderson Rd, Albemarle, NC 28001-8102 2012-05-31
1720261605 Gha, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 21160 Biles Rd, Albemarle, NC 28001-8014 2007-12-13
1548489305 Elite Care Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2000 W Main St Ste D, Albemarle, NC 28001-5446 2007-04-24
1699827121 Monarch Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1617 Moss Springs Rd, Albemarle, NC 28001-7820 2007-01-17
1003294448 Elite Care Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2000 W Main St Ste D, Albemarle, NC 28001-5446 2015-05-18

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NPI Name Taxonomy Address Enumeration
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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
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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
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Competitor

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City ALBEMARLE
Zip Code 28001

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Dataset Information

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.

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