GOLDEN LEAF ACADEMY (NPI# 1164751491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164751491 |
| Entity Type | Organization |
| Organization Name | GOLDEN LEAF ACADEMY |
| Practice Address |
723 Elvis Street Wilson NC 27899-6113 |
| Mailing Address |
3029 Stony Brook Dr Ste 105 Raleigh NC 27604-3790 |
| Practice Telephone | 9192553268 |
| Mailing Telephone | 9192553268 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |
| Authorized Official Name | MR. DONALD K GRANTHAM (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9192553268 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | NC | Agencies |
| Street Address |
723 ELVIS STREET |
| City | WILSON |
| State | NC |
| Zip Code | 27899-6113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841384 | Karen Yvette Johnson | Counselor | 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 | 2020-11-05 |
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1316551633 | Keith Ryan Knudson | Physical Therapist | 1230 North Fall Creek Rd, Wilson, WY 83014 | 2020-09-03 |
| 1114531993 | Pathways Human Services of North Carolina, LLC | Counselor | 2835 Daisy Ln N Ste B, Wilson, NC 27896-6942 | 2020-08-31 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
| 1881203768 | Kristen Edwards Dempsey | Registered Nurse | 4503 Pinehurst Dr N, Wilson, NC 27896-9003 | 2020-07-28 |
| 1255949905 | Caitlin Elizabeth Ciccone | Physical Therapist | 4010 N Lake Creek Dr, Unit C, Wilson, WY 83014-8301 | 2020-07-20 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| Find all providers in WILSON | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578043006 | Elaina Elizabeth Oliver | Day Training, Developmentally Disabled Services | 3832 Andersen Ln, Wilson, WY 83014-9194 | 2018-08-15 |
| 1225213630 | A Small Miracle, Inc. | Day Training, Developmentally Disabled Services | 2843 Daisy Ln N Ste A, Wilson, NC 27896-6942 | 2008-01-03 |
| 1003035270 | Diversified Opportunities, Inc. | Day Training, Developmentally Disabled Services | 1010 Herring Avenue, Wilson, NC 27893 | 2007-04-25 |
| 1760824171 | A Caring Heart Case Management, Inc. | Day Training, Developmentally Disabled Services | 1901 Tarboro St Sw, Suite 102, Wilson, NC 27893-3433 | 2013-07-26 |
| 1407914682 | Wilson County Alternative School | Day Training, Developmentally Disabled Services | 316 Douglas St S, Wilson, NC 27893-4916 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060572 | Stand By Me Mhs L.l.s | Day Training, Developmentally Disabled Services | 3221 Loftyview Dr, High Point, NC 27260-2617 | 2020-10-12 |
| 1811508427 | Brian S Coleman | Day Training, Developmentally Disabled Services | 3205 Midvale Dr Apt 107, Wilmington, NC 28412-3800 | 2020-08-17 |
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1922626357 | Tomesha Chimere' Flow | Day Training, Developmentally Disabled Services | 1204 Hadel Pl, Knightdale, NC 27545-7513 | 2020-07-13 |
| 1710500616 | New Horizon Residential Services L.l.c | Day Training, Developmentally Disabled Services | 11120 Carver Pond Rd, Charlotte, NC 28269-5007 | 2020-05-26 |
| 1366064479 | Evolving Hands Health Care Services | Day Training, Developmentally Disabled Services | 1099 Barrett Cabin Rd, Murfreesboro, NC 27855-9380 | 2020-05-12 |
| 1730718776 | Dedicated Caregivers LLC | Day Training, Developmentally Disabled Services | 2750 E W T Harris Blvd Ste 218, Charlotte, NC 28213-4367 | 2020-04-02 |
| 1417593005 | Ehomecare | Day Training, Developmentally Disabled Services | 18 Palaside Dr Ne, Concord, NC 28025-3026 | 2019-11-19 |
| 1972149565 | All Care | Day Training, Developmentally Disabled Services | 416 Old Charlotte Rd Sw, Concord, NC 28027-6314 | 2019-11-19 |
| 1891356267 | Onas Place | Day Training, Developmentally Disabled Services | 115 W Court St Ste A, Rutherfordton, NC 28139-2820 | 2019-06-25 |
| 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.