PIEDMONT RESIDENTIAL DEVELOPMENT CENTER, INC (NPI# 1174669261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174669261 |
| Entity Type | Organization |
| Organization Name | PIEDMONT RESIDENTIAL DEVELOPMENT CENTER, INC |
| Practice Address |
630 Wilhelm Pl Ne Concord NC 28025-2532 |
| Mailing Address |
Po Box 909 Concord NC 28026-0909 |
| Practice Telephone | 7047882304 |
| Practice Fax Number | 7047882951 |
| Mailing Telephone | 7047882304 |
| Mailing Fax Number | 7047882951 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-08-27 |
| Authorized Official Name | MRS. SHARON A LIPKE (FINANCE DIRECTOR) |
| Authorized Official Telephone | 7047882304 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | MHL-013-019 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406118 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265578355 | Piedmont Residential Development Center, Inc | Intermediate Care Facility, Mentally Retarded | 10100 Mount Olive Rd, Mount Pleasant, NC 28124-8600 | 2007-01-29 |
| 1801942263 | Piedmont Residential Development Center, Inc | Intermediate Care Facility, Mentally Retarded | 1006 Michigan St, Kannapolis, NC 28083-6724 | 2007-01-26 |
| 1649334996 | Piedmont Residential Development Center, Inc | Intermediate Care Facility, Mentally Retarded | 5300 Hwy 200, Concord, NC 28025 | 2006-12-21 |
| Street Address |
630 WILHELM PL NE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475045 | Tlc Homes LLC | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Court, Concord, CA 94519 | 2018-01-18 |
| 1427183938 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 3737 Barrington Dr, Concord, CA 94518 | 2007-02-23 |
| 1265567333 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4118 Phoenix St, Concord, CA 94521 | 2007-02-22 |
| 1033244108 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 1200 St Elizabeth Ct, Concord, CA 94518 | 2007-02-22 |
| 1780729392 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4160 Phoenix St, Concord, CA 94521 | 2007-02-21 |
| 1225173958 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 2885 Lane Dr, Concord, CA 94518 | 2007-02-20 |
| 1649334996 | Piedmont Residential Development Center, Inc | Intermediate Care Facility, Mentally Retarded | 5300 Hwy 200, Concord, NC 28025 | 2006-12-21 |
| 1952465718 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Ct, Concord, CA 94519 | 2006-12-19 |
| 1528121118 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 5166 Sutherland Dr, Concord, CA 94521 | 2006-12-18 |
| 1114530524 | Rmd Services Incorporated | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Ct, Concord, CA 94519-1707 | 2020-08-25 |
| Find all providers in CONCORD | ||||
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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.