MISS PEGGY GREEN (NPI# 1174826390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174826390 |
Entity Type | Individual |
Full Name | MISS PEGGY GREEN |
Practice Address |
6400 Ivory Palm Dr Charlotte NC 28227-2435 |
Mailing Address |
6400 Ivorypalmdr. Charlotte NC 28227-2435 |
Practice Telephone | 7049105458 |
Enumeration Date | 2010-12-09 |
Last Update Date | 2010-12-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Street Address |
6400 IVORY PALM DR |
City | CHARLOTTE |
State | NC |
Zip Code | 28227-2435 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396396693 | Phyllis Newsome Wilson | Technician | 8423 Empress Ct, Charlotte, NC 28227 | 2019-09-27 |
1134611239 | Alyssa Latonia Rodgers | Counselor | 7512 Spring Spruce Ln, Charlotte, NC 28227 | 2018-06-04 |
1114463429 | Andrea Henneberry | Physical Therapy Assistant | 9706 Stoney Glen Dr Apt L, Mint Hill, NC 28227 | 2017-01-10 |
1649726589 | Keba Bosley | Social Worker | 5912 Brightstar Valley Road, Mint Hill, NC 28227 | 2016-08-31 |
1710330071 | Carolina Family Services | Community/Behavioral Health | 5737 Old Magnolia Lane, Mint Hill, NC 28227 | 2016-07-21 |
1518311901 | Aynsley Girardeau | Optometrist | 7014 Tutor Street, Suite C, Mint Hill, NC 28227 | 2016-04-21 |
1487037875 | Shalini Kamodia | Dentist | 11300 Cresthill Dr Ste 105, Mint Hill, NC 28227 | 2015-07-02 |
1629455720 | Yes We Care Human Services of Mecklenburg County | Adult Companion | 8201 Willowlake Ct, Charlotte, NC 28227 | 2015-04-28 |
1841677077 | Hewitt Home Care | Psychiatric Residential Treatment Facility | 2331 Crownpoint Executive Drive, Charlotte, NC 28227 | 2015-04-27 |
1467847426 | Marguerita Sitrin Blaker | Psychologist | 2400 Crownpoint Executive Drive, Suite 100, Office #5, Charlotte, NC 28227 | 2015-04-06 |
Find all providers in zip 28227 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
1982144796 | Care Connection Help,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 206 Cottonwood Park Dr, Charlotte, NC 28214-8700 | 2017-02-27 |
1841741980 | Quest Provider Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8611 Parkland Cir, #101, Charlotte, NC 28227-2211 | 2016-10-24 |
1255882494 | Quest Provider Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7911 Rusty Plow Ct, Charlotte, NC 28216-6837 | 2016-10-24 |
1336593698 | Miracle Houses, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2627 Providence Rd, Charlotte, NC 28211-2238 | 2016-04-22 |
1114386059 | Elite Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4933 Farm Pond Ln, Charlotte, NC 28212-8582 | 2016-02-21 |
1699196766 | Reese Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1900 Mcallister Dr Apt C, Charlotte, NC 28216-0050 | 2013-12-17 |
1134408719 | A New Beginning II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6002 Lillyshire Pl, Charlotte, NC 28213-4315 | 2011-08-12 |
1750689253 | Leap of Faith Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8420 Strider Dr, Charlotte, NC 28212-1555 | 2011-03-08 |
Find all providers in CHARLOTTE |
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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.