THE RAVEN (NPI# 1205374709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205374709 |
| Entity Type | Organization |
| Organization Name | THE RAVEN |
| Practice Address |
1652 E Booker Dairy Rd Smithfield NC 27577-9405 |
| Mailing Address |
Po Box 9862 Chapel Hill NC 27515-1862 |
| Practice Telephone | 9199388353 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | MRS. DEMETRIA BROOKS (PRESIDENT) |
| Authorized Official Telephone | 9176037737 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | The Raven & Ruby, LLC | Po Box 27, 560 2nd Street, Saguache, CO 81149 |
| Colorado Business Entities | The Raven and The Butterfly LLC | 455 Rock Creek Canyon Rd, Colorado Springs, CO 80926 |
| New York State Corporations | THE RAVEN AND THE CROW, INC. | Po Box 150, Bohemia, Ny 11716 |
| Colorado Business Entities | The Raven and the Rooster LLC | 232 Gibbons Trail Way, Cotopaxi, CO 81223-9506 |
| Colorado Business Entities | The Raven and the Wolf | 215 Tabor Street, Buena Vista, CO 81211 |
| Oregon Corporations, Companies and Business Names | THE RAVEN B & B | 14462 Sw Chardonnay Avenue, Tigard, OR 97224 |
| New York State Corporations | THE RAVEN BAGEL INC | 2727 Mermaid Avenue, #240446, Brooklyn, Ny 11224 |
| Oregon Corporations, Companies and Business Names | THE RAVEN BAR & GRILL | 262 N Pacific Hwy, Woodburn, OR 97071 |
| Colorado Business Entities | The Raven Cafe LLC | 37 Park St, Rangely, CO 81648 |
| Colorado Business Entities | The Raven Collective, Inc. | 12179 W Carolina Dr, Lakewood, CO 80228-3999 |
| Street Address |
1652 E BOOKER DAIRY RD |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577-9405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477028553 | Coates Hearing Clinic, Pa | Audiologist | 1652 E Booker Dairy Rd, Smithfield, NC 27577-9405 | 2018-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047369 | The Blanchard Institute | Clinic/Center | 19902 N Cove Rd, Cornelius, NC 28031-6571 | 2020-09-15 |
| 1841816006 | Totten Therapeutic Services, Pllc | Clinic/Center | 5874 Faringdon Pl, Raleigh, NC 27609-3932 | 2020-06-23 |
| 1710527767 | New Leaf Center, LLC | Clinic/Center | 4195 W Us Highway 64 Ste 2, Murphy, NC 28906-8112 | 2020-01-07 |
| 1194372029 | Northstar Clinical Services | Clinic/Center | 322 Lamar Ave Ste 220, Charlotte, NC 28204-2436 | 2019-08-26 |
| 1679041362 | Oasis Recovery Centers, Inc | Clinic/Center | 191 Charlotte St # 200, Asheville, NC 28801-1938 | 2018-11-11 |
| 1225503527 | Recovery Center of North Carolina, LLC | Clinic/Center | 1806 N Aspen St, Lincolnton, NC 28092-6303 | 2018-10-12 |
| 1538648944 | Morehead City Treatment Center, LLC | Clinic/Center | 403 N 35th St, Morehead City, NC 28557-3107 | 2018-08-08 |
| 1548757438 | Mountainview Recovery, Inc | Clinic/Center | 108 Monticello Rd Ste 400, Weaverville, NC 28787 | 2018-04-17 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1093226110 | Promises12 Ltd LLC | Clinic/Center | 35 Means Ave Se, Concord, NC 28025-3563 | 2017-10-16 |
| Find all providers with the same taxonomy | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
Please comment or provide details below to improve the information on THE RAVEN.
| 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.