BOYS & GIRLS HOMES OF NC, INC (NPI# 1245542745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245542745 |
| Entity Type | Organization |
| Organization Name | BOYS & GIRLS HOMES OF NC, INC |
| Practice Address |
104 E Old Highway 74 76 Lake Waccamaw NC 28450-2512 |
| Mailing Address |
Po Box 127 Lake Waccamaw NC 28450-0127 |
| Practice Telephone | 9106463083 |
| Practice Fax Number | 9103560081 |
| Mailing Telephone | 9106463083 |
| Mailing Fax Number | 9106461232 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | MR. GARY FAIRCLOTH (CEO) |
| Authorized Official Telephone | 9106463083 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | B00004 | NC | Agencies |
| Y | 253J00000X | Foster Care Agency | B00004 | NC | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15444 Us Hwy 17, Hampstead, NC 28443 | 9106463083 | 9103560081 |
| 400 Flemington Dr, Lake Waccamaw, NC 28450 | 9106463083 | 9106461232 |
| Street Address |
104 E OLD HIGHWAY 74 76 |
| City | LAKE WACCAMAW |
| State | NC |
| Zip Code | 28450-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639412 | Mccoy Creech | Counselor | 104 E Old Highway 74 76, Lake Waccamaw, NC 28450-2512 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013218312 | Egb Enterjprises | Pharmacy | 108 E Hwy 7476, Lake Waccamaw, NC 28450 | 2010-11-03 |
| 1609996446 | Etcare Home Quality Management, Inc | Assisted Living Facility | 206 Wannish Ave, Lake Waccamaw, NC 28450 | 2007-03-29 |
| 1366593170 | Eugene Glenn Brown Jr. | Pharmacist | 108 E. Highway 74-76, Lake Waccamaw, NC 28450 | 2007-01-16 |
| 1073890489 | Lake Waccamaw Fire & Rescue Squad | Ambulance | 203 Flemington Dr., Lake Waccamaw, NC 28450-0000 | 2011-11-14 |
| 1669555603 | Egb Enterprises Inc | Durable Medical Equipment & Medical Supplies | 108 Old E Hwy 74/76, Lake Waccamaw, NC 28450-0148 | 2006-10-23 |
| 1720085293 | Premier Living and Rehab Center | Skilled Nursing Facility | 106 Cameron St, Lake Waccamaw, NC 28450-1900 | 2005-06-30 |
| 1649731407 | Kailynn Harrison | Nurse Practitioner | 106 Cameron St, Lake Waccamaw, NC 28450-1900 | 2019-03-26 |
| 1144656414 | Hannah M Fisher | Physical Therapist | 106 Cameron St, Lake Waccamaw, NC 28450-1900 | 2013-09-18 |
| 1477795821 | Lake Waccamaw Primary Care, Pllc | Family Medicine | 107 Church St, Lake Waccamaw, NC 28450-1908 | 2009-04-01 |
| 1992019335 | Haven Ministries, Inc. | Psychiatry & Neurology | 107 Church St, Lake Waccamaw, NC 28450-1909 | 2010-07-27 |
| Find all providers in zip 28450 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629698303 | Family Safety Program | Foster Care Agency | 117 John Crowe Hill Rd, Cherokee, NC 28719 | 2020-04-22 |
| 1205488517 | Another Choice for Black Children, Inc. | Foster Care Agency | 3028 Beatties Ford Rd, Charlotte, NC 28216-4267 | 2019-07-16 |
| 1639640618 | Agape Child Placement Agency Inc. | Foster Care Agency | 717 E Park Dr, Monroe, NC 28112-5045 | 2018-12-17 |
| 1023401494 | Aci Support Specialists | Foster Care Agency | 115 Eastbrook Dr, Greenville, NC 27858-4216 | 2015-03-10 |
| 1619374311 | Aci Support Specialists, Inc. | Foster Care Agency | 2040 Wilmington Hwy, Suite A, Jacksonville, NC 28540-3121 | 2014-11-24 |
| 1174920870 | Aci Support Specialists, Inc. | Foster Care Agency | 1723 S Glenburnie Rd, New Bern, NC 28562-5208 | 2014-11-24 |
| 1962807842 | Agape of Nc, Inc. (asso. for Guidance, Aid, Placement & Empathy of Nc. | Foster Care Agency | 2012 South Main 500d, Wake Forest, NC 27587-5008 | 2014-11-04 |
| 1942605332 | The Bair Foundation-iaft-108 Executive Park | Foster Care Agency | 108 Executive Park, Asheville, NC 28801-2426 | 2014-10-28 |
| 1730501362 | Touchstone Residential Services | Foster Care Agency | 2807 Neuse Blvd Ste 1, New Bern, NC 28562-2816 | 2014-01-16 |
| 1407278013 | Touchstone Residential Services | Foster Care Agency | 11030 Raven Ridge Rd Ste 17, Raleigh, NC 27614-8512 | 2014-01-16 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WACCAMAW |
| Zip Code | 28450 |
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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.