PIEDMONT RESIDENTIAL DEVELOPMENT CENTER, INC (NPI# 1265578355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265578355 |
| Entity Type | Organization |
| Organization Name | PIEDMONT RESIDENTIAL DEVELOPMENT CENTER, INC |
| Practice Address |
10100 Mount Olive Rd Mount Pleasant NC 28124-8600 |
| 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-013-018 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406560 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174669261 | Piedmont Residential Development Center, Inc | Intermediate Care Facility, Mentally Retarded | 630 Wilhelm Pl Ne, Concord, NC 28025-2532 | 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 |
10100 MOUNT OLIVE RD |
| City | MOUNT PLEASANT |
| State | NC |
| Zip Code | 28124-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629635024 | Michelle Lee Dewar | Chiropractor | 5605 Hwy 49, Mt Pleasant, NC 28124 | 2019-05-22 |
| 1649712126 | Paula J Yost | Counselor | 5605 Highway 49, Mount Pleasant, NC 28124 | 2016-11-15 |
| 1386780534 | William Whitaker Moose Jr. | Pharmacist | 8374 W. Franklin St., Mount Pleasant, NC 28124 | 2007-01-29 |
| 1396981239 | Moose Drug Company | Pharmacy | 8374 West Franklin Street, Mount Pleasant, NC 28124-0067 | 2008-12-24 |
| 1104987361 | Michael Lee Mock | Dentist | 1476 South Main St., Mt. Pleasant, NC 28124-0847 | 2006-12-12 |
| 1508926718 | Michael L. Mock, Dds Pa | Dentist | 1476 S Main St., Mt. Pleasant, NC 28124-0847 | 2006-12-11 |
| 1568459386 | Lolo Dobson | Family Medicine | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2005-10-06 |
| 1689281958 | Jade Elizabeth Weeks | Physician Assistant | 8560 Cook St, Mount Pleasant, NC 28124-7686 | 2020-09-30 |
| 1770103780 | Kacy Leigh Nichols | Family Medicine | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2020-04-20 |
| 1891315990 | Julia Kihm Bregenzer | Family Medicine | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2020-04-20 |
| Find all providers in zip 28124 | ||||
| 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 |
|---|---|---|---|---|
| 1730702937 | Gha Autism Supports | Intermediate Care Facility, Mentally Retarded | 44012 Morrow Mountain Rd, Albemarle, NC 28001-8616 | 2020-05-21 |
| 1811517774 | Educare Community Living Corporation-north Carolina | Intermediate Care Facility, Mentally Retarded | 834 Tyvola Rd Ste 116, Charlotte, NC 28217-3542 | 2020-04-21 |
| 1598125460 | Rha Health Services Nc LLC | Intermediate Care Facility, Mentally Retarded | 410 N Mineral Springs Rd, Durham, NC 27703-3618 | 2016-03-04 |
| 1023478294 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 619 Ray Ave, Hendersonville, NC 28792-2668 | 2016-03-02 |
| 1740649417 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 310 Locust Street, West Jefferson, NC 28694 | 2016-02-23 |
| 1841655453 | Journeys Healthcare | Intermediate Care Facility, Mentally Retarded | 515 Carver Moore Rd, Lake Waccamaw, NC 28450-9713 | 2015-12-24 |
| 1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
| 1609299916 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 1802 Strickland Bridge Rd, Fayetteville, NC 28304-5739 | 2014-01-23 |
| 1861822314 | Voca Corporation of North Carolina | Intermediate Care Facility, Mentally Retarded | 4109 Enoch Dr, Charlotte, NC 28269-2578 | 2013-11-20 |
| 1902144314 | Rouse's Group Home Inc | Intermediate Care Facility, Mentally Retarded | 5820 Nc 135, Stoneville, NC 27048-8478 | 2013-01-18 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 28124 |
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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.