BROKEN PIECES SERVICES LLC


Address: 2020 Remount Rd, Gastonia, NC 28054-7476
Phone: 9803553737

BROKEN PIECES SERVICES LLC (NPI# 1265959100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265959100
Entity Type Organization
Organization Name BROKEN PIECES SERVICES LLC
Practice Address 2020 Remount Rd
Gastonia
NC 28054-7476
Practice Telephone 9803553737
Mailing Telephone 9803553737
Enumeration Date 2017-08-22
Last Update Date 2019-04-16
Authorized Official Name MS. CORINNE WILSON (SOCIAL WORKER)
Authorized Official Telephone 9803553737
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
N 106S00000X Behavior Technician Behavioral Health & Social Service Providers
N 175T00000X Peer Specialist Other Service Providers
N 252Y00000X Early Intervention Provider Agency Agencies
N 253Z00000X In Home Supportive Care Agencies
N 374U00000X Home Health Aide Nursing Service Related Providers
N 385H00000X Respite Care Respite Care Facility
N 385HR2055X Respite Care
Specialization: Respite Care, Mental Illness, Child
Respite Care Facility
N 385HR2065X Respite Care
Specialization: Respite Care, Physical Disabilities, Child
Respite Care Facility
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC 00571688 05
SC GP7951 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
706 Lazy Oak Ct, Clover, SC 297107848 9802589315
8021 Bella Vista Ct, Charlotte, NC 282162043 9802589315

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093245417 Broken Pieces Services LLC Social Worker 8021 Bella Vista Ct, Charlotte, NC 28216-2043 2017-06-18

Office Location

Street Address 2020 REMOUNT RD
City GASTONIA
State NC
Zip Code 28054-7476

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134136740 Footprints Carolina, Inc Community/Behavioral Health 2020 Remount Rd, Gastonia, NC 28054-7437 2006-08-03
1205262110 Easter Seals Ucp North Carolina & Virginia Community Based Residential Treatment Facility, Mental Illness 2020 Remount Rd, Ste E-109, Gastonia, NC 28054-7476 2013-09-24
1205176344 Verteena Marie Johnson Social Worker 2020 Remount Rd, Gastonia, NC 28054-7476 2013-02-27
1164761904 Tisha Phillips Social Worker 2020 Remount Rd, Gastonia, NC 28054-7476 2013-02-13
1578802971 David Keith Hart Counselor 2020 Remount Rd, Gastonia, NC 28054-7476 2013-02-05
1275872988 Stephanie Adams Rodriguez Counselor 2020 Remount Rd, Suite 100, Gastonia, NC 28054-7476 2013-02-01
1073876801 Barium Springs Home for Children Community/Behavioral Health 2020 Remount Rd, Gastonia, NC 28054-7476 2012-06-18
1184986739 Barium Springs Home for Children Community/Behavioral Health 2020 Remount Rd, Gastonia, NC 28054-7476 2012-06-11
1588992648 Difference Makers Foundation Social Worker 2020 Remount Rd, Suite E-106, Gastonia, NC 28054-7476 2009-12-01
1275670341 Rebekkah Kelley Clay Speech-Language Pathologist 2020 Remount Rd, Suite E-111, Gastonia, NC 28054-7476 2007-01-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225671423 Michaela Karsyn Morris Behavioral Analyst 2875 Court Dr. B, Gastonia, NC 28054 2019-10-21
1982263810 Brenda Sue Fox Occupational Therapist Brian Center, 969 Cox Rd, Gastonia, NC 28054 2019-06-13
1174096911 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 469 Hospital Drive, Suite B1, Gastonia, NC 28054 2019-01-04
1255801817 Jarae Mcswain Counselor 1558 Union Road, Ste F, Gastonia, NC 28054 2018-11-27
1427549807 Alterman & Dhillon Charlotte Metro, Pplc Dentist 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 2018-05-22
1871083147 Terrence Lamont Campbell Dentist 2641 Court Dr Ste A, Gastonia, NC 28054 2018-05-13
1861995367 Jefferson and Jefferson LLC. Respite Care 945 East 6 Ave, Gastonia, NC 28054 2018-03-12
1790154912 Tyler Adcock Pharmacist 2324 South New Hope Rd, Gastonia, NC 28054 2015-09-17
1922481894 Alesha Nicole Logan Nurse Practitioner 1895 Hoffman Rd Ste A, Gastonia, NC 28054 2015-07-09
1457732596 Buffie Baker Eller Counselor 2005 Flint Lane, Gastonia, NC 28054 2015-06-15
Find all providers in zip 28054

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821568759 Grace Therapeutic Counseling Pllc Community/Behavioral Health 436 E Long Ave Ste 1, Gastonia, NC 28054-2543 2018-12-04
1306376660 Foundations Education Academy LLC Community/Behavioral Health 1008 Union Rd Ste B, Gastonia, NC 28054-5590 2017-06-19
1972052728 Round Table Coaching and Consulting Community/Behavioral Health 1554 Union Rd Ste 6c, Gastonia, NC 28054-5581 2016-09-21
1760939615 The Groves Counseling Center Community/Behavioral Health 2005 Flint Ln, Gastonia, NC 28054-3334 2016-09-08
1376097162 Zoe Counseling and Consulting Pllc Community/Behavioral Health 1550 Union Rd Ste A, Gastonia, NC 28054-5522 2016-08-09
1669825436 Monarch In Albemarle Community/Behavioral Health 1252 Union Rd, D, Gastonia, NC 28054-0505 2016-07-18
1710355698 Rha Health Services, Inc. Community/Behavioral Health 1564 Union Rd Ste A, Gastonia, NC 28054-5302 2015-09-09
1255746467 Community Resource Solutions, LLC - Sc Community/Behavioral Health 1566 Union Rd Ste A, Gastonia, NC 28054-5301 2014-06-25
1013345586 Monarch Community/Behavioral Health 680 Clyde St, Gastonia, NC 28052-7720 2013-10-21
1942559075 Alternative Community Penalties Program, Inc. Community/Behavioral Health 410 W Franklin Blvd, Suite 20, Gastonia, NC 28052-2807 2012-09-05
Find all providers in GASTONIA

Competitor

Search similar providers

City GASTONIA
Zip Code 28054

Improve Information

Please comment or provide details below to improve the information on BROKEN PIECES SERVICES LLC.

Dataset Information

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.

Trending Searches