JOELS PLACE ADULT HOME (NPI# 1295882751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295882751 |
Entity Type | Organization |
Organization Name | JOELS PLACE ADULT HOME |
Practice Address |
6739 Shad Ct Stedman NC 28391-9448 |
Practice Telephone | 9104846005 |
Practice Fax Number | 9104011010 |
Mailing Telephone | 9104846005 |
Mailing Fax Number | 9104011010 |
Enumeration Date | 2007-01-05 |
Last Update Date | 2007-12-31 |
Authorized Official Name | MS. ALEAN MCQUEEN LOVE (DIRECTOR OF OPERATIONS) |
Authorized Official Telephone | 9109786083 |
Authorized Official Credential | R.N. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-026-818 | NC | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3418448 | 05 |
Street Address |
6739 SHAD CT |
City | STEDMAN |
State | NC |
Zip Code | 28391-9448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578748224 | Joel's Place Adult Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6739 Shad Ct, Stedman, NC 28391-9448 | 2007-12-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184742785 | Sandhills Healthcare Services, Inc. | Home Health | 7233 Clinton Rd, Stedman, NC 28391 | 2007-03-26 |
1487789277 | Leah Baker Workman | Chiropractor | 5183 Clinton Road, Suite 101, Stedman, NC 28391 | 2007-02-22 |
1205974219 | Jane Sharpe Johnson | Physician Assistant | 7513 Highway 24 and Clinton Rd, Stedman, NC 28391 | 2007-02-02 |
1689170037 | Willie Kay Mcduffie | Registered Nurse | 114 Forte Rd, Stedman, NC 28391 | 2018-04-04 |
1194844498 | Stedman Family Clinic, Pllc | Physician Assistant | 7513 Clinton Rd., Stedman, NC 28391-0358 | 2007-03-28 |
1841663325 | Cheryl Belden | Registered Nurse | 430 Fred Hall Rd, Stedman, NC 28391-8410 | 2015-11-05 |
1740283001 | Jessica Tucker | Family Medicine | 114 Forte Rd, Stedman, NC 28391-8522 | 2005-05-31 |
1962016485 | Wanda Dorene Fields | Nurse Practitioner | 114 Forte Rd, Stedman, NC 28391-8522 | 2020-09-02 |
1669811626 | Wesley James Greenwood | Family Medicine | 114 Forte Rd, Stedman, NC 28391-8522 | 2013-06-22 |
1871888024 | Tanya J Chew | Physician Assistant | 114 Forte Rd, Stedman, NC 28391-8522 | 2011-06-16 |
Find all providers in zip 28391 |
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 |
---|---|---|---|---|
1578748224 | Joel's Place Adult Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6739 Shad Ct, Stedman, NC 28391-9448 | 2007-12-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
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 |
1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
1710443395 | Unity 4 Us Community Outreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 Lincoln St, Belmont, NC 28012-3045 | 2019-02-19 |
1871059444 | Believing Everyone Succeeds Together | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 | 2019-02-19 |
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 |
1316415037 | Igr Collaborations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 | 2018-11-12 |
1164924940 | David Douglas Whitfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5342 Us Highway 301 North, Micro, NC 27555 | 2018-03-07 |
1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
1659897833 | Shelby Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 S Dekalb St Ste A, Shelby, NC 28150-6189 | 2017-08-18 |
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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.