FALCON CREST RESIDENTIAL CARE (NPI# 1306284195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306284195 |
| Entity Type | Organization |
| Organization Name | FALCON CREST RESIDENTIAL CARE |
| Practice Address |
2094 Haith-fuller Trail Mebane NC 27302 |
| Mailing Address |
1101 S Fifth St Po Box 1670 Mebane NC 27302-9182 |
| Practice Telephone | 3362262575 |
| Practice Fax Number | 3362262474 |
| Mailing Telephone | 3362262575 |
| Mailing Fax Number | 3362262474 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2018-05-14 |
| Authorized Official Name | WENDY KAY BRADSHER (ADMINISTRATOR MANAGER) |
| Authorized Official Telephone | 3362262575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | MHL-001-141 | NC | Agencies |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-001-141 | NC | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-001-141 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603998 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262010 | Falcon Crest Residential Care | Community Based Residential Treatment Facility, Mental Illness | 1433 Morningside Dr, Burlington, NC 27217-1718 | 2018-10-25 |
| 1104944081 | Falcon Crest Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1101 S Fifth St, Mebane, NC 27302-9182 | 2007-03-27 |
| Street Address |
2094 HAITH-FULLER TRAIL |
| City | MEBANE |
| State | NC |
| Zip Code | 27302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389117 | Heather Shelton | Speech-Language Pathologist | 2502 S Nc 119, Mebane, NC 27302 | 2018-09-13 |
| 1538653514 | I.c.a.r.e. Counseling Services, Pllc | Counselor | 106 S Fourth St Ste A, Mebane, NC 27302 | 2018-06-21 |
| 1558860858 | Ridge Care Inc | Custodial Care Facility | 1999 South Highway 119 S, Mebane, NC 27302 | 2018-02-02 |
| 1619496767 | Lindsay Elizabeth Grobman | Physical Therapist | 412 Tighfield Dr, Mebane, NC 27302 | 2017-09-10 |
| 1760911689 | Lane and Associates Xxxi, Dds, Pa | Dentist | 1242 S Fifth St, Mebane, NC 27302 | 2017-06-05 |
| 1386042554 | Alamance Manor Assisted Living LLC | Custodial Care Facility | 1999 South Highway 150, Mebane, NC 27302 | 2014-12-19 |
| 1467850883 | Hope's Highway, Pllc | Social Worker | 105 East Center St., Suite B9, Mebane, NC 27302 | 2014-12-17 |
| 1841639341 | Blankenship Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6207 Paylor Street, Mebane, NC 27302 | 2013-06-18 |
| 1346689171 | Champion Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 507 Blue Lake Drive, Mebane, NC 27302 | 2013-06-14 |
| 1316289770 | Whitney Mallalieu | Physical Therapist | 2502 North Carolina Highway 119, Mebane, NC 27302 | 2013-03-25 |
| Find all providers in zip 27302 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518108687 | Grandma's House of Mebane LLC | Community Based Residential Treatment Facility, Mental Illness | 421 Lancaster Rd, Mebane, NC 27302-7568 | 2009-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1245837061 | Bliss Haven Group LLC | Community Based Residential Treatment Facility, Mental Illness | 2442 Sandhurst Ct, Gastonia, NC 28054-2738 | 2020-10-05 |
| 1386259265 | Nevaehs Caring Hands | Community Based Residential Treatment Facility, Mental Illness | 2509 Dalton Rd, Rocky Mount, NC 27803-4721 | 2020-09-09 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1801409859 | Destiny & Miracle LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 Houston St, Gastonia, NC 28052-1632 | 2020-08-28 |
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1366001976 | Foundation of Hope, Inc. | Community Based Residential Treatment Facility, Mental Illness | 119 Grice Road, Chadbourn, NC 28431-6709 | 2019-06-07 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1174187868 | Stepping Stone Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 2720 White Oak Ln, Kannapolis, NC 28083-7256 | 2019-04-28 |
| Find all providers with the same taxonomy | ||||
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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.