GRANDFATHER HOME FOR CHILDREN, INCORPORATED (NPI# 1316235591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316235591 |
| Entity Type | Organization |
| Organization Name | GRANDFATHER HOME FOR CHILDREN, INCORPORATED |
| Other Organization Name | CHILDREN'S HOPE ALLIANCE |
| Practice Address |
240 Grandfather Home Dr. Bldg 2 Banner Elk NC 28604-7231 |
| Mailing Address |
Po Box 98 Banner Elk NC 28604-0098 |
| Practice Telephone | 8288985465 |
| Practice Fax Number | 8288986140 |
| Mailing Telephone | 8288985465 |
| Mailing Fax Number | 8288986140 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2018-07-26 |
| Authorized Official Name | MS. CELESTE INEZ DOMINGUEZ (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7048322200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3404578 | 05 |
| Other Name | Type Code |
|---|---|
| Children's Hope Alliance | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043515679 | Grandfather Home for Children, Incorporated | Community/Behavioral Health | 64 Grandfather Home Drive, Banner Elk, NC 28604 | 2011-01-12 |
| Street Address |
240 GRANDFATHER HOME DR. BLDG 2 |
| City | BANNER ELK |
| State | NC |
| Zip Code | 28604-7231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184194755 | William H Burrow Dds Pllc Dba High Country Dental Associates | Clinic/Center | 2043 Tynecastle Highway, Banner Elk, NC 28604 | 2018-11-27 |
| 1699268953 | Barium Springs Home for Children | Community/Behavioral Health | 158 Grandfather Home Drive Bldg 2, Banner Elk, NC 28604 | 2018-06-12 |
| 1578973996 | Grandfather Home for Children, Inc. | Community Based Residential Treatment Facility, Mental Illness | 158 Grandfather Home Drive, Banner Elk, NC 28604 | 2014-05-07 |
| 1134417314 | Grandfather Home for Children, Inc. | Community Based Residential Treatment Facility, Mental Illness | 233 Grandfather Home Dr., Banner Elk, NC 28604 | 2011-07-21 |
| 1841598745 | Ivan Smith | Pharmacist | 4059 Nc Hwy 105, Rite Aid Pharmacy, Sugar Mountain, NC 28604 | 2011-03-02 |
| 1043515679 | Grandfather Home for Children, Incorporated | Community/Behavioral Health | 64 Grandfather Home Drive, Banner Elk, NC 28604 | 2011-01-12 |
| 1710133012 | Stephanie Knowles | Social Worker | 158 Grandfather Home for Children Way, Hickory Nut Gap Road, Banner Elk, NC 28604 | 2008-08-18 |
| 1235313909 | Dennis Robert Blair | Respiratory Therapist, Registered | 335 Leslie Ln, Banner Elk, NC 28604 | 2007-12-18 |
| 1780867291 | Robert Jones | Spec/Tech, Cardiovascular | 28 Wildcat Creek Lane, Banner Elk, NC 28604 | 2007-12-07 |
| 1730308172 | Erling L Fredrickson | Social Worker | 158 Grandfather Home Way, Hickory Nut Gap Rd., Banner Elk, NC 28604 | 2007-04-24 |
| Find all providers in zip 28604 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215420583 | Grandfather Home for Children, Inc | Community/Behavioral Health | 158 Grandfather Home Rd Bldg 2, Banner Elk, NC 28604-6154 | 2018-06-12 |
| 1699268953 | Barium Springs Home for Children | Community/Behavioral Health | 158 Grandfather Home Drive Bldg 2, Banner Elk, NC 28604 | 2018-06-12 |
| 1043515679 | Grandfather Home for Children, Incorporated | Community/Behavioral Health | 64 Grandfather Home Drive, Banner Elk, NC 28604 | 2011-01-12 |
| 1235372087 | Schools for Children | Community/Behavioral Health | 158 Hickory Nut Gap Rd, Banner Elk, NC 28604-7231 | 2009-04-09 |
| 1104153980 | Schools for Childrenn | Community/Behavioral Health | 158 Hickory Nut Gap Rd, Banner Elk, NC 28604-7231 | 2009-11-16 |
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| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | BANNER ELK |
| Zip Code | 28604 |
Please comment or provide details below to improve the information on GRANDFATHER HOME FOR CHILDREN, INCORPORATED.
| 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.