GREAT ACCOMPLISHMENTS INC. (NPI# 1326215781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326215781 |
| Entity Type | Organization |
| Organization Name | GREAT ACCOMPLISHMENTS INC. |
| Other Organization Name | MY BROTHER'S KEEPER |
| Practice Address |
230 Crabapple Ln Lake Waccamaw NC 28450-9594 |
| Practice Telephone | 9103540679 |
| Mailing Telephone | 9103540679 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | MRS. TONYA LARICE CLARK-BAEZ (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9103540679 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL-024071 | NC | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| my brother's keeper | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Great Accomplishments Inc. | 408 Watergap Dr, Fayetteville, NC 28314 |
| Street Address |
230 CRABAPPLE LN |
| City | LAKE WACCAMAW |
| State | NC |
| Zip Code | 28450-9594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013218312 | Egb Enterjprises | Pharmacy | 108 E Hwy 7476, Lake Waccamaw, NC 28450 | 2010-11-03 |
| 1609996446 | Etcare Home Quality Management, Inc | Assisted Living Facility | 206 Wannish Ave, Lake Waccamaw, NC 28450 | 2007-03-29 |
| 1366593170 | Eugene Glenn Brown Jr. | Pharmacist | 108 E. Highway 74-76, Lake Waccamaw, NC 28450 | 2007-01-16 |
| 1073890489 | Lake Waccamaw Fire & Rescue Squad | Ambulance | 203 Flemington Dr., Lake Waccamaw, NC 28450-0000 | 2011-11-14 |
| 1669555603 | Egb Enterprises Inc | Durable Medical Equipment & Medical Supplies | 108 Old E Hwy 74/76, Lake Waccamaw, NC 28450-0148 | 2006-10-23 |
| 1720085293 | Premier Living and Rehab Center | Skilled Nursing Facility | 106 Cameron St, Lake Waccamaw, NC 28450-1900 | 2005-06-30 |
| 1649731407 | Kailynn Harrison | Nurse Practitioner | 106 Cameron St, Lake Waccamaw, NC 28450-1900 | 2019-03-26 |
| 1144656414 | Hannah M Fisher | Physical Therapist | 106 Cameron St, Lake Waccamaw, NC 28450-1900 | 2013-09-18 |
| 1477795821 | Lake Waccamaw Primary Care, Pllc | Family Medicine | 107 Church St, Lake Waccamaw, NC 28450-1908 | 2009-04-01 |
| 1992019335 | Haven Ministries, Inc. | Psychiatry & Neurology | 107 Church St, Lake Waccamaw, NC 28450-1909 | 2010-07-27 |
| Find all providers in zip 28450 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1750935839 | Heavenly Touch Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 | 2019-07-28 |
| 1073166245 | Making Kids Matter, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 | 2019-07-17 |
| 1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
| 1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1487131074 | Ronald Anthony Benjamin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 | 2018-07-26 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WACCAMAW |
| Zip Code | 28450 |
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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.