REDESIGNING LIFE OF N.C.,LL (NPI# 1366729048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366729048 |
Entity Type | Organization |
Organization Name | REDESIGNING LIFE OF N.C.,LL |
Practice Address |
806 Tarboro St W Suite A Wilson NC 27893-4771 |
Mailing Address |
Po Box 683 Wilson NC 27894-0683 |
Practice Telephone | 2523634122 |
Practice Fax Number | 2522960033 |
Mailing Telephone | 2523634122 |
Mailing Fax Number | 2522960033 |
Enumeration Date | 2011-11-09 |
Last Update Date | 2011-11-09 |
Authorized Official Name | CHANDRA REVIS PEGUES (DIRECTOR/OWNER) |
Authorized Official Telephone | 2523634122 |
Is Organization Subpart | Y |
Parent Organization Name | HARVEST CARE OF N.C., LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MHL-098-173 | NC | Ambulatory Health Care Facilities |
Street Address |
806 TARBORO ST W SUITE A |
City | WILSON |
State | NC |
Zip Code | 27893-4771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629118070 | Brenda Batts | Home Health | 806 Tarboro St W, Suite B1, Wilson, NC 27893-4771 | 2007-02-07 |
1598061178 | Redesigning Life | Community/Behavioral Health | 806 Tarboro St W, Suite A, Wilson, NC 27893-4771 | 2011-01-31 |
1487963518 | April Michelle Cox | Case Manager/Care Coordinator | 806 Tarboro St W, Suite A, Wilson, NC 27893-4771 | 2010-10-07 |
1619291903 | Phillips Home Health Care | Home Health | 806 Tarboro St W, Suit 4,5,6, Wilson, NC 27893-4771 | 2010-03-16 |
1629303003 | Phillips Home Health Care Agency | Home Health | 806 Tarboro St W, Suite 4&5, Wilson, NC 27893-4771 | 2009-10-02 |
1922206770 | Carolina Staffing & Home Health, Inc. | Home Health | 806 Tarboro St W, Suite C, Wilson, NC 27893-4771 | 2007-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
Find all providers in zip 27893 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598807430 | Coastal Carolina Psychiatric Services Pllc | Clinic/Center | 1708 Lakeside Dr Nw, Wilson, NC 27896-1800 | 2007-02-13 |
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1013514587 | Lisa Johnson Reid | Clinic/Center | 3491 Evans St Ste B, Greenville, NC 27834-4534 | 2020-10-07 |
1609473230 | Chadwick Counseling, Pllc | Clinic/Center | 105 Chelsea Cir, Beaufort, NC 28516-9001 | 2020-10-06 |
1275146946 | Lakeisha Ward | Clinic/Center | 2221 W Raleigh Blvd Ste 117, Rocky Mount, NC 27803-2745 | 2020-08-24 |
1417570995 | Sb Psychiatry Pllc | Clinic/Center | 55 Vilcom Center Dr Ste 230, Chapel Hill, NC 27514-1690 | 2020-05-19 |
1467082396 | Premier Service of Carolina, Inc | Clinic/Center | 2020 Remount Rd Ste 105, Gastonia, NC 28054-7478 | 2020-01-20 |
1417598962 | Limitless Living Counseling & Consulting, Pllc | Clinic/Center | 806 Fairmont St, Greensboro, NC 27401-1723 | 2019-10-07 |
1598316770 | Renaissance Healthcare Group Raleigh, LLC | Clinic/Center | 7300 Carmel Executive Park Dr Ste 100, Charlotte, NC 28226-1307 | 2019-09-27 |
1255981627 | Each One Teach Two | Clinic/Center | 401 Hawthorne Ln Ste 110-224, Charlotte, NC 28204-2484 | 2019-09-17 |
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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.