CRC ED TREATMENT, INC (NPI# 1376630533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376630533 |
| Entity Type | Organization |
| Organization Name | CRC ED TREATMENT, INC |
| Other Organization Name | CAROLINA HOUSE |
| Practice Address |
176 Lassiter Homestead Rd Durham NC 27713-6835 |
| Mailing Address |
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 |
| Practice Telephone | 9193727942 |
| Practice Fax Number | 9194840451 |
| Mailing Telephone | 6158616000 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | CHRISTOPHER L. HOWARD (VP & TREASURER) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | MHL019041 | NC | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Carolina House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962557975 | Crc Ed Treatment, Inc | Psychiatric Residential Treatment Facility | 1500 Pass Dr, Reno, NV 89509 | 2007-01-23 |
| 1053403014 | Crc Ed Treatment, Inc | Clinic/Center | 1453 Pass Drive, Reno, NV 89509 | 2006-09-28 |
| Street Address |
176 LASSITER HOMESTEAD RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-6835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048403 | Elisa Johnson | Social Worker | 176 Lassiter Homestead Rd, Durham, NC 27713-6835 | 2020-03-17 |
| 1740669308 | Crc Ed Treatment, Inc. Dba Carolina House | Community Based Residential Treatment Facility, Mental Illness | 176 Lassiter Homestead Rd, Durham, NC 27713-6835 | 2015-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750762159 | Loving Arms Tender Touch | Psychiatric Residential Treatment Facility | 1315-b Ripley Street, Durham, NC 27707 | 2015-06-11 |
| 1174898175 | Nellie's Adult Care Home | Psychiatric Residential Treatment Facility | 1202 Arnette Ave, Durham, NC 27707-1306 | 2012-03-09 |
| 1376817593 | Veritas Collaborative, LLC | Psychiatric Residential Treatment Facility | 4024 Stirrup Creek Dr, Durham, NC 27703-9464 | 2012-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840990 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 1601 Huffine Mill Rd., Bldg B, Greensboro, NC 27405-5509 | 2019-06-19 |
| 1578067146 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 6220e Thermal Rd, Charlotte, NC 28211-5630 | 2018-03-20 |
| 1750827150 | Stephen's Home | Psychiatric Residential Treatment Facility | 6214 Paylor St, Mebane, NC 27302-7020 | 2017-01-10 |
| 1013450055 | Rwilliams | Psychiatric Residential Treatment Facility | 511 Tansy Dr, Charlotte, NC 28214-8832 | 2016-11-23 |
| 1891247490 | Healing Community Adult Cre | Psychiatric Residential Treatment Facility | 55 Congress St, Asheville, NC 28801-4342 | 2016-10-30 |
| 1598219149 | Equinox Rtc, LLC | Psychiatric Residential Treatment Facility | 2420 Middle Fork Rd, Hendersonville, NC 28792-1032 | 2016-08-12 |
| 1497128631 | The Woodard Home | Psychiatric Residential Treatment Facility | 4100 Cherry Tree Dr, Monroe, NC 28110-9692 | 2015-11-10 |
| 1184096661 | Canyon Hills Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 769 Aberdeen Rd, Raeford, NC 28376-0029 | 2015-10-23 |
| 1891164174 | Kearney Home | Psychiatric Residential Treatment Facility | 4408 Iyar Way, Wake Forest, NC 27587-4166 | 2015-09-17 |
| 1396111837 | Mcguinn Home | Psychiatric Residential Treatment Facility | 16 Columbia Cir, Hendersonville, NC 28792-7005 | 2015-08-19 |
| 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.