ENVISIONS OF LIFE LLC (NPI# 1386195840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386195840 |
| Entity Type | Organization |
| Organization Name | ENVISIONS OF LIFE LLC |
| Practice Address |
449 W Main St Jonesville NC 28642-2130 |
| Mailing Address |
5 Centerview Dr Ste 110 Greensboro NC 27407-3709 |
| Practice Telephone | 3368870708 |
| Practice Fax Number | 3368871085 |
| Mailing Telephone | 3368870708 |
| Mailing Fax Number | 3368871085 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2017-09-01 |
| Authorized Official Name | MRS. TOMEKO M MOORE (PRESIDENT) |
| Authorized Official Telephone | 3368870708 |
| Authorized Official Credential | LCAS, LCSWA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 099-029 | NC | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346593233 | Envisions of Life LLC | Counselor | 5 Centerview Drive, Suite 110, Greensboro, NC 27407-3709 | 2012-10-17 |
| 1891992673 | Envisions of Life LLC | Counselor | 218 N Mcpherson Church Rd, Fayetteville, NC 28303-4495 | 2007-06-27 |
| 1881788818 | Envisions of Life LLC | Counselor | 5 Centerview Dr., Greensboro, NC 27407-3709 | 2006-10-03 |
| 1013261957 | Envisions of Life LLC | Nurse Practitioner | 5 Centerview Drive, Suite 110, Greensboro, NC 27407-3709 | 2012-10-30 |
| 1104179555 | Envisions of Life LLC | Counselor | 5 Centerview Drive, Suite 110, Greensboro, NC 27407-3709 | 2012-10-23 |
| Street Address |
449 W MAIN ST |
| City | JONESVILLE |
| State | NC |
| Zip Code | 28642-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851859037 | Tonya Geddes | Nurse Practitioner | 526 Winston Road, Jonesville, NC 28642 | 2019-03-07 |
| 1720513534 | Michael Schmitt | Dentist | 129 N Bridge St, Jonesville, NC 28642 | 2017-04-30 |
| 1396133856 | Stephen Harris | Physician Assistant | 526 Winston Rd, Jonesville, NC 28642 | 2015-01-06 |
| 1023163292 | Carolina Compounding Pharmacy | Pharmacy | 323 Triplett Street, Jonesville, NC 28642 | 2007-01-25 |
| 1184776866 | D-rex Drugs of Jonesville Inc | Pharmacy | 450 Winston Road, Jonesville, NC 28642 | 2007-01-16 |
| 1407962343 | Lam S Chu | Dentist | 129 North Bridge Street, 129 North Bridge Street, Jonesville, NC 28642 | 2006-08-22 |
| 1467773366 | Monty Dean Hiatt | Dentist | 129 North Bridge Street, Jonesville, NC 28642 | 2010-06-15 |
| 1902944101 | D-rex Drugs of Jonesville Inc | Durable Medical Equipment & Medical Supplies | 450 Winston Road, Jonesville, NC 28642 | 2007-02-01 |
| 1679641872 | Kim Marie Kinsley | Family Medicine | 4000 S Swaim Street Ext, Jonesville, NC 28642 | 2006-12-04 |
| 1871697557 | Eric Joseph Baronciani | Chiropractor | 105 Cherry St, Jonesville, NC 28642-2116 | 2006-09-12 |
| Find all providers in zip 28642 | ||||
| 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 |
|---|---|---|---|---|
| 1013256080 | Amikids Palmetto, Inc. | Community Based Residential Treatment Facility, Mental Illness | 780 T Bishop Rd, Jonesville, SC 29353-2342 | 2013-02-11 |
| 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 | ||||
| City | JONESVILLE |
| Zip Code | 28642 |
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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.