MITCHELL COUNTY GROUP HOME (NPI# 1396916581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396916581 |
Entity Type | Organization |
Organization Name | MITCHELL COUNTY GROUP HOME |
Practice Address |
86 Richmond Rd Bakersville NC 28705-9460 |
Practice Telephone | 8286882521 |
Practice Fax Number | 8286882521 |
Mailing Telephone | 8286882521 |
Mailing Fax Number | 8286882521 |
Enumeration Date | 2008-03-17 |
Last Update Date | 2008-03-17 |
Authorized Official Name | CECELIA GREEN (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8286882521 |
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-061-008 | NC | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7804609 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821117839 | Mitchell County Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 86 Richmond Rd, Bakersville, NC 28705-9460 | 2007-03-29 |
Street Address |
86 RICHMOND RD |
City | BAKERSVILLE |
State | NC |
Zip Code | 28705-9460 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821117839 | Mitchell County Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 86 Richmond Rd, Bakersville, NC 28705-9460 | 2007-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336747872 | Jordon Baker Acquisitions, Inc. | Pharmacy | 604 S Hwy 226, Bakersville, NC 28705 | 2020-10-16 |
1700122108 | Mitchell County Transportation Authority | Non-emergency Medical Transport (VAN) | 73 Crimson Laurel Circle, Suite 7, Bakersville, NC 28705 | 2012-12-13 |
1841444783 | Johnson Enterprises of Shelby Inc | Assisted Living Facility | 409 Harrison Ave, Yadkinville, NC 28705 | 2008-11-05 |
1609903301 | Bakersville Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 580 South Hwy 226, Bakersville, NC 28705 | 2007-02-28 |
1710075759 | Blue Ridge Hospital System Inc | General Acute Care Hospital | 89 North Mitchell Ave, Bakersville, NC 28705 | 2006-10-11 |
1467912782 | Anthony Lawson Hudson | Pharmacist | 580 South Hwy 226, Bakersville, NC 28705 | 2019-03-22 |
1467650036 | Pittman Family Care | Lodging | 47 Piney Haven Dr, Bakersville, NC 28705-0525 | 2007-07-05 |
1477113975 | Alex Colby Green | Dentist | 89 N Mitchell Ave, Bakersville, NC 28705-6502 | 2019-06-17 |
1932550381 | Nicole Allen | Family Medicine | 86 N Mitchell Ave Ste 510, Bakersville, NC 28705-6502 | 2016-06-28 |
1912972860 | Florence Jeanette Dellinger | Nurse Practitioner | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2006-02-22 |
Find all providers in zip 28705 |
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 |
---|---|---|---|---|
1821117839 | Mitchell County Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 86 Richmond Rd, Bakersville, NC 28705-9460 | 2007-03-29 |
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 | BAKERSVILLE |
Zip Code | 28705 |
Please comment or provide details below to improve the information on MITCHELL COUNTY GROUP HOME.
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.