CASWELL DEVELOPMENTAL CENTER (NPI# 1457578213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457578213 |
| Entity Type | Organization |
| Organization Name | CASWELL DEVELOPMENTAL CENTER |
| Practice Address |
2415 W Vernon Ave Kinston NC 28504 |
| Mailing Address |
2415 W Vernon Ave Kinston NC 28504-3337 |
| Practice Telephone | 2522084270 |
| Practice Fax Number | 2522084170 |
| Mailing Telephone | 2522084270 |
| Mailing Fax Number | 2522084170 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | MS. HELEN WOLSTENHOLME (DIVISION DIRECTOR) |
| Authorized Official Telephone | 9198554700 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406105 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639396492 | Caswell Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2415 W Vernon Ave, Kinston, NC 28504 | 2007-04-20 |
| Street Address |
2415 W VERNON AVE |
| City | KINSTON |
| State | NC |
| Zip Code | 28504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326126053 | Ritchie Murdock Applewhite | Pharmacist | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2006-11-01 |
| 1164615050 | Kennon Charles Weeks | Dentist | 2415 W Vernon Ave, Caswell Center, Kinston, NC 28504-3337 | 2007-08-23 |
| 1639396492 | Caswell Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2415 W Vernon Ave, Kinston, NC 28504 | 2007-04-20 |
| 1093851891 | Hoover Mcgy Royals Jr. | Family Medicine | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2007-01-29 |
| 1457403909 | Karen Rene Heath | Pharmacy Technician | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2007-01-17 |
| 1730246562 | Caswell Center | Pharmacy | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2007-01-02 |
| 1649344672 | Becky Odham Berry | Pharmacist | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2006-11-20 |
| 1598843864 | Feletia Smith Lockhart | Pharmacy Technician | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2006-11-02 |
| 1679651962 | Ellen W Lancaster | Pharmacist | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2006-11-02 |
| 1902984214 | Larue Grady | Pharmacist | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437647385 | Kinston Clinic Pharmacy Inc | Pharmacy | 2717 Nc Hwy 11 South, Kinston, NC 28504 | 2018-04-26 |
| 1316336241 | Jo Jackson | Developmental Therapist | 137 Norma Drive, Kinston, NC 28504 | 2015-01-15 |
| 1700105160 | Stephanie Price Jones | Dietitian, Registered | 1457 Elijah Loftin Rd, Kinston, NC 28504 | 2010-05-25 |
| 1093045783 | Patricia Ann Dodd | Chiropractor | 4010 W. Vernon Ave., Kinston, NC 28504 | 2010-01-03 |
| 1861626723 | Eastpoint Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 310 Airport Rd, Kinston, NC 28504 | 2009-05-07 |
| 1174705081 | Vernon Sy Chiu | Internal Medicine | 608-a Airport Road, Kinston, NC 28504 | 2007-12-03 |
| 1235326943 | Jennifer M Shenk | Optometrist | 703 Rosanne Drive, Kinston, NC 28504 | 2007-09-26 |
| 1760678478 | Classic Country Care Inc | Assisted Living Facility | 288 Hwy 11 S, Kinston, NC 28504 | 2007-09-18 |
| 1528271632 | Andrew Jackson Harrell IIi | Dentist | 315 Airport Road, Kinston, NC 28504 | 2007-05-07 |
| 1316161045 | Joshua House | Pharmacy Technician | 2415 West Vernon Ave., Kinston, NC 28504 | 2007-04-12 |
| Find all providers in zip 28504 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702937 | Gha Autism Supports | Intermediate Care Facility, Mentally Retarded | 44012 Morrow Mountain Rd, Albemarle, NC 28001-8616 | 2020-05-21 |
| 1811517774 | Educare Community Living Corporation-north Carolina | Intermediate Care Facility, Mentally Retarded | 834 Tyvola Rd Ste 116, Charlotte, NC 28217-3542 | 2020-04-21 |
| 1598125460 | Rha Health Services Nc LLC | Intermediate Care Facility, Mentally Retarded | 410 N Mineral Springs Rd, Durham, NC 27703-3618 | 2016-03-04 |
| 1023478294 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 619 Ray Ave, Hendersonville, NC 28792-2668 | 2016-03-02 |
| 1740649417 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 310 Locust Street, West Jefferson, NC 28694 | 2016-02-23 |
| 1841655453 | Journeys Healthcare | Intermediate Care Facility, Mentally Retarded | 515 Carver Moore Rd, Lake Waccamaw, NC 28450-9713 | 2015-12-24 |
| 1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
| 1609299916 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 1802 Strickland Bridge Rd, Fayetteville, NC 28304-5739 | 2014-01-23 |
| 1861822314 | Voca Corporation of North Carolina | Intermediate Care Facility, Mentally Retarded | 4109 Enoch Dr, Charlotte, NC 28269-2578 | 2013-11-20 |
| 1902144314 | Rouse's Group Home Inc | Intermediate Care Facility, Mentally Retarded | 5820 Nc 135, Stoneville, NC 27048-8478 | 2013-01-18 |
| 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.