ROCKWOOD FOREST (NPI# 1467521781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467521781 |
| Entity Type | Organization |
| Organization Name | ROCKWOOD FOREST |
| Practice Address |
3124 Milton Rd Suite 231 Charlotte NC 28215-5008 |
| Mailing Address |
P.o. Box Charlotte NC 28269 |
| Practice Telephone | 7045666134 |
| Practice Fax Number | 7045666136 |
| Mailing Telephone | 7045666134 |
| Mailing Fax Number | 7045666136 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CLARISSA HENRY (DIRECTOR BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 7045666134 |
| Authorized Official Credential | BA QP QSAPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-060-806 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603300 | 05 |
| Street Address |
3124 MILTON RD SUITE 231 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28215-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710056742 | Bellflower Lane | Residential Treatment Facility, Emotionally Disturbed Children | 3124 Milton Rd, Suite 231, Charlotte, NC 28215-5008 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111769 | Lawana Ussery Hill | Case Management | 1740 Misty Morn Drive, Charlotte, NC 28215 | 2019-12-19 |
| 1053961110 | Tonya Anita Brown | Behavior Technician | 10230 White Oak Rd, Charlotte, NC 28215 | 2019-09-19 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1538646088 | Andrew Simpson | Pharmacist | 3805 Rocky River Rd, Charlotte, NC 28215 | 2018-07-26 |
| 1154818425 | Korinne A Umlauft | Specialist/Technologist | 8618 Terra Cotta Dr, Charlotte, NC 28215 | 2018-04-22 |
| 1477058196 | Harmony Health Pllc | Community/Behavioral Health | 8633 Pine Circle, Charlotte, NC 28215 | 2018-03-26 |
| 1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
| Find all providers in zip 28215 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1740720036 | New Place, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5419 Twin Ln, Charlotte, NC 28269-4635 | 2017-03-06 |
| 1336385699 | 1st Choice Professional Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10532 Green Hedge Ave, Charlotte, NC 28269-1541 | 2008-12-16 |
| 1578735866 | New Place, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8134 Strawberry Point Dr, Charlotte, NC 28215-8487 | 2008-03-27 |
| 1194901157 | Echelon Consulting Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2139 Jennie Linn Dr, Charlotte, NC 28215-2925 | 2008-01-21 |
| 1558547513 | Echelon Consulting Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4724 Carriage Drive Cir, Charlotte, NC 28205-4922 | 2008-01-21 |
| 1972798841 | Walkers Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 5719 Kinglet Ln, Charlotte, NC 28269-7113 | 2007-09-13 |
| 1528188802 | Murray Adolescent Training & Txment Academy | Residential Treatment Facility, Emotionally Disturbed Children | 2012 Commonwealth Ave, Charlotte, NC 28205-5022 | 2007-03-30 |
| 1760506919 | Echelon Consulting Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4508 Carriage Drive Cir, Charlotte, NC 28205 | 2007-03-16 |
| Find all providers in CHARLOTTE | ||||
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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.