GARDEN OF LIFE, INC (NPI# 1477174407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477174407 |
Entity Type | Organization |
Organization Name | GARDEN OF LIFE, INC |
Practice Address |
8339 Fox Swamp Rd Charlotte NC 28215-9011 |
Practice Telephone | 9803096863 |
Mailing Telephone | 8457289166 |
Enumeration Date | 2020-04-30 |
Last Update Date | 2020-08-13 |
Authorized Official Name | DESHALL HILL (OWNER) |
Authorized Official Telephone | 8903096863 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 106H0000X | 05 | |
NC | 106S0000X | 05 | |
NC | 171M00000X | 05 | |
NC | 22420000X | 05 | |
NC | 225I0000X | 05 | |
NC | 302F0000X | 05 | |
NC | 302R0000X | 05 | |
NC | 2260000X | 05 | |
NC | 251S00000X | 05 | |
NC | 305R0000X | 05 | |
NC | 175T0000X | 05 | |
NC | 363L0000X | 05 | |
NC | 251B00000X | 05 | |
NC | 1041I0000X | 05 | |
NC | 164W0000X | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Vermont Business Registrations | GARDEN OF LIFE, INC. | 6614 Main Road, West Haven, VT 05743 |
Street Address |
8339 FOX SWAMP RD |
City | CHARLOTTE |
State | NC |
Zip Code | 28215-9011 |
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 | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972153328 | Monida Fields | Case Manager/Care Coordinator | 4845 Ashley Park Ln Apt 220, Charlotte, NC 28210-4134 | 2019-09-18 |
1760970768 | Andra R Summey | Case Manager/Care Coordinator | 8210 Deodora Cedar Ln, Charlotte, NC 28215-7140 | 2018-04-25 |
1265983779 | Lindsey Nicole Riesselman | Case Manager/Care Coordinator | 10955 Winds Crossing Dr Ste 300, Charlotte, NC 28273-6778 | 2016-10-19 |
1225482847 | Richard Wright | Case Manager/Care Coordinator | 338 S Cochran Ave, Charlotte, MI 48813-1595 | 2016-04-20 |
1538526678 | Jacqueline Terrell Inman | Case Manager/Care Coordinator | 4203 Plato Cir, Charlotte, NC 28208-5853 | 2016-01-20 |
1750751715 | Deanna M Williams | Case Manager/Care Coordinator | 7459 Elwood Dr, Charlotte, NC 28227-1266 | 2015-10-03 |
1124420070 | Chontaye Michelle Richardson | Case Manager/Care Coordinator | 16803 Silversword Dr, Charlotte, NC 28213-4883 | 2014-09-23 |
1326469495 | Juani Thomas | Case Manager/Care Coordinator | 709 N Davidson St, Suite E, Charlotte, NC 28202-2565 | 2013-12-17 |
1932540630 | Tony Rontice Turner | Case Manager/Care Coordinator | 7352 Rose Terrace Ct, Charlotte, NC 28215-3682 | 2013-07-10 |
1407116312 | Debra Redfern | Case Manager/Care Coordinator | 9905 Mattie Ct, Charlotte, NC 28213-4719 | 2012-05-24 |
Find all providers in CHARLOTTE |
Please comment or provide details below to improve the information on GARDEN OF LIFE, INC.
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.