KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC. (NPI# 1487828182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487828182 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC. |
| Practice Address |
2080 Sugarloaf Pkwy Ste 120-130 Lawrenceville GA 30045-9401 |
| Mailing Address |
4085 Independence Dr Schnecksville PA 18078-2574 |
| Practice Telephone | 7703380800 |
| Practice Fax Number | 7703382219 |
| Mailing Telephone | 6107998543 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | MICHAEL W. SLACK (VP FOR MARKETING & BUSINESS DEVELOP) |
| Authorized Official Telephone | 6107998405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679932040 | Kidspeace National Centers of North America, Inc. | Foster Care Agency | 200 Aaron Ct, Kingston, NY 12401-2963 | 2016-02-15 |
| 1518326982 | Kidspeace National Centers of North America, Inc. | Foster Care Agency | 2 Greentown Rd, Buchanan, NY 10511-1007 | 2016-02-15 |
| 1104285576 | Kidspeace National Centers of North America, Inc. | Foster Care Agency | 2801 Wehrle Dr Ste 13-14, Williamsville, NY 14221-7381 | 2016-02-15 |
| 1023355013 | Kidspeace National Centers of North America, Inc. | Community/Behavioral Health | 3109 Poplarwood Ct Ste 310, Raleigh, NC 27604-1025 | 2013-01-10 |
| 1043484744 | Kidspeace National Centers of North America, Inc. | Assisted Living Facility | 3604 Macon Rd Ste 3, Columbus, GA 31907-8221 | 2008-04-15 |
| 1154501534 | Kidspeace National Centers of North America, Inc. | Assisted Living Facility | 5100 Leesburg Pike, Suite 302, Alexandria, VA 22302-1000 | 2007-11-14 |
| 1366802241 | Kidspeace National Centers of North America, Inc. | Foster Care Agency | 2 Greentown Rd, Buchanan, NY 10511-1007 | 2016-03-04 |
| 1033452560 | Kidspeace National Centers of North America, Inc. | Community/Behavioral Health | 3109 Poplarwood Ct Ste 310, Raleigh, NC 27604-1025 | 2013-04-03 |
| 1124362819 | Kidspeace National Centers of North America, Inc. | Community/Behavioral Health | 2711 Breezewood Ave Fl 1, Fayetteville, NC 28303-5526 | 2012-11-19 |
| 1740547603 | Kidspeace National Centers of North America, Inc. | Community/Behavioral Health | 3710 University Dr, Suite 200, Durham, NC 27707-6203 | 2012-04-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC. | 80 State Street, Albany, Ny 122072543 |
| Street Address |
2080 SUGARLOAF PKWY STE 120-130 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215842 | Stewart Community Home, Inc. | Assisted Living Facility | 1125 15th St, Columbus, GA 31901-2219 | 2020-11-06 |
| 1952851602 | Gates Health Care Services, LLC | Assisted Living Facility | 400 Wallace Cir, Bloomingdale, GA 31302-8050 | 2016-10-06 |
| 1801251202 | Prime Veritas | Assisted Living Facility | 1889 Trinity Mill Dr, Dacula, GA 30019-1015 | 2015-12-30 |
| 1053730267 | Hooks Home of Care | Assisted Living Facility | 4466 Pinedale Dr, Macon, GA 31206-4530 | 2014-04-15 |
| 1699024141 | Transitional Hope Unlimited | Assisted Living Facility | 4 Harvey St Ne, Rome, GA 30161-5122 | 2012-08-30 |
| 1164782223 | Sweet Pea Personal Care Home | Assisted Living Facility | 9387 Burkhalter Rd, Statesboro, GA 30461-6765 | 2012-05-23 |
| 1447532007 | Pendley Personal Care Home Inc. | Assisted Living Facility | 2548 Central Ave, Augusta, GA 30904-6240 | 2011-09-09 |
| 1215216445 | Paula's Safe House | Assisted Living Facility | 3900 Rockey Valley Dr, Conley, GA 30288-1410 | 2011-08-04 |
| 1174819619 | Prn Nursing and Alternative Living Family Care Solutions | Assisted Living Facility | 115 Lakeshore Dr S, Ivey, GA 31031-3537 | 2011-06-23 |
| 1477859841 | Fairview Community Personal Care Home, Inc. | Assisted Living Facility | 2470 Fairview Rd Se, Conyers, GA 30013-4919 | 2011-02-02 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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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.