KYSEEM'S UNITY GROUP HOME, LLC (NPI# 1538488192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538488192 |
| Entity Type | Organization |
| Organization Name | KYSEEM'S UNITY GROUP HOME, LLC |
| Practice Address |
102 Brentwood Dr N Wilson NC 27893 |
| Mailing Address |
Po Box 129 Pinetops NC 27864-0129 |
| Practice Telephone | 2527568586 |
| Mailing Telephone | 2529026277 |
| Mailing Fax Number | 2527581119 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2019-01-02 |
| Authorized Official Name | MR. DEARL RAY POWELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2529027078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL033076 | NC | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 102 Brentwood Dr N, Wilson, NC 27893 | 2527568586 | |
| 136 S Fairview Cir, Tarboro, NC 278862420 | 2527581119 | 2527581119 |
| Street Address |
102 BRENTWOOD DR N |
| City | WILSON |
| State | NC |
| Zip Code | 27893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| 1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
| 1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
| 1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
| 1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
| 1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
| 1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
| 1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
| Find all providers in zip 27893 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982230454 | W.e. K.e.r.r. | Community/Behavioral Health | 2403 Wooten Blvd Sw Ste H, Wilson, NC 27893-4463 | 2020-03-17 |
| 1649823238 | Focused Interventions, LLC | Community/Behavioral Health | 1310 Ward Blvd, Wilson, NC 27893-4665 | 2019-07-22 |
| 1275993925 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 405 Nash St W, Ste 200, Wilson, NC 27893-3761 | 2016-02-23 |
| 1184007213 | Jincy S Golden | Community/Behavioral Health | 622 Sandy Stone Rd, Wilson, OK 73463-6717 | 2015-07-07 |
| 1497141550 | Rha Health Services, Inc | Community/Behavioral Health | 405 Nash St W Ste 200, Wilson, NC 27893-3761 | 2015-04-15 |
| 1902239130 | Carolina Outreach, LLC | Community/Behavioral Health | 608 Nash St Ne, Wilson, NC 27893-3045 | 2013-08-12 |
| 1841534070 | Higher Heights Home Care | Community/Behavioral Health | 2404 Montgomery Dr Sw Ste C, Wilson, NC 27893-4462 | 2012-11-09 |
| 1477807022 | Summitcare Health Services, LLC | Community/Behavioral Health | 1800 Rand Rd W, Wilson, NC 27893-3447 | 2012-11-05 |
| 1396096566 | Holistic Harvest: An Integrative Counseling Center | Community/Behavioral Health | 703 Nash St W Ste D, Wilson, NC 27893-3058 | 2012-09-27 |
| 1801105408 | Bridges of Hope Inc | Community/Behavioral Health | 703 Nash St W, A, Wilson, NC 27893-3058 | 2010-09-29 |
| Find all providers in WILSON | ||||
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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.