ADAPTIVE INTERVENTIONS GROUP, LLC (NPI# 1538720396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538720396 |
| Entity Type | Organization |
| Organization Name | ADAPTIVE INTERVENTIONS GROUP, LLC |
| Practice Address |
107 Robinson Dr Cherryville NC 28021-8100 |
| Mailing Address |
1660 Stanley Lucia Rd Mount Holly NC 28120-9735 |
| Practice Telephone | 7047893029 |
| Practice Fax Number | 8002920277 |
| Mailing Telephone | 9804484614 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | KEVI CUNNINGHAM (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9804484614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1660 Stanley Lucia Rd, Mount Holly, NC 281209735 | 9804484614 |
| Street Address |
107 ROBINSON DR |
| City | CHERRYVILLE |
| State | NC |
| Zip Code | 28021-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006353 | House of Jewels, Inc | Community/Behavioral Health | 107 Robinson Dr, Cherryville, NC 28021-8100 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699333021 | Stephanie Carlile Elam | Clinic/Center | Carolina Care Health and Rehab, 111 Harrilson Road, Cherryville, NC 28021 | 2019-05-31 |
| 1164978201 | Jessica Albright Robinson | Social Worker | 136 Old Fallston Rd, Cherryville, NC 28021 | 2016-08-29 |
| 1346661576 | Lesa Parker | Physical Therapy Assistant | 111 Harrilson Road, Cherryville, NC 28021 | 2013-12-13 |
| 1932374154 | Leslie Rene Erwin | Physical Therapy Assistant | 111harrilson Road, Cherryville, NC 28021 | 2008-04-29 |
| 1568666519 | Vellessia Annette Church | Physical Therapy Assistant | 111 Harrelson Rd, Cherryville, NC 28021 | 2007-06-13 |
| 1942231535 | Medical Center Pharmacy of Cherryville Inc | Pharmacy | 607 E Academy St, Cherryville, NC 28021 | 2006-07-05 |
| 1346608114 | Home Town Direct Care | Family Medicine | 301 E. Main Street, Cherryville, NC 28021 | 2016-02-08 |
| 1770808198 | Gaston Family Health Services, Inc. | Clinic/Center | 112 S Oak St, Cherryville, NC 28021 | 2010-03-29 |
| 1487782447 | Carol Elizabeth Browne | Counselor | 407a Jane St, Cherryville, NC 28021-2611 | 2007-03-01 |
| 1487624425 | Eyebridge Consulting Associates Odpa | Optometrist | 201 W Church St, Cherryville, NC 28021-2805 | 2006-01-24 |
| Find all providers in zip 28021 | ||||
| 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 |
|---|---|---|---|---|
| 1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
| 1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 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 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
| Find all providers with the same taxonomy | ||||
| City | CHERRYVILLE |
| Zip Code | 28021 |
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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.