TALL FAMILY SERVICES, INC. (NPI# 1558927590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558927590 |
| Entity Type | Organization |
| Organization Name | TALL FAMILY SERVICES, INC. |
| Practice Address |
1915 Hasty Rd Marshville NC 28103-0029 |
| Mailing Address |
6021 Lebanon Rd Mint Hill NC 28227-8212 |
| Practice Telephone | 7046244620 |
| Mailing Telephone | 7049756118 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | JESSE TALL (CEO) |
| Authorized Official Telephone | 7049756118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
1915 HASTY RD |
| City | MARSHVILLE |
| State | NC |
| Zip Code | 28103-0029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700062817 | The Upper Group Inc. | Local Education Agency (LEA) | 6017 Highway 74 West Blvd., Po.111, Marshville, NC 28103 | 2008-01-18 |
| 1578786562 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | Box 4213 Ridge Run St, Marshville, NC 28103 | 2007-04-10 |
| 1932277761 | Marshville Pharmacy Inc | Pharmacy | 6330 A West Marshville Blvd, Marshville, NC 28103 | 2006-12-01 |
| 1093791337 | Autumn Corporation | Skilled Nursing Facility | 311 W Phifer Rd, Marshville, NC 28103 | 2005-12-19 |
| 1861744971 | Joseph Elmo Green | Family Medicine | 609 Old Hyw 74, Marshville, NC 28103-0146 | 2012-10-12 |
| 1932686425 | Pamela C Smith | Registered Nurse | 502 N Elm St, Marshville, NC 28103-1029 | 2018-07-26 |
| 1306977871 | Pierce Family Wellness Center, Pllc | Chiropractor | 6315 W Marshville Blvd, Marshville, NC 28103-1176 | 2007-03-08 |
| 1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
| 1104839935 | Americare Ehalth | Family Medicine | 7204 E Marshville Blvd, Marshville, NC 28103-1191 | 2006-08-14 |
| 1548724669 | Brenton Bundrick, Dds, Pllc | Clinic/Center | 7204 E Marshville Blvd, Marshville, NC 28103-1191 | 2019-01-23 |
| Find all providers in zip 28103 | ||||
| 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 | MARSHVILLE |
| Zip Code | 28103 |
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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.