MARTIN COUNTY RESIDENTIAL SERVICES (NPI# 1578719712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578719712 |
| Entity Type | Organization |
| Organization Name | MARTIN COUNTY RESIDENTIAL SERVICES |
| Other Organization Name | MARTIN ENTERPRISES |
| Practice Address |
6003 W. Main Street Williamston NC 27892 |
| Mailing Address |
6003 W Main Street Ext Williamston NC 27892-9589 |
| Practice Telephone | 2527928251 |
| Practice Fax Number | 2527925283 |
| Mailing Telephone | 2527928251 |
| Mailing Fax Number | 2527925283 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | MS. CHARLENE WARD (PROGRAM SERVICES MANAGER) |
| Authorized Official Telephone | 2527928251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL-058-002 | NC | Agencies |
| Other Name | Type Code |
|---|---|
| Martin Enterprises | Doing Business As Name - Organization |
| Street Address |
6003 W. MAIN STREET |
| City | WILLIAMSTON |
| State | NC |
| Zip Code | 27892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844388 | A Ray of Hope Enterprise LLC | Counselor | 115 E. Main St, Williamston, NC 27892 | 2019-08-01 |
| 1689145476 | Michael Thomas Parrella | Physician Assistant | 2150, 310 South Mccaskey Road, Williamston, NC 27892 | 2018-12-06 |
| 1285136762 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 1227 Brentway Ave, Williamston, NC 27892 | 2018-03-01 |
| 1528443843 | Jeanette Ruffin | Counselor | 223 Faith Works Community Svcs, Inc, Williamston, NC 27892 | 2015-07-28 |
| 1962662577 | Otis Benjamin Burnett Iv | Anesthesiology | 310 South Mckaskey Rd, Williamston, NC 27892 | 2008-06-17 |
| 1659543932 | Divine Intervention for Youth Inc. | Community/Behavioral Health | 203 Green Street, Williamston, NC 27892 | 2008-03-27 |
| 1568645521 | Earle Eugene Barnard | Physical Therapist | 115 West Boulevard, Williamston, NC 27892 | 2007-12-13 |
| 1124168141 | Martin County Residential Services Inc. | Case Manager/Care Coordinator | 6003 West Main Street, Williamston, NC 27892 | 2007-02-07 |
| 1962551374 | David T Marshburn | Dentist | 1025 Harrisway Drive, Williamston, NC 27892 | 2007-01-09 |
| 1164580775 | Steven Philip Dewees | Emergency Medicine | 1130 Godwin Dr, Williamston, NC 27892 | 2006-12-05 |
| Find all providers in zip 27892 | ||||
| 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 |
|---|---|---|---|---|
| 1073004826 | Positive Community Connections | Community/Behavioral Health | 1110 Nai Rad Ln, Williamston, NC 27892-7897 | 2018-05-27 |
| 1538674098 | A Ray of Hope Substance Abuse Counseling Center, LLC | Community/Behavioral Health | 115 E Main St Ste 11, Williamston, NC 27892-2482 | 2017-12-06 |
| 1821533845 | Just 4 Today Services, Inc. | Community/Behavioral Health | 101 Green St, Suite 200, Williamston, NC 27892-2064 | 2016-12-29 |
| 1568850220 | Helping Many Lives | Community/Behavioral Health | 1225 Abbitt Rd, Williamston, NC 27892-7532 | 2015-01-05 |
| 1487977252 | Braxton Earl Peterson | Community/Behavioral Health | 107 N Elm St, Williamston, NC 27892-2301 | 2010-03-09 |
| 1568797934 | Visions of Clarity Human Services, Inc. | Community/Behavioral Health | 111 West Blvd, Williamston, NC 27892-2663 | 2009-10-02 |
| 1891929121 | R.e.a.l.i.t.y. Counseling and Consulting, LLC | Community/Behavioral Health | 2266 Rodgers School Rd, Williamston, NC 27892-8249 | 2009-05-14 |
| 1790926137 | Amani Residential Human Services | Community/Behavioral Health | 312 West Blvd, Williamston, NC 27892-2146 | 2009-03-16 |
| 1659543932 | Divine Intervention for Youth Inc. | Community/Behavioral Health | 203 Green Street, Williamston, NC 27892 | 2008-03-27 |
| 1407032048 | Total Turnaround Mental Health Services, LLC | Community/Behavioral Health | 827 East Boulevard, Williamston, NC 27892-2772 | 2008-01-14 |
| Find all providers in WILLIAMSTON | ||||
| City | WILLIAMSTON |
| Zip Code | 27892 |
Please comment or provide details below to improve the information on MARTIN COUNTY RESIDENTIAL SERVICES.
| 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.