PARADISE LANDING 1 (NPI# 1588140040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588140040 |
| Entity Type | Organization |
| Organization Name | PARADISE LANDING 1 |
| Practice Address |
1533 Briggs Rd Henderson NC 27537-3898 |
| Practice Telephone | 2525724262 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Authorized Official Name | DEIDRE TABORN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2525724262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1533 BRIGGS RD |
| City | HENDERSON |
| State | NC |
| Zip Code | 27537-3898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931564 | Bonie Teal | Technician | 24 Waters Edge Rd, Henderson, NC 27537 | 2019-09-13 |
| 1720517147 | Jackson Thompson | Specialist/Technologist | 296 Cross Creek Rd, Henderson, NC 27537 | 2017-06-08 |
| 1346643160 | The Turner Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1945 Carey Chapel Road, Henderson, NC 27537 | 2014-10-07 |
| 1306285994 | Brown Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6789 Vicksboro Road, Henderson, NC 27537 | 2013-06-18 |
| 1518306349 | Peace Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Bliley Lane, Henderson, NC 27537 | 2013-06-14 |
| 1346555349 | New Direction Ministries, Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 825 Thomas Road, Henderson, NC 27537 | 2010-08-13 |
| 1326371881 | Transforming Therapeutic Intensive Services | Clinic/Center | 416 Forest Hills Drive, Henderson, NC 27537 | 2009-09-15 |
| 1811166507 | D.d. Residential Services, Inc | Community/Behavioral Health | 941 U.S. 158, Vance Adult Group Home, Henderson, NC 27537 | 2008-02-27 |
| 1083770598 | A.g.a.p.e. Community Development Corporation, Inc. | Case Management | 265 Satterwhite Point Road, Henderson, NC 27537 | 2006-12-29 |
| 1316438948 | Beulah Margaret Gracelyn Daniel Nirmal Singh | Physical Therapist | 2275 Ruin Creek Rd, Henderson, NC 27537 | 2018-05-18 |
| Find all providers in zip 27537 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708310 | Heather Adams | Counselor | 915 Alper Center Dr Unit 3205, Henderson, NV 89052-1539 | 2020-10-18 |
| 1023627734 | Nicole R Vaughn Changing Minds | Counselor | 1070 Wigwam Pkwy Ste 120, Henderson, NV 89074-8193 | 2020-07-28 |
| 1710505722 | Christopher Flynn II | Counselor | 540 W Horizon Ridge Pkwy, Henderson, NV 89012-5202 | 2020-07-07 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1215551841 | Jacqueline Marie Villalobos | Counselor | 1404 Blaine Ranch St, Henderson, NV 89012-4805 | 2020-05-29 |
| 1750914792 | Charles Jacob Stockwell | Counselor | 2473 Bench Reef Pl, Henderson, NV 89052-5202 | 2020-02-18 |
| 1184260788 | Nathaniel Jacob Minetto | Counselor | 375 N Stephanie St # 8, Henderson, NV 89014-8771 | 2019-11-19 |
| 1225692965 | Jeannette Alina Cabagua | Counselor | 724 Bollons Island St, Henderson, NV 89002-0966 | 2019-04-29 |
| 1952862542 | Pervin N/a Gupta | Counselor | 2535 Binary Stars St, Henderson, NV 89044-4427 | 2019-03-27 |
| 1194289710 | Ernest Griego | Counselor | 2050 S Magic Way Spc 130, Henderson, NV 89002-8636 | 2019-01-28 |
| Find all providers in HENDERSON | ||||
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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.