PHASEBDEVELOPMENT


Address: 113 Bethany Rd, Statesville, NC 28625
Phone: 6465121620

PHASEBDEVELOPMENT (NPI# 1619122538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619122538
Entity Type Organization
Organization Name PHASEBDEVELOPMENT
Practice Address 113 Bethany Rd
Statesville
NC 28625
Practice Telephone 6465121620
Mailing Telephone 6465121620
Enumeration Date 2008-11-19
Last Update Date 2008-11-19
Authorized Official Name MR. GREGG ALLEN REDMON (COO)
Authorized Official Telephone 6465121620
Authorized Official Credential MA, MED
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 239456258 NY Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922252089 Phasebdevelopment Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 138 Central Ave, Jersey City, NJ 07306-2119 2008-11-14

Office Location

Street Address 113 BETHANY RD
City STATESVILLE
State NC
Zip Code 28625

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730714163 Sandra Lourdes Mayta Counselor 1450 Fern Creek Drive, Statesville, NC 28625 2020-03-05
1023643582 Youngchi Chang Dds Pllc Dentist 964 Glenway Ave Ste A, Statesville, NC 28625 2020-03-05
1538799200 Nicole-marie Blischak Dentist 964 Glenway Dr, Ste A, Statesville, NC 28625 2020-01-22
1013575257 Sherry Neilson Registered Nurse 524 Signal Hill Rd, Statesville, NC 28625 2019-06-03
1770904328 Elinor Kyle Tyner Counselor 1206 Museum Road, Statesville, NC 28625 2013-12-30
1982031001 Tamiko Bradley Counselor 524 Signal Hill Dr Ext, Statesville, NC 28625 2013-10-03
1487932505 Nicole Weisner Winecoff Advanced Practice Midwife 1420 Fern Creek Drive, Statesville, NC 28625 2011-07-22
1538461967 Bethany J Sprague Nurse Practitioner 2632 Fines Creek Dr, Statesville, NC 28625 2010-11-17
1477789147 Greenbriar Primary Care, Pa Nurse Practitioner 308-c Mocksville Highway, Statesville, NC 28625 2009-06-08
1356467385 Goodwill Industries Nwnc Local Education Agency (LEA) 124 Fourth Cresent Place, Statesville, NC 28625 2007-03-21
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861672396 House of Virtue Substance Abuse Rehabilitation Facility 502 S Center St, Statesville, NC 28677-6120 2007-11-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790395457 Changing Paths of Nc 2 LLC Substance Abuse Rehabilitation Facility 150 Cedar Ln, Rose Hill, NC 28458 2020-08-06
1982212874 Hall Empowerment Network Substance Abuse Rehabilitation Facility 4450 Kinkead Ct Apt 33, Fayetteville, NC 28314-2420 2020-07-16
1710504642 The Awakening Wellness Clinic, Inc Substance Abuse Rehabilitation Facility 8 Carver Rd, Jacksonville, NC 28540-7010 2020-06-26
1609408269 Pear Tree Peace Community Economic Development Corporation Substance Abuse Rehabilitation Facility 612 Pine Tops Rd, Murfreesboro, NC 27855-9595 2020-02-11
1396383352 Deerhaven Gardens, LLC. Substance Abuse Rehabilitation Facility 66 N Deerhaven Ln, Asheville, NC 28803-0120 2019-12-20
1255973210 Blissfully Supported LLC Substance Abuse Rehabilitation Facility 645 Dunbrook Ln, Charlotte, NC 28217-3405 2019-10-11
1235785726 Eighth Month Ventures, LLC Substance Abuse Rehabilitation Facility 405 Franklin Blvd, Greensboro, NC 27401-4610 2019-08-12
1538720396 Adaptive Interventions Group, LLC Substance Abuse Rehabilitation Facility 107 Robinson Dr, Cherryville, NC 28021-8100 2019-06-24
1356813802 Red Oak Adolescent Recovery LLC Substance Abuse Rehabilitation Facility 517 Cub Creek Rd, Ellenboro, NC 28040-8733 2018-12-21
1619475308 Titan Holding Group, LLC Substance Abuse Rehabilitation Facility 4944 Parkway Plaza Ste 200, Charlotte, NC 28217-0000 2018-01-27
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Competitor

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City STATESVILLE
Zip Code 28625

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Dataset Information

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.

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