KEYS 4 L.I.F.E.


Address: 136 Raider Rd, Rockingham, NC 28379-9609
Phone: 9103344390

KEYS 4 L.I.F.E. (NPI# 1649515412) 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) 1649515412
Entity Type Organization
Organization Name KEYS 4 L.I.F.E.
Practice Address 136 Raider Rd
Rockingham
NC 28379-9609
Practice Telephone 9103344390
Mailing Telephone 9103344390
Enumeration Date 2012-12-05
Last Update Date 2012-12-05
Authorized Official Name MR. DERRICK JEROME GREEN SR. (C.E.O.)
Authorized Official Telephone 9108177422
Authorized Official Credential BS,QP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC 000000 05

Office Location

Street Address 136 RAIDER RD
City ROCKINGHAM
State NC
Zip Code 28379-9609

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134728157 Yonathan Nigatu Dds Pllc Dentist 1355 E Broad Ave., Rockingham, NC 28379 2020-10-21
1780202788 Rosemond Salia Pharmacy 720 E Highway 74 Business, Rockingham, NC 28379 2020-07-07
1790311835 Daymark Recovery Services Inc Community/Behavioral Health 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 2020-03-20
1639646318 Lakir Patel Pharmacist 720 E Highway Business 74, Rockingham, NC 28379 2018-10-31
1205368180 Karen Mclaurin Early Intervention Provider Agency 138 Ivy Trail, Rockingham, NC 28379 2017-03-30
1134574130 Laura Mcrae Harris Counselor 2202 Fayetteville Road, Rockingham, NC 28379 2016-04-27
1275904542 Marsha A Murphy Counselor 325 South Long Drive, Rockingham, NC 28379 2015-10-13
1659741361 Urgent Cares of America North Carolina Inc Non-Pharmacy Dispensing Site 1262 East Broad Avenue, Rockingham, NC 28379 2015-10-07
1841683448 Tawanda L Bennett Counselor 2202 Fayetteville Rd., Rockingham, NC 28379 2015-03-06
1841682846 Patricia Ann Flowers Counselor 119 Rockinham Rd, Rockingham, NC 28379 2015-02-27
Find all providers in zip 28379

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790311835 Daymark Recovery Services Inc Community/Behavioral Health 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 2020-03-20
1396293957 Premier Counseling Community/Behavioral Health 207 Carolyns Mill Pl, Rockingham, NC 28379-7986 2016-09-13
1891199436 Enhance Care LLC Community/Behavioral Health 294 Mizpah Rd, Rockingham, NC 28379-7376 2014-10-10
1861830044 Monarch Community/Behavioral Health 534 Steele St, Rockingham, NC 28379-3491 2013-06-10
1235577586 Monarch Community/Behavioral Health 270 Mcarthur Dr, Rockingham, NC 28379-4379 2013-06-10
1184960775 Trinity Services LLC Community/Behavioral Health 415 Hood St, Rockingham, NC 28379-3831 2012-12-31
1336414572 Urban Health Solutions LLC Community/Behavioral Health 1219 Rockingham Rd Ste 4, Rockingham, NC 28379-4925 2012-03-21
1417267303 Carolina Family Comprehensive Services, Inc. Community/Behavioral Health 801 E. Broad Ave., Rockingham, NC 28379-4382 2010-10-14
1467769422 A New Beginning Adult and Youth Services, Inc. Community/Behavioral Health 287 County Home Road, Rockingham, NC 28379-3422 2010-09-10
1962722728 Superior Healthcare Services, Inc. Community/Behavioral Health 607 E Broad Ave, Rockingham, NC 28379-3758 2010-06-03
Find all providers in ROCKINGHAM

Competitor

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City ROCKINGHAM
Zip Code 28379

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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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