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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 000000 | 05 |
Street Address |
136 RAIDER RD |
City | ROCKINGHAM |
State | NC |
Zip Code | 28379-9609 |
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 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 |
---|---|---|---|---|
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 |
City | ROCKINGHAM |
Zip Code | 28379 |
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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.