GAYNELLE BOLLING (NPI# 1649895442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649895442 |
| Entity Type | Individual |
| Full Name | GAYNELLE BOLLING |
| Practice Address |
102 Mandarin Dr Pikeville NC 27863-0020 |
| Practice Telephone | 9192141911 |
| Mailing Telephone | 9192141911 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INTERNAL REVENUE SERVICE | 85-1342554 | 01 |
| Street Address |
102 MANDARIN DR |
| City | PIKEVILLE |
| State | NC |
| Zip Code | 27863-0020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003299561 | Chrishaunda Lakeish Vick | Nurse Practitioner | 4680 Us-177, Pikeville, NC 27863 | 2015-07-02 |
| 1619208071 | Faithful Family Care | Assisted Living Facility | 103 Se Railroad St, Pikeville, NC 27863 | 2010-01-26 |
| 1144375874 | Thigpen Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 107-111 Nw Railroad St, Pikeville, NC 27863 | 2007-01-24 |
| 1437206448 | Margaret Mooring Evans | Nurse Practitioner | 5413 Us 117 N, Eastern Medical Associates, Pikeville, NC 27863 | 2007-01-04 |
| 1013000124 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 4700 Us Highway 117 North, Pikeville, NC 27863 | 2006-10-02 |
| 1184829038 | Countryside Living | Assisted Living Facility | 5383 Us 117 North, Pikeville, NC 27863-0335 | 2007-06-20 |
| 1740436989 | C&e Assisted Living, Inc | Assisted Living Facility | 109 Southeast Railroad Street, Pikeville, NC 27863-0428 | 2008-08-07 |
| 1710221247 | Staci Lynne Short | Physical Therapist | 117 Oak Summit Dr, Pikeville, NC 27863-8116 | 2012-11-21 |
| 1174867618 | S.t.a.n.d...ing, Inc | Community/Behavioral Health | 206 S Goldsboro Rd, Pikeville, NC 27863-8335 | 2012-11-21 |
| 1336271691 | Krystals House, LLC | Custodial Care Facility | 83 White Horse Rd, Pikeville, NC 27863-8365 | 2007-03-12 |
| Find all providers in zip 27863 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528569498 | Appalachian Community Supports, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 52 Wanda Ln, Pikeville, KY 41501-8061 | 2018-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1750935839 | Heavenly Touch Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 | 2019-07-28 |
| 1073166245 | Making Kids Matter, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 | 2019-07-17 |
| 1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
| 1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1487131074 | Ronald Anthony Benjamin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 | 2018-07-26 |
| 1477045714 | Jacqueline Kirby | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5212 Fox Hunt Dr Apt A, Greensboro, NC 27407-7118 | 2018-06-02 |
| Find all providers with the same taxonomy | ||||
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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.