BOBBY MCRAE (NPI# 1659775989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659775989 |
| Entity Type | Individual |
| Full Name | BOBBY MCRAE |
| Practice Address |
299 Thomasville Ch.rd. Mt Gilead NC 27306 |
| Mailing Address |
Po Box 2542 Albemarle NC 28002-2542 |
| Practice Telephone | 7049616797 |
| Mailing Telephone | 7049616797 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |
| Gender Code | M |
| 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 | 320600000 | Residential Treatment Facilities |
| Street Address |
299 THOMASVILLE CH.RD. |
| City | MT GILEAD |
| State | NC |
| Zip Code | 27306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003364589 | Firsthealth Dental Care | Clinic/Center | 131 Nc Hwy 109 S, Mount Gilead, NC 27306 | 2016-09-14 |
| 1568789162 | Edwina Little | Home Health Aide | 118 S Main St., Mt.gilead, NC 27306 | 2010-04-23 |
| 1508061458 | Ella Bruton | Nursing Home Administrator | 109 Cedar St., Mount Gilead, NC 27306 | 2007-06-20 |
| 1427126325 | Patton Group, LLC | Assisted Living Facility | 110 Roosevelt Street, Mount Gilead, NC 27306 | 2006-12-01 |
| 1750467080 | Comprehensive Therapeutic Programs Inc | Community/Behavioral Health | 104 N School St, Mt Gilead, NC 27306 | 2006-10-30 |
| 1669019956 | Mcpc-8, LLC | Family Medicine | 8004 Highway 73 W, Mt. Gilead, NC 27306 | 2019-12-05 |
| 1972817666 | Shipman-montgomery | Home Health | 108 North Main Street, Mt. Gilead, NC 27306 | 2010-08-05 |
| 1417268665 | Daisy and Edward Home Care Agency | Home Health | 118 South Main Street, 118 South Main Street, Mount Gilead, NC 27306 | 2010-06-23 |
| 1376712075 | Johnny L. Mckinnon, Jr., D.d.s., P.a. | Dentist | 407 North Main Street, Mt. Gilead, NC 27306-0022 | 2008-02-27 |
| 1922298389 | Bruton Family Care Home | Custodial Care Facility | 109 Cedar Street, Mount Gilead, NC 27306-0187 | 2007-07-31 |
| Find all providers in zip 27306 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
| 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 |
| 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.