THE SHEPHERD'S WATCH, INC (NPI# 1669780912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669780912 |
| Entity Type | Organization |
| Organization Name | THE SHEPHERD'S WATCH, INC |
| Practice Address |
129 Redemption Rd Statesville NC 28625-1526 |
| Practice Telephone | 7048766161 |
| Practice Fax Number | 7048761571 |
| Mailing Telephone | 7048766161 |
| Mailing Fax Number | 7048761571 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |
| Authorized Official Name | MRS. REGINA C. DOWDLE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7048766161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
129 REDEMPTION RD |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-1526 |
| 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 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942411442 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 115 Barium Springs Drive, Nelson Home, Statesville, NC 28677-6238 | 2007-05-25 |
| 1780807735 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 711 Brookdale Dr, Statesville, NC 28677-3405 | 2007-04-10 |
| 1316038375 | You-turn, Inc | Community Based Residential Treatment Facility, Mental Illness | 117 Old Mountain Rd, Statesville, NC 28677-2062 | 2006-09-27 |
| 1275637423 | Our Fathers Place Inc | Community Based Residential Treatment Facility, Mental Illness | 256 East Broad Street, Statesville, NC 28677 | 2006-09-09 |
| 1396288585 | Shekinah Resource Foundation | Community Based Residential Treatment Facility, Mental Illness | 301 S Oakland Ave, Unit 6444, Statesville, NC 28687-0837 | 2016-11-21 |
| 1982744439 | You-turn, Inc | Community Based Residential Treatment Facility, Mental Illness | 117 Old Mountain Rd, Statesville, NC 28677-2062 | 2007-02-07 |
| 1790825248 | You-turn, Inc | Community Based Residential Treatment Facility, Mental Illness | 117 Old Mountain Rd, Statesville, NC 28677-2062 | 2007-02-07 |
| 1609916154 | You-turn, Inc | Community Based Residential Treatment Facility, Mental Illness | 117 Old Mountain Rd, Statesville, NC 28677-2062 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1245837061 | Bliss Haven Group LLC | Community Based Residential Treatment Facility, Mental Illness | 2442 Sandhurst Ct, Gastonia, NC 28054-2738 | 2020-10-05 |
| 1386259265 | Nevaehs Caring Hands | Community Based Residential Treatment Facility, Mental Illness | 2509 Dalton Rd, Rocky Mount, NC 27803-4721 | 2020-09-09 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1801409859 | Destiny & Miracle LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 Houston St, Gastonia, NC 28052-1632 | 2020-08-28 |
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1366001976 | Foundation of Hope, Inc. | Community Based Residential Treatment Facility, Mental Illness | 119 Grice Road, Chadbourn, NC 28431-6709 | 2019-06-07 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1174187868 | Stepping Stone Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 2720 White Oak Ln, Kannapolis, NC 28083-7256 | 2019-04-28 |
| Find all providers with the same taxonomy | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
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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.