LUTHERAN FAMILY SERVICES IN THE CAROLINAS (NPI# 1689720062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689720062 |
| Entity Type | Organization |
| Organization Name | LUTHERAN FAMILY SERVICES IN THE CAROLINAS |
| Practice Address |
912 Cheviot Ave Durham NC 27707-4512 |
| Mailing Address |
Po Box 12287 Raleigh NC 27605-2287 |
| Practice Telephone | 9194190023 |
| Mailing Telephone | 9198322620 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DWIGHT MURRAY (AR AND CONTRACTS MANAGER) |
| Authorized Official Telephone | 9198612850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-032-283 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603407 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881919249 | Lutheran Family Services In The Carolinas | Community/Behavioral Health | 616 Hutton St, Raleigh, NC 27606-1444 | 2010-03-29 |
| 1487865853 | Lutheran Family Services In The Carolinas | Community Based Residential Treatment Facility, Mental Illness | 130 Booth Rd, Chapel Hill, NC 27516-9643 | 2007-05-25 |
| 1225242555 | Lutheran Family Services In The Carolinas | Community/Behavioral Health | 112 Cox Ave, Raleigh, NC 27605-1817 | 2007-05-09 |
| 1093853822 | Lutheran Family Services In The Carolinas | Residential Treatment Facility, Emotionally Disturbed Children | 1440 Broad River Rd, Columbia, SC 29210-7643 | 2007-02-02 |
| 1477690436 | Lutheran Family Services In The Carolinas | Community/Behavioral Health | 891 Willow Dr Ste 2, Chapel Hill, NC 27514-7077 | 2007-01-31 |
| 1033256383 | Lutheran Family Services In The Carolinas | Social Worker | 4008 S. Nc Hwy. 62, Burlington, NC 27201-0250 | 2007-01-30 |
| 1447396262 | Lutheran Family Services In The Carolinas | Counselor | 867 5th St Ne, Hickory, NC 28601-3939 | 2007-01-29 |
| 1124164355 | Lutheran Family Services In The Carolinas | Residential Treatment Facility, Emotionally Disturbed Children | 4230 Timberlane Dr, Columbia, SC 29205-4941 | 2007-01-29 |
| 1215073440 | Lutheran Family Services In The Carolinas | Residential Treatment Facility, Emotionally Disturbed Children | 4240 Timberlane Dr, Columbia, SC 29205-4941 | 2007-01-29 |
| 1609912831 | Lutheran Family Services In The Carolinas | Technician | 2032 Homestead Place, Chapel Hill, NC 27516-9076 | 2007-01-29 |
| Street Address |
912 CHEVIOT AVE |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891019345 | Purposely Driven By Hope Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2720 Wedgedale Ave, Durham, NC 27703-3345 | 2010-03-25 |
| 1235453366 | Striving for Excellence Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 3704 Four Seasons Dr, Durham, NC 27707-4724 | 2010-03-18 |
| 1194051110 | Herbert Way of Living, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 810 Cartman Dr, Durham, NC 27704-2318 | 2009-10-27 |
| 1639310238 | Visions of Hope Adolescent Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3633 Glidewell Ct, Durham, NC 27707-6044 | 2009-03-12 |
| 1285874909 | Freddie Lee Williams | Residential Treatment Facility, Emotionally Disturbed Children | 3671 Guess Rd, Durham, NC 27705-6908 | 2009-02-21 |
| 1134366388 | Kinder Love Homs | Residential Treatment Facility, Emotionally Disturbed Children | 1202 Ellis Rd, Durham, NC 27703-6027 | 2009-01-09 |
| 1891931044 | Another Chance Residential, LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 232 Ruby Ridge Rd, Durham, NC 27703-4661 | 2008-12-17 |
| 1821261389 | S Martin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2 Isaacs Way, Durham, NC 27713-3465 | 2008-04-05 |
| 1366611584 | Mckinley's Better Living Residential Services | Residential Treatment Facility, Emotionally Disturbed Children | 104 Putnam Ln, Durham, NC 27713-2316 | 2008-02-21 |
| 1154513141 | The Greenhouse, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 224 Overlook Ave, Durham, NC 27712-2829 | 2007-08-14 |
| Find all providers in DURHAM | ||||
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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.