CROSSNORE SCHOOL, INC. (NPI# 1710114103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710114103 |
| Entity Type | Organization |
| Organization Name | CROSSNORE SCHOOL, INC. |
| Other Organization Name | CROSSNORE THERAPEUTIC FOSTER CARE |
| Practice Address |
100 Dar Drive Crossnore NC 28616-0249 |
| Mailing Address |
100 Dar Drive Po Box 249 Crossnore NC 28616-0249 |
| Practice Telephone | 8287334305 |
| Practice Fax Number | 8287333250 |
| Mailing Telephone | 8287334305 |
| Mailing Fax Number | 8287333250 |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |
| Authorized Official Name | TERESA LYNN HUFFMAN (CFO) |
| Authorized Official Telephone | 8287334305 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | B00009 | NC | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Crossnore Therapeutic Foster Care | Doing Business As Name - Organization |
| Street Address |
100 DAR DRIVE |
| City | CROSSNORE |
| State | NC |
| Zip Code | 28616-0249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255564985 | Kelly Pritchett Rodrigues | Counselor | 100 Dar Drive, Crossnore, NC 28616-4305 | 2009-08-28 |
| 1578181608 | Zachary J Champion | Social Worker | 100 Dar Drive, Crossnore, NC 28616-2861 | 2020-07-06 |
| 1497157788 | Katherine H Jones | Marriage & Family Therapist | 100 Dar Drive, Crossnore, NC 28616 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124360276 | Mary Johnson | Social Worker | 100 D.a.r. Drive, Crossnore, NC 28616 | 2013-03-26 |
| 1295855526 | Pamela Carol Loven | Occupational Therapist | Box 309, 129 Allen Circle, Crossnore, NC 28616 | 2007-03-30 |
| 1952471716 | Boone Drugs Inc | Pharmacy | 4263 Linville Falls Hwy, Crossnore, NC 28616 | 2006-11-09 |
| 1841426178 | Alicia Brunson | Counselor | 100 Dar Dr, Crossnore, NC 28616 | 2009-06-01 |
| 1750576682 | Leigh Blake Kadans | Social Worker | 100 Dar Dr., Crossnore, NC 28616 | 2007-09-13 |
| 1316150899 | Michelle Lea Gordon | Counselor | 100 Dar Dr., Crossnore, NC 28616-0249 | 2007-05-08 |
| 1740492677 | Crossnore School Inc | Nurse Practitioner | 100 Dar Dr, Crossnore, NC 28616-0249 | 2007-05-04 |
| 1144494402 | Crossnore School & Children's Home | Counselor | 100 Dar Dr, Crossnore, NC 28616-2861 | 2008-04-17 |
| 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. |
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| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
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| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
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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.