KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC. (NPI# 1740547603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740547603 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC. |
| Practice Address |
3710 University Dr Suite 200 Durham NC 27707-6203 |
| Mailing Address |
4085 Independence Dr Schnecksville PA 18078-2574 |
| Practice Telephone | 9194898038 |
| Practice Fax Number | 9194931967 |
| Mailing Telephone | 6107998473 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2014-02-24 |
| Authorized Official Name | MR. JAMES HORAN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6107998552 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 5146A | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679932040 | Kidspeace National Centers of North America, Inc. | Foster Care Agency | 200 Aaron Ct, Kingston, NY 12401-2963 | 2016-02-15 |
| 1518326982 | Kidspeace National Centers of North America, Inc. | Foster Care Agency | 2 Greentown Rd, Buchanan, NY 10511-1007 | 2016-02-15 |
| 1104285576 | Kidspeace National Centers of North America, Inc. | Foster Care Agency | 2801 Wehrle Dr Ste 13-14, Williamsville, NY 14221-7381 | 2016-02-15 |
| 1023355013 | Kidspeace National Centers of North America, Inc. | Community/Behavioral Health | 3109 Poplarwood Ct Ste 310, Raleigh, NC 27604-1025 | 2013-01-10 |
| 1043484744 | Kidspeace National Centers of North America, Inc. | Assisted Living Facility | 3604 Macon Rd Ste 3, Columbus, GA 31907-8221 | 2008-04-15 |
| 1487828182 | Kidspeace National Centers of North America, Inc. | Assisted Living Facility | 2080 Sugarloaf Pkwy Ste 120-130, Lawrenceville, GA 30045-9401 | 2008-04-15 |
| 1154501534 | Kidspeace National Centers of North America, Inc. | Assisted Living Facility | 5100 Leesburg Pike, Suite 302, Alexandria, VA 22302-1000 | 2007-11-14 |
| 1366802241 | Kidspeace National Centers of North America, Inc. | Foster Care Agency | 2 Greentown Rd, Buchanan, NY 10511-1007 | 2016-03-04 |
| 1033452560 | Kidspeace National Centers of North America, Inc. | Community/Behavioral Health | 3109 Poplarwood Ct Ste 310, Raleigh, NC 27604-1025 | 2013-04-03 |
| 1124362819 | Kidspeace National Centers of North America, Inc. | Community/Behavioral Health | 2711 Breezewood Ave Fl 1, Fayetteville, NC 28303-5526 | 2012-11-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC. | 80 State Street, Albany, Ny 122072543 |
| Street Address |
3710 UNIVERSITY DR SUITE 200 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-6203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677229 | Primahealth Ipa LLC | Exclusive Provider Organization | 3710 University Dr, Suite 300, Durham, NC 27707-6203 | 2005-08-30 |
| 1861719056 | Interim Healthcare of The Triangle, LLC | Home Infusion | 3710 University Dr, Suite 330, Durham, NC 27707-6203 | 2010-04-27 |
| 1194055756 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 3710 University Dr, Suite 200, Durham, NC 27707-6203 | 2010-01-05 |
| 1043469950 | Interim Healthcare of The Triangle, LLC | Nursing Care | 3710 University Dr, Suite 135, Durham, NC 27707-6203 | 2008-09-16 |
| 1740314095 | Interim Healthcare of The Triangle, LLC | Physical Therapist | 3710 University Dr, Suite 130, Durham, NC 27707-6203 | 2007-03-16 |
| 1457485963 | Interim Healthcare of The Triangle, LLC | Registered Nurse | 3710 University Dr, Suite 130, Durham, NC 27707-6203 | 2007-03-15 |
| 1659472207 | Interim Healthcare of The Triangle, LLC | Home Health | 3710 University Dr, Suite 135, Durham, NC 27707-6203 | 2006-09-26 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578667 | Alternative Choice Home Care Agency, LLC | Community/Behavioral Health | 800 N Mangum St Ste A-i, Durham, NC 27701-2260 | 2020-04-29 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1457916132 | Kalvin Franklin Jr. | Community/Behavioral Health | 2632 Cherry Creek Dr, Durham, NC 27703-5746 | 2019-05-07 |
| 1356804108 | Komkare Empowerment Center | Community/Behavioral Health | 1058 W Club Blvd Ste 232, Durham, NC 27701-1149 | 2019-04-09 |
| 1952883431 | Willow Oak Therapy, Pllc | Community/Behavioral Health | 3622 Lyckan Pkwy Ste 6006, Durham, NC 27707-2539 | 2018-08-31 |
| 1033634886 | Liasions Community Care | Community/Behavioral Health | 304a N Driver St, Durham, NC 27703-3058 | 2017-08-12 |
| 1447785134 | Nathaniel David Sawyer | Community/Behavioral Health | 5731 N Roxboro Rd, Durham, NC 27712-1427 | 2017-05-01 |
| 1376075556 | Baart Community Healthcare | Community/Behavioral Health | 800 N Mangum St Ste 300&400, Durham, NC 27701-2260 | 2017-03-28 |
| 1457807968 | Therapeutic Interventions Pllc | Community/Behavioral Health | 1058 W Club Blvd Ste 602, Durham, NC 27701-1159 | 2016-08-25 |
| 1912355298 | Harmony Healthcare Services, LLC | Community/Behavioral Health | 4004 Ben Franklin Blvd Ste C, Durham, NC 27704-2384 | 2016-05-27 |
| 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.