MONICA MARSH (NPI# 1770947137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770947137 |
Entity Type | Individual |
Full Name | MONICA MARSH |
Practice Address |
615 E Swannanoa Ave Liberty NC 27298-3002 |
Practice Telephone | 3366220252 |
Practice Fax Number | 3366220252 |
Mailing Telephone | 3366330252 |
Mailing Fax Number | 3366220252 |
Enumeration Date | 2016-04-11 |
Last Update Date | 2016-04-11 |
Gender Code | F |
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 | MHL-076-125 | NC | Residential Treatment Facilities |
Street Address |
615 E SWANNANOA AVE |
City | LIBERTY |
State | NC |
Zip Code | 27298-3002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942664313 | Marsh's Residential Living, LLC | Custodial Care Facility | 615 E Swannanoa Ave, Liberty, NC 27298-3002 | 2016-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447445739 | Caroline Peter Edwards | Pharmacist | 204 Liberty Plaza, West Swannanoa Avenue, Liberty, NC 27298 | 2007-09-10 |
1174682223 | North Carolina Cvs Pharmacy LLC | Pharmacy | 204 Liberty Plz, Liberty, NC 27298 | 2006-12-06 |
1336210723 | Thomas Edgar Butler Jr. | Dentist | 524 N Greensboro St, Liberty, NC 27298 | 2006-11-10 |
1336218221 | Dr. Thomas L Blake Pa | Chiropractor | 104 N Greensboro Street, Liberty, NC 27298 | 2006-11-07 |
1932286010 | Community Innovations Inc 66 | Intermediate Care Facility, Mentally Retarded | 313 East Brookwood Avenue, Liberty, NC 27298 | 2006-11-01 |
1235215377 | Randolph Ear, Nose & Throat Associates, P.a. | Otolaryngology | 139 W. Swannanoa Ave, Liberty, NC 27298 | 2006-10-31 |
1104871383 | Philip J. Karam | Family Medicine | 10046 Old Liberty Road, Liberty, NC 27298 | 2006-05-24 |
1437673118 | Christi Meads | Pharmacist | 204 Liberty Plaza, Liberty, NC 27298 | 2017-08-03 |
1326423419 | Dabney Allen | Pharmacist | 204 Liberty Plaza, Liberty, NC 27298 | 2015-07-30 |
1841605979 | Elizabeth W Mumaw | Family Medicine | 504 N Greensboro St, Liberty, NC 27298 | 2014-06-27 |
Find all providers in zip 27298 |
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 |
---|---|---|---|---|
1427259639 | Three Hearts | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4468 Dry Ridge Rd, Liberty, KY 42539-5628 | 2007-05-29 |
1083830913 | Life Unlimited, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2127 Manor Way, Liberty, MO 64068-7202 | 2007-04-18 |
1962628891 | Life Unlimited, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2129 Manor Way, Liberty, MO 64068-7202 | 2007-04-18 |
1174749006 | Life Unlimited, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2142 Manor Way, Liberty, MO 64068-7202 | 2007-04-18 |
1023234952 | Life Unlimited, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2144 Manor Way, Liberty, MO 64068-7202 | 2007-04-18 |
1700902004 | Life Unlimited, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2138 Manor Way, Liberty, MO 64068-7202 | 2007-03-21 |
1891838116 | Cozie's Supervised Living Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7964 County Line Rd, Liberty, NC 27298-9590 | 2007-02-15 |
1326103995 | Life Unlimited, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2133 Manor Way, Liberty, MO 64068-7202 | 2006-12-26 |
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 |
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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.