CEICARE THERAPEUTIC DEVELOPMENT & HEALTH RESOURCE MANAGEMENT (NPI# 1780921148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780921148 |
Entity Type | Organization |
Organization Name | CEICARE THERAPEUTIC DEVELOPMENT & HEALTH RESOURCE MANAGEMENT |
Other Organization Name | CEICARE THERAPEUTIC RESOURCES |
Practice Address |
3020 Prosperity Church Rd Unit 178 Charlotte NC 28269-7197 |
Practice Telephone | 7046055989 |
Practice Fax Number | 9803350434 |
Mailing Telephone | 7046055989 |
Mailing Fax Number | 9803350434 |
Enumeration Date | 2013-01-04 |
Last Update Date | 2013-01-04 |
Authorized Official Name | DR. JAY FERNANDO (MEDICAL DIRECTOR) |
Authorized Official Telephone | 9802306654 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6601527 | 05 |
Other Name | Type Code |
---|---|
CeiCare Therapeutic Resources | Doing Business As Name - Organization |
Street Address |
3020 PROSPERITY CHURCH RD UNIT 178 |
City | CHARLOTTE |
State | NC |
Zip Code | 28269-7197 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891787255 | Bryan Edward Connell | Psychologist | 3020 Prosperity Church Rd, Ste J, Charlotte, NC 28269-8100 | 2005-08-22 |
1477001881 | Stanley Barron | Driver | 3020 Prosperity Church Rd, Suite 187, Charlotte, NC 28269-7197 | 2016-09-14 |
1689905895 | Woodlawn Family Care Inc | Family Medicine | 3020 Prosperity Church Rd, Charlotte, NC 28269-7197 | 2010-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
Find all providers in zip 28269 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841617974 | Christopher Rushmeyer | Nursing Facility/Intermediate Care Facility | 1820 Harris Houston Rd, Unit 621411, Charlotte, NC 28262-9253 | 2014-03-26 |
1194922807 | Steven Darrell Tyndall | Nursing Facility/Intermediate Care Facility | 7820 Ballantyne Commons Pkwy Ste 100, Charlotte, NC 28277-2889 | 2007-06-27 |
1386764249 | Ssc Charlotte Shamrock Operating Company LLC | Nursing Facility/Intermediate Care Facility | 2727 Shamrock Dr, Charlotte, NC 28205-2215 | 2007-04-01 |
1578621264 | Victorious Health Services | Nursing Facility/Intermediate Care Facility | 3549 N Sharon Amity Rd, Suite 300, Charlotte, NC 28205-8900 | 2006-12-05 |
1891870804 | Avante At Charlotte, Inc. | Nursing Facility/Intermediate Care Facility | 4801 Randolph Rd, Charlotte, NC 28211-2921 | 2006-10-26 |
1265526404 | Mecklenburg Health Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 2415 Sandy Porter Rd, Charlotte, NC 28273-3695 | 2006-10-03 |
1124111943 | Charlotte Health Care Center 68, Inc. | Nursing Facility/Intermediate Care Facility | 1735 Toddville Rd, Charlotte, NC 28214-2436 | 2006-10-02 |
1922495647 | Rebecca Bergman | Nursing Facility/Intermediate Care Facility | 515 Clanton Rd, Charlotte, NC 28217-1309 | 2015-04-21 |
1699962027 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 9200 Glenwater Dr, Charlotte, NC 28262-8557 | 2007-10-01 |
1811064157 | Mountain View Medical Services | Nursing Facility/Intermediate Care Facility | 3230 Prosperity Church Rd, Suite 101, Charlotte, NC 28269-8251 | 2006-11-30 |
Find all providers in CHARLOTTE |
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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.