CHANGING PATHS OF NC 2 LLC (NPI# 1790395457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790395457 |
| Entity Type | Organization |
| Organization Name | CHANGING PATHS OF NC 2 LLC |
| Practice Address |
150 Cedar Ln Rose Hill NC 28458 |
| Practice Telephone | 8009521810 |
| Practice Fax Number | 9102892829 |
| Mailing Telephone | 8009521810 |
| Mailing Fax Number | 9102892829 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | MRS. SUSAN MARIE TEAGUE (ADMINISTRATOR) |
| Authorized Official Telephone | 9103381810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| changing paths of nc | Doing Business As Name - Organization |
| Street Address |
150 CEDAR LN |
| City | ROSE HILL |
| State | NC |
| Zip Code | 28458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487211827 | Teondra Bannerman | Counselor | 318 S Sycamore St, Rose Hill, NC 28458 | 2019-05-21 |
| 1619440633 | Tiara Fennell | Marriage & Family Therapist | 871 Pasture Branch Rd., Rose Hill, NC 28458 | 2019-01-03 |
| 1275011975 | Karen Brown | Counselor | 416 W Ridge Street, Rose Hill, NC 28458 | 2018-08-03 |
| 1831613306 | Rosehill Opco, LLC | Assisted Living Facility | 571 S Sycamore St, Rose Hill, NC 28458 | 2017-07-27 |
| 1093268146 | La Voncia Regan Peterson | Social Worker | 416 W. Ridge St, Rose Hill, NC 28458 | 2016-07-25 |
| 1952775546 | Pamela Bannerman-smith | Counselor | 319 N Sycamore St, Rose Hill, NC 28458 | 2015-11-19 |
| 1225402019 | Jessamyn Lynn Angelastro | Social Worker | 416 W Ridge St., Rose Hill, NC 28458 | 2015-11-17 |
| 1891078168 | Ernest Chester Jones Jr. | Pharmacist | 210 North Sycamore, Rose Hill, NC 28458 | 2011-09-23 |
| 1447551965 | New Dimension Group | Community/Behavioral Health | 416 West Ridge St., Rose Hill, NC 28458 | 2010-11-15 |
| 1902039720 | Kimberly M Barber | Pharmacist | 110 South Sycamore St, Rose Hill, NC 28458 | 2009-08-27 |
| Find all providers in zip 28458 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212874 | Hall Empowerment Network | Substance Abuse Rehabilitation Facility | 4450 Kinkead Ct Apt 33, Fayetteville, NC 28314-2420 | 2020-07-16 |
| 1710504642 | The Awakening Wellness Clinic, Inc | Substance Abuse Rehabilitation Facility | 8 Carver Rd, Jacksonville, NC 28540-7010 | 2020-06-26 |
| 1609408269 | Pear Tree Peace Community Economic Development Corporation | Substance Abuse Rehabilitation Facility | 612 Pine Tops Rd, Murfreesboro, NC 27855-9595 | 2020-02-11 |
| 1396383352 | Deerhaven Gardens, LLC. | Substance Abuse Rehabilitation Facility | 66 N Deerhaven Ln, Asheville, NC 28803-0120 | 2019-12-20 |
| 1255973210 | Blissfully Supported LLC | Substance Abuse Rehabilitation Facility | 645 Dunbrook Ln, Charlotte, NC 28217-3405 | 2019-10-11 |
| 1235785726 | Eighth Month Ventures, LLC | Substance Abuse Rehabilitation Facility | 405 Franklin Blvd, Greensboro, NC 27401-4610 | 2019-08-12 |
| 1538720396 | Adaptive Interventions Group, LLC | Substance Abuse Rehabilitation Facility | 107 Robinson Dr, Cherryville, NC 28021-8100 | 2019-06-24 |
| 1356813802 | Red Oak Adolescent Recovery LLC | Substance Abuse Rehabilitation Facility | 517 Cub Creek Rd, Ellenboro, NC 28040-8733 | 2018-12-21 |
| 1619475308 | Titan Holding Group, LLC | Substance Abuse Rehabilitation Facility | 4944 Parkway Plaza Ste 200, Charlotte, NC 28217-0000 | 2018-01-27 |
| 1144737016 | Sea Coast Recovery, LLC | Substance Abuse Rehabilitation Facility | 880 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-2600 | 2018-01-02 |
| Find all providers with the same taxonomy | ||||
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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.