BARIUM SPRINGS HOME FOR CHILDREN (NPI# 1821115221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821115221 |
Entity Type | Organization |
Organization Name | BARIUM SPRINGS HOME FOR CHILDREN |
Other Organization Name | CHILDREN'S HOPE ALLIANCE |
Practice Address |
209 Barium Springs Drive Multi Specialty Group Statesville NC 28677 |
Mailing Address |
Po Box 1 Barium Springs NC 28010-0001 |
Practice Telephone | 7048731011 |
Practice Fax Number | 7049247683 |
Mailing Telephone | 7048731011 |
Mailing Fax Number | 7048322253 |
Enumeration Date | 2007-03-23 |
Last Update Date | 2018-07-03 |
Authorized Official Name | MS. CELESTE INEZ DOMINGUEZ (CEO) |
Authorized Official Telephone | 7048322211 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6005182 | 05 |
Other Name | Type Code |
---|---|
Children's Hope Alliance | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
518 Signal Hill Drive Ext, Statesville, NC 286254391 | 7048731114 | 8442268856 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699268953 | Barium Springs Home for Children | Community/Behavioral Health | 158 Grandfather Home Drive Bldg 2, Banner Elk, NC 28604 | 2018-06-12 |
1356742290 | Barium Springs Home for Children | Community/Behavioral Health | 404 Harvey St, Winston Salem, NC 27103-1603 | 2014-09-10 |
1629479076 | Barium Springs Home for Children | Community/Behavioral Health | 8358 Six Forks Rd, Suite 203, Raleigh, NC 27615-5093 | 2014-09-04 |
1053674887 | Barium Springs Home for Children | Community/Behavioral Health | 501 E Main Ave, Taylorsville, NC 28681-2728 | 2012-06-18 |
1225394265 | Barium Springs Home for Children | Psychologist | 217 N Edgeworth St, Greensboro, NC 27401 | 2012-04-04 |
1427355379 | Barium Springs Home for Children | Social Worker | 60 Livingston St Ste 100, Asheville, NC 28801 | 2011-02-11 |
1639475072 | Barium Springs Home for Children | Community/Behavioral Health | 150 Georgia Rd, Franklin, NC 28734-3246 | 2011-02-02 |
1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
1780850685 | Barium Springs Home for Children | Community/Behavioral Health | 211 Barium Springs Drive, Stultz Building Therapeutic Foster Care, Statesville, NC 28677 | 2008-05-01 |
1427228626 | Barium Springs Home for Children | Clinic/Center | 120 South Park Dr, Cci Mooresville, Mooresville, NC 28117-8957 | 2008-03-04 |
Street Address |
209 BARIUM SPRINGS DRIVE MULTI SPECIALTY GROUP |
City | STATESVILLE |
State | NC |
Zip Code | 28677 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093831547 | Barium Springs Home for Children | Community/Behavioral Health | 209 Barium Springs Drive, Community Support Services/cannon Bldg, Statesville, NC 28677 | 2007-03-22 |
1629314216 | Lisa Renaye Bentley | Counselor | 209 Barium Springs Drive, Statesville, NC 28677-6238 | 2012-12-31 |
1538405121 | Blake Campbell Ravin | Counselor | 209 Barium Springs Drive, Statesville, NC 28677-6238 | 2012-12-31 |
1396013967 | Barium Springs Home for Children | Community/Behavioral Health | 209 Barium Springs Drive, Statesville, NC 08677-6238 | 2011-12-09 |
1386911451 | Shannon Gantt Shore | Social Worker | 209 Barium Springs Drive, Statesville, NC 28677-6238 | 2011-11-17 |
1639488554 | Barium Springs Home for Children | Community/Behavioral Health | 209 Barium Springs Drive, Statesville, NC 28677-6238 | 2010-09-27 |
1003046863 | Barium Springs Home for Children | Community/Behavioral Health | 209 Barium Springs Drive, Statesville, NC 28677 | 2009-07-15 |
1831216571 | Barium Springs Home for Children | Pediatrics | 209 Barium Springs Drive, Physicians Group, Statesville, NC 28677 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
Find all providers in zip 28677 |
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 |
---|---|---|---|---|
1477058899 | Life Journey Care | Community/Behavioral Health | 898 River Hill Rd, Statesville, NC 28625-9112 | 2018-03-27 |
1316359961 | Winford Brown Ramseur & Assoc | Community/Behavioral Health | 132 Court St, Statesville, NC 28677-5803 | 2014-05-29 |
1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
1154602886 | Rha Health Services Nc, LLC | Community/Behavioral Health | 148 James Farm Rd, Statesville, NC 28625-2707 | 2011-09-08 |
1609157338 | Rha Health Services Nc, LLC | Community/Behavioral Health | 3329 Winchester Ln, Statesville, NC 28625-4546 | 2011-09-08 |
1427339159 | Rha Health Services Nc, LLC | Community/Behavioral Health | 335 N Greenbriar Rd, Statesville, NC 28625-4536 | 2011-09-08 |
1518248244 | Rha Health Services Nc, LLC | Community/Behavioral Health | 303 Saint Andrews Rd, Statesville, NC 28625-4658 | 2011-09-08 |
1659514636 | Cnc Access Inc | Community/Behavioral Health | 110 Stockton St, Statesville, NC 28677-5253 | 2009-04-07 |
1891936076 | Paths To Success | Community/Behavioral Health | 215 S Tradd St, Statesville, NC 28677-5859 | 2009-03-17 |
1780850685 | Barium Springs Home for Children | Community/Behavioral Health | 211 Barium Springs Drive, Stultz Building Therapeutic Foster Care, Statesville, NC 28677 | 2008-05-01 |
Find all providers in STATESVILLE |
City | STATESVILLE |
Zip Code | 28677 |
Please comment or provide details below to improve the information on BARIUM SPRINGS HOME FOR CHILDREN.
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.