PATHFINDERS OF COASTAL CAROLINA, INC.


Address: 301 Roanoke Ave, Plymouth, NC 27962-1521
Phone: 2527933057

PATHFINDERS OF COASTAL CAROLINA, INC. (NPI# 1831422005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831422005
Entity Type Organization
Organization Name PATHFINDERS OF COASTAL CAROLINA, INC.
Practice Address 301 Roanoke Ave
Plymouth
NC 27962-1521
Mailing Address Po Box 97
Roper
NC 27970-0097
Practice Telephone 2527933057
Practice Fax Number 2527933148
Mailing Telephone 2527933057
Mailing Fax Number 2527933148
Enumeration Date 2009-09-04
Last Update Date 2009-09-04
Authorized Official Name MR. CRAIG EVAN WILKINS (CHIEF EXECUTIVE OFFICER/ OWNER)
Authorized Official Telephone 4102512311
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407000706 Pathfinders of Coastal Carolina, Inc. Day Training, Developmentally Disabled Services 125-a. West Water St., Plymouth, NC 27962-1305 2008-11-13

Office Location

Street Address 301 ROANOKE AVE
City PLYMOUTH
State NC
Zip Code 27962-1521

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

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1982091898 Second Nature Social Skills Community/Behavioral Health 15 Main Street Ext Ste 7, Plymouth, MA 02360-3383 2015-04-17
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1730449398 Future Empowerment Community/Behavioral Health 117 W Water St, Plymouth, NC 27962-1305 2012-05-16
1528336088 S-t-e-p-s Community/Behavioral Health 2535 Us Highway 64 W, Plymouth, NC 27962-9349 2011-12-12
1063657724 Community Alignments & Adjustments Community/Behavioral Health 609 Wilson St, Plymouth, NC 27962-2119 2008-12-10
1962650507 Elite Professinal Services, LLC Community/Behavioral Health 119 E Water St, Plymouth, NC 27962-1300 2008-09-08
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Competitor

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City PLYMOUTH
Zip Code 27962

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Dataset Information

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.

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