PEARLS FAMILY CARE HOME #1 (NPI# 1871701755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871701755 |
| Entity Type | Organization |
| Organization Name | PEARLS FAMILY CARE HOME #1 |
| Practice Address |
674 Smith Road Maysville NC 28555-9120 |
| Mailing Address |
674 Smith Rd Maysville NC 28555-9120 |
| Practice Telephone | 9103263526 |
| Mailing Telephone | 9103263526 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-07-25 |
| Authorized Official Name | PEARLIE M BERRY (ADM) |
| Authorized Official Telephone | 9103263526 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | NC | Residential Treatment Facilities |
| Street Address |
674 SMITH ROAD |
| City | MAYSVILLE |
| State | NC |
| Zip Code | 28555-9120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255989273 | Alaina Christine Weddle | Dietitian, Registered | 115 Waterford Way, Maysville, NC 28555 | 2019-09-03 |
| 1083084206 | Aci Support Specialists | Case Management | 301 4th St., Maysville, NC 28555 | 2015-09-30 |
| 1689016206 | Sue A. Minneman-fowler, Dds, Pllc | Dentist | 1002 Jenkins Anenue, Maysville, NC 28555 | 2013-07-24 |
| 1437311248 | Coastal Childrens Clinic | Pediatrics | 1004 Jenkins Avenue, Maysville, NC 28555 | 2008-07-02 |
| 1932216629 | Sue Ann Minneman-fowler | Dentist | 1002 Jenkins Avenue, Maysville, NC 28555 | 2006-08-25 |
| 1669842894 | Aci Support Specialists | Case Management | 402 Maple Ave, Maysville, NC 28555 | 2015-09-30 |
| 1225277163 | Wilson's Home Care Agency, Inc. | Technician | 506 Main St., Maysville, NC 28555-0331 | 2009-02-17 |
| 1932269792 | Nurses Plus Behavioral Health Services, LLC | Community/Behavioral Health | 378 Catfish Lake Rd., Maysville, NC 28555-0775 | 2006-12-11 |
| 1225294283 | Quality-care Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 402 Maple Avenue, Maple, NC 28555-0942 | 2008-07-30 |
| 1407052194 | Quality Care Behavioral Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 402 Maple Street, Maysville, NC 28555-0942 | 2007-06-21 |
| Find all providers in zip 28555 | ||||
| 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 |
|---|---|---|---|---|
| 1407052194 | Quality Care Behavioral Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 402 Maple Street, Maysville, NC 28555-0942 | 2007-06-21 |
| 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 |
| 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.