ENVISIONS OF LIFE, LLC (NPI# 1881891695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881891695 |
| Entity Type | Organization |
| Organization Name | ENVISIONS OF LIFE, LLC |
| Practice Address |
4003 Gatwick Ct Greensboro NC 27406-8573 |
| Mailing Address |
5 Centerview Dr. Ste 110 Greensboro NC 27407-3709 |
| Practice Telephone | 3366975277 |
| Practice Fax Number | 3368871085 |
| Mailing Telephone | 3368870708 |
| Mailing Fax Number | 3368871085 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | MRS. TOMEKO MOORE (PRESIDENT) |
| Authorized Official Telephone | 3368870708 |
| Authorized Official Credential | LCAS, LCSWA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL 041 699 | NC | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 041-699 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603624 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972700763 | Envisions of Life, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 420 Gulley St, Goldsboro, NC 27530-5045 | 2007-06-27 |
| 1255538039 | Envisions of Life, LLC | Case Management | 4003 Gatwick Ct, Greensboro, NC 27406-8573 | 2007-06-27 |
| Street Address |
4003 GATWICK CT |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27406-8573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255538039 | Envisions of Life, LLC | Case Management | 4003 Gatwick Ct, Greensboro, NC 27406-8573 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548750201 | Lesia Ann Lancaster | Counselor | 1451 South Elm-eugene Street, Suite 3109, Greensboro, NC 27406 | 2018-05-17 |
| 1538667092 | Brittany T. Price | Specialist/Technologist | 5806 Davis Mill Rd., Greensboro, NC 27406 | 2018-01-30 |
| 1457868168 | Therapyworks Counseling, Pllc | Clinic/Center | 1451 S Elm Eugene St Unit 54, Greensboro, NC 27406 | 2018-01-03 |
| 1548776644 | Brent Douglas Sprinkle | Counselor | 1451 S Elm Eugene St # 3107, Greensboro, NC 27406 | 2017-12-27 |
| 1922537216 | Liam Buckley | Specialist/Technologist | 201 Mcadoo Avenue, Apt 3f, Greensboro, NC 27406 | 2017-06-08 |
| 1669903589 | Reba Siler Kennedy | Specialist | 1325 South Eugene Street, Suite 102, Greensboro, NC 27406 | 2017-03-22 |
| 1811433089 | Lee Street Services LLC | Community/Behavioral Health | 1202 East Mountain St, Unit C, Kernersville, NC 27406 | 2017-01-12 |
| 1811430184 | A & A Health Care Agency, Inc. | Custodial Care Facility | 2600 Kilpatrick-white Rd, Greensboro, NC 27406 | 2016-11-18 |
| 1063877900 | Yolanda Deonne Ector | Rehabilitation Practitioner | 5605 Country Club Rd, Greensboro, NC 27406 | 2015-12-18 |
| 1053785121 | Mamie Turner | Behavioral Analyst | 5202 Olde Forest Dr, Greensboro, NC 27406 | 2015-11-30 |
| Find all providers in zip 27406 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1760982888 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 300 Bingham St, Greensboro, NC 27401 | 2018-02-15 |
| 1659757110 | Crestbrook Rehabilitation | Community Based Residential Treatment Facility, Mental Illness | 2814 Liberty Oaks Dr Apt A, Greensboro, NC 27406-9754 | 2015-08-07 |
| 1811373624 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 5221 Fox Hunt Dr, B, Greensboro, NC 27407-7143 | 2015-08-04 |
| 1598141582 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 318 E Vandalia Rd, Greensboro, NC 27406-5906 | 2015-08-03 |
| 1396133203 | Youth Enrichment Group Home Inc | Community Based Residential Treatment Facility, Mental Illness | 321 E Montcastle Dr Unit F, Greensboro, NC 27406-5344 | 2014-12-30 |
| 1346511748 | Blessed New Beginnings, LLC | Community Based Residential Treatment Facility, Mental Illness | 515 Guilford College Rd, Greensboro, NC 27409-2015 | 2012-01-18 |
| 1851673875 | Warm Hearts Family Care | Community Based Residential Treatment Facility, Mental Illness | 4113 Summerglen Dr, Greensboro, NC 27406-6425 | 2011-09-15 |
| 1972882868 | Griffin Supervised Living | Community Based Residential Treatment Facility, Mental Illness | 2 Partnership Ct, Greensboro, NC 27405-5200 | 2011-08-09 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27406 |
Please comment or provide details below to improve the information on ENVISIONS OF LIFE, LLC.
| 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.