NEW DESTINATIONS, INC. (NPI# 1891040333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891040333 |
| Entity Type | Organization |
| Organization Name | NEW DESTINATIONS, INC. |
| Practice Address |
219 N Foushee St Roxboro NC 27573-5314 |
| Mailing Address |
5720 Turner Store Lane Raleigh NC 27603-7976 |
| Practice Telephone | 3363221150 |
| Practice Fax Number | 3363221153 |
| Mailing Telephone | 9197732706 |
| Mailing Fax Number | 9802250385 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2017-07-07 |
| Authorized Official Name | LARRY LEE LACKEY (DIRECTOR) |
| Authorized Official Telephone | 9197732706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | NC | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568718393 | New Destinations, Inc. | Assisted Living Facility | 213 Broad St, Mount Airy, NC 27030-4685 | 2012-07-30 |
| 1093073850 | New Destinations, Inc. | Assisted Living Facility | 125 E Longview St, Chapel Hill, NC 27516-1728 | 2012-04-30 |
| 1376899104 | New Destinations, Inc. | Assisted Living Facility | 124 Oakpark Dr Unit J, Mooresville, NC 28115-7884 | 2012-07-30 |
| 1801141346 | New Destinations, Inc. | Custodial Care Facility | 404 S Claiborne St, Goldsboro, NC 27530-5310 | 2012-07-20 |
| 1619222155 | New Destinations, Inc. | Community/Behavioral Health | 75 Crawford St, Marion, NC 28752-4853 | 2012-07-20 |
| 1639424179 | New Destinations, Inc. | Custodial Care Facility | 4710 Arbor Rd, Fayetteville, NC 28311-1603 | 2012-07-20 |
| 1366797805 | New Destinations, Inc. | Custodial Care Facility | 711 Brookdale Dr, Statesville, NC 28677-3405 | 2012-07-20 |
| 1346595881 | New Destinations, Inc. | Custodial Care Facility | 202 N Nash St, Hillsborough, NC 27278-2335 | 2012-07-20 |
| 1164777603 | New Destinations, Inc. | Custodial Care Facility | 1524 Southwood Dr, Durham, NC 27707-2114 | 2012-07-20 |
| 1265787709 | New Destinations, Inc. | Custodial Care Facility | 409 Ebon Rd, Durham, NC 27713-1621 | 2012-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | NEW DESTINATIONS, INC. | 237 Hidden Oaks Court, Dubuque, IA 52003 |
| Street Address |
219 N FOUSHEE ST |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215105382 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 219 N Foushee St, Roxboro, NC 27573-5314 | 2008-02-12 |
| 1831328491 | New Destinations, Inc. | Community Based Residential Treatment Facility, Mental Illness | 219 N Foushee St, Roxboro, NC 27573-5314 | 2009-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| Find all providers in zip 27573 | ||||
| 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 |
|---|---|---|---|---|
| 1720598832 | Therapeutic Health Services | Community Based Residential Treatment Facility, Mental Illness | 1148 Allensville Rd, Roxboro, NC 27574-7057 | 2017-10-03 |
| 1215105382 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 219 N Foushee St, Roxboro, NC 27573-5314 | 2008-02-12 |
| 1184760084 | Person County Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-29 |
| 1831328491 | New Destinations, Inc. | Community Based Residential Treatment Facility, Mental Illness | 219 N Foushee St, Roxboro, NC 27573-5314 | 2009-07-03 |
| 1336285774 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1245376680 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1386780724 | Person County Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1013053446 | Person County Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1922144351 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1831235266 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| Find all providers in ROXBORO | ||||
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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.