KEARNEY HOME (NPI# 1891164174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891164174 |
| Entity Type | Organization |
| Organization Name | KEARNEY HOME |
| Practice Address |
4408 Iyar Way Wake Forest NC 27587-4166 |
| Mailing Address |
2331 Crownpoint Executive Dr Suite J Charlotte NC 28227-7825 |
| Practice Telephone | 7048413544 |
| Mailing Telephone | 7048413544 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2017-05-26 |
| Authorized Official Name | KIERAN DEAN (PRESIDENT) |
| Authorized Official Telephone | 7048413544 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNITED SUPPORT SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409493 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KEARNEY HOME CARE SERVICES INC. | 43-32 45th Street, Long Island City, Ny 111042302 |
| Street Address |
4408 IYAR WAY |
| City | WAKE FOREST |
| State | NC |
| Zip Code | 27587-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713080 | Catherine Restrepo | Speech-Language Pathologist | 900 S Franklin St, Ste 201, Wake Forest, NC 27587 | 2020-06-03 |
| 1942760277 | Samantha Fae Pugh | Occupational Therapist | 200 Dr. Calvin Jones Hwy, Suite 200, Wake Forest, NC 27587 | 2019-03-22 |
| 1851863609 | The Counseling Collective | Counselor | 1764 Heritage Center Drive, 204, Wake Forest, NC 27587 | 2018-12-18 |
| 1891270856 | Halston Hoke | Speech-Language Pathologist | 620 Dr. Calvin Jones Hwy Ste 200, Wake Forest, NC 27587 | 2018-09-26 |
| 1710465620 | Amy K Tarnowski | Physical Therapist | The Lodge At Wake Forest, 1151 South Main Street, Wake Forest, NC 27587 | 2018-08-02 |
| 1518452341 | Language and Literacy 365, Pllc | Speech-Language Pathologist | 956 Templeridge Rd, Wake Forest, NC 27587 | 2018-06-25 |
| 1467951723 | Justin Mitchell | Physical Therapist | 843 Durham Rd Suite 110, Wake Forest, NC 27587 | 2018-02-01 |
| 1124544499 | Carolina Concussion & Physical Medicine, Pllc | Chiropractor | 120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 | 2017-08-18 |
| 1902293889 | Katherine Armine Lorch | Student in an Organized Health Care Education/Training Program | 3000 Rogers Road Ste 210, Wake Forest, NC 27587 | 2015-04-18 |
| 1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
| Find all providers in zip 27587 | ||||
| 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 |
|---|---|---|---|---|
| 1811479017 | Relational Behavioral Health Pllc | Community/Behavioral Health | 13028 Bold Run Hill Rd, Wake Forest, NC 27587-9534 | 2018-09-04 |
| 1265830376 | Dynamic Healthcare Solutions, Inc. | Community/Behavioral Health | 804 Edgeware Way, Wake Forest, NC 27587-7920 | 2014-12-05 |
| 1659771889 | Human Service Associates | Community/Behavioral Health | 833 Wake Forest Business Park Ste E, Suite E, Wake Forest, NC 27587-7184 | 2014-08-25 |
| 1932450384 | Reaching Your Goals | Community/Behavioral Health | 203 Capcom Ave Ste 103, Wake Forest, NC 27587-6514 | 2012-09-25 |
| 1104185115 | Child & Family Support Services, LLC | Community/Behavioral Health | 2921 Gross Ave, Wake Forest, NC 27587-6496 | 2012-05-10 |
| 1659645687 | Center for Advocacy Resilience & Empowerment LLC | Community/Behavioral Health | 2921 Creek Moss Ave, Wake Forest, NC 27587-4886 | 2012-03-08 |
| 1427345180 | Rophe' Outreach Ministries | Community/Behavioral Health | 201 East Wait St, Wake Forest, NC 27587 | 2011-07-01 |
| 1518259589 | Alternative Care Treatment Systems, Inc. | Community/Behavioral Health | 10425 Ligon Mill Rd, Wake Forest, NC 27587-4987 | 2011-05-10 |
| 1154623338 | Amazing Kids of Nc, Inc. | Community/Behavioral Health | 834 Saint Catherines Dr, Wake Forest, NC 27587-6639 | 2010-11-22 |
| 1346481462 | Access Healthcare Services Inc | Community/Behavioral Health | 9624 Burge Ct, Wake Forest, NC 27587-7365 | 2009-03-19 |
| Find all providers in WAKE FOREST | ||||
| City | WAKE FOREST |
| Zip Code | 27587 |
Please comment or provide details below to improve the information on KEARNEY HOME.
| 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.