EMMANUEL RESIDENTIAL & BEHAVIORAL SERVICES (NPI# 1912106873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912106873 |
| Entity Type | Organization |
| Organization Name | EMMANUEL RESIDENTIAL & BEHAVIORAL SERVICES |
| Practice Address |
113 W Firetower Rd Ste K Winterville NC 28590-8414 |
| Mailing Address |
2927 Landing Circle Grimesland NC 27837-9512 |
| Practice Telephone | 2527564666 |
| Practice Fax Number | 2523554337 |
| Mailing Telephone | 2527526353 |
| Mailing Fax Number | 2523554337 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |
| Authorized Official Name | MR. JAMES E HARRIS (PRESIDENT) |
| Authorized Official Telephone | 2527526353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
113 W FIRETOWER RD STE K |
| City | WINTERVILLE |
| State | NC |
| Zip Code | 28590-8414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427666130 | Domika Dunn | Non-emergency Medical Transport (VAN) | 2634 Mill Street, #3, Winterville, NC 28590 | 2020-07-20 |
| 1417490194 | Sarah Blakely | Counselor | 367 Branchwood Drive, Winterville, NC 28590 | 2016-11-29 |
| 1740671817 | Faith Lewis Hardison | Social Worker | 173 A Emily Dr., Winterville, NC 28590 | 2015-02-11 |
| 1255740932 | Kendal Williams Strickland | Pharmacist | 4240 Nc Hwy 11 South, Winterville, NC 28590 | 2014-08-07 |
| 1396152757 | Patricia Ragin | Counselor | 1200 Freeland Lane, Unit K1, Winterville, NC 28590 | 2014-07-17 |
| 1780941104 | Triniti House of Restoration | Psychiatric Residential Treatment Facility | 485 Marlboro Drive, Winterville, NC 28590 | 2012-04-23 |
| 1295003002 | Linda Peer Fleming | Psychologist | 108-d West Firetower Rd., Teacch South Hall Professional Center, Winterville, NC 28590 | 2011-12-07 |
| 1740595859 | Christina Neverte Sidrak | Pharmacist | 4211 Nc Highway 11 South, Winterville, NC 28590 | 2010-08-12 |
| 1902124993 | Dove United Counseling and Assessment Services | Counselor | 575 S. Square Drive, Apt 98, Winterville, NC 28590 | 2010-05-14 |
| 1841526407 | Kyle Dombach | Pharmacist | 4211 Winterville Parkway, Winterville, NC 28590 | 2009-11-02 |
| Find all providers in zip 28590 | ||||
| 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 |
|---|---|---|---|---|
| 1396175774 | Todays Vocational Services, LLC | Community/Behavioral Health | 1006 Pine Dr, Winterville, NC 28590-9117 | 2013-11-20 |
| 1891037743 | Alisa Barrett | Community/Behavioral Health | 4247 Dudleys Grant Dr Apt D, Winterville, NC 28590-7962 | 2013-03-19 |
| 1396086658 | Changing One's Perspective | Community/Behavioral Health | 3969 Sterling Pointe Dr, Unit Nnn4, Winterville, NC 28590-5824 | 2013-03-12 |
| 1730444613 | Bright Star Enrichment Agency | Community/Behavioral Health | 304 S Square Dr, Winterville, NC 28590-9889 | 2012-07-07 |
| 1427333582 | Transformations for Life, Inc. | Community/Behavioral Health | 2405 Jones St, Winterville, NC 28590-8878 | 2011-10-19 |
| 1982989158 | Sparks | Community/Behavioral Health | 677 Grasmere St, Winterville, NC 28590-9669 | 2011-10-19 |
| 1972888519 | Recovery & Transformed | Community/Behavioral Health | 3945b Sedona Dr, Winterville, NC 28590-5869 | 2011-10-14 |
| 1356623722 | Therapeutic Intervention Services, Inc | Community/Behavioral Health | 2862 Laurie Meadows Way, Winterville, NC 28590-9386 | 2011-09-12 |
| 1598052987 | Lbs4lbs Athletic Center, Cdc | Community/Behavioral Health | 143 Emily Dr # 4, Winterville, NC 28590-8448 | 2011-07-06 |
| 1083918734 | Therapeutic Resolutions, Inc | Community/Behavioral Health | 331 Primrose Ln., Winterville, NC 28590-9725 | 2011-01-10 |
| Find all providers in WINTERVILLE | ||||
| City | WINTERVILLE |
| Zip Code | 28590 |
Please comment or provide details below to improve the information on EMMANUEL RESIDENTIAL & BEHAVIORAL SERVICES.
| 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.