EXCEL FOR LIFE, LLC (NPI# 1942377114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942377114 |
| Entity Type | Organization |
| Organization Name | EXCEL FOR LIFE, LLC |
| Practice Address |
1730 Carolina Ave Washington NC 27889-3315 |
| Practice Telephone | 2529464243 |
| Practice Fax Number | 2529758049 |
| Mailing Telephone | 2529464243 |
| Mailing Fax Number | 2529758049 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-08-28 |
| Authorized Official Name | MARIO JERMAINE JACKSON (DIRECTOR) |
| Authorized Official Telephone | 2522050381 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 007044 | NC | Residential Treatment Facilities |
| Street Address |
1730 CAROLINA AVE |
| City | WASHINGTON |
| State | NC |
| Zip Code | 27889-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407819212 | Timothy Richard Klugh | Optometrist | 1730 Carolina Ave, Washington, NC 27889-3315 | 2006-04-11 |
| 1336432301 | Albemarle Eye Center, Pllc | Durable Medical Equipment & Medical Supplies | 1730 Carolina Ave, Washington, NC 27889-3315 | 2011-05-24 |
| 1669705596 | Excel 4 Life, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1730 Carolina Ave, Washington, NC 27889-3315 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336786326 | Coastal Solutions LLC | Counselor | 51 Hwy 33 W, Chocowinity, NC 27889 | 2019-12-09 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| 1649780032 | John Bailey Bland II | Chiropractor | 610 W. 15th. St., Washington, NC 27889 | 2017-10-11 |
| 1255780136 | County of Beaufort | Ambulance | 1420 Highland Drive, Washington, NC 27889 | 2016-06-10 |
| 1790175917 | Inner Coastal Orthotics and Prosthetics | Orthotist | 1102 North Brown St., Washington, NC 27889 | 2015-01-26 |
| 1972847390 | Country Living Guest Home #7 | Community/Behavioral Health | 207 W 11th St, Washington, NC 27889 | 2012-11-26 |
| 1104182005 | Country Living Guest Home #8 | Community/Behavioral Health | 618 Plant St, Washington, NC 27889 | 2012-04-04 |
| 1881986537 | Mary Lewis Scarbraugh | Social Worker | 408 E. 11th St., Washington, NC 27889 | 2011-05-12 |
| 1952615825 | Country Living Guest Home #6 | Community/Behavioral Health | 252 Dan Taylor Rd, Washington, NC 27889 | 2010-08-03 |
| 1376784371 | Jennifer Michele Richardson | Nurse Practitioner | 1207 Highland Drive, Washington, NC 27889 | 2009-03-20 |
| Find all providers in zip 27889 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285985069 | Center for Youth Excellence | Residential Treatment Facility, Emotionally Disturbed Children | 1409 Kearny St Ne, Washington, DC 20017-2957 | 2012-09-20 |
| 1558547315 | Excel for Life (cedar Home) | Residential Treatment Facility, Emotionally Disturbed Children | 108 Cedar Cir, Washington, NC 27889-9506 | 2008-01-11 |
| 1295917870 | Healthplus Therapeutic Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 304 W 15th St, Washington, NC 27889-3650 | 2007-12-05 |
| 1932309556 | Treasured Care, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 201 Red Oak Dr, Washington, NC 27889-9345 | 2007-07-22 |
| 1487988788 | Excel 4 Life, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2310 Cherry Run Rd, Washington, NC 27889-8366 | 2009-09-21 |
| 1841524147 | Excel 4 Life Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 108 Cedar Cir, Washington, NC 27889-9506 | 2009-09-21 |
| 1669705596 | Excel 4 Life, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1730 Carolina Ave, Washington, NC 27889-3315 | 2009-09-10 |
| 1770769481 | Dream Provider Care Services | Residential Treatment Facility, Emotionally Disturbed Children | 1255 Highland Dr, Washington, NC 27889-3405 | 2008-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
| 1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
| Find all providers with the same taxonomy | ||||
| City | WASHINGTON |
| Zip Code | 27889 |
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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.