MARC'S MANOR LLC (NPI# 1962566182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962566182 |
| Entity Type | Organization |
| Organization Name | MARC'S MANOR LLC |
| Practice Address |
3207 Reminisce Rd Castle Hayne NC 28429 |
| Mailing Address |
3020 Brookcrossing Dr Village At Lakewood Fayetteville NC 28306-9790 |
| Practice Telephone | 9106757878 |
| Mailing Telephone | 9102735838 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-10 |
| Authorized Official Name | MRS. TERRY MIMS (OWNER) |
| Authorized Official Telephone | 9102735838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL065165 | NC | Residential Treatment Facilities |
| Street Address |
3207 REMINISCE RD |
| City | CASTLE HAYNE |
| State | NC |
| Zip Code | 28429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871925644 | Yahweh Center Childrens Village | Psychiatric Residential Treatment Facility | 5103 Lamb's Path Way, Castle Hayne, NC 28429 | 2013-08-05 |
| 1780016550 | Yahweh Center Childrens Village | Psychiatric Residential Treatment Facility | 5107 Lamb's Path Way, Castle Hayne, NC 28429 | 2013-08-05 |
| 1598055659 | Holly May Murray | Occupational Therapy Assistant | 206 Barrow St, Castle Hayne, NC 28429 | 2011-04-11 |
| 1487757167 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5712 Castle Hayne Rd, Castle Hayne, NC 28429 | 2006-09-07 |
| 1922380351 | Diane Upton | Registered Nurse | 4101 Cape Landing Rd, Castle Hayne, NC 28429-4514 | 2011-09-12 |
| 1609891001 | Deborah A Hendrix | Nurse Practitioner | 112 Bavarian Dr, Castle Hayne, NC 28429-5100 | 2006-07-13 |
| 1730475484 | Charles Marion Wilson | Pharmacist | 5712 Castle Hayne Rd, Castle Hayne, NC 28429-5112 | 2011-06-21 |
| 1265727564 | Glynn Perry Littleton | Pharmacist | 5712 Castle Hayne Rd, Castle Hayne, NC 28429-5112 | 2011-06-14 |
| 1659680676 | Winifred H Amox | Pharmacist | 5712 Castle Hayne Rd, Castle Hayne, NC 28429-5112 | 2010-09-26 |
| 1104058973 | April Jones Macalpine | Naturopath | 2720 Berg Ln, Castle Hayne, NC 28429-5218 | 2009-08-12 |
| Find all providers in zip 28429 | ||||
| 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 |
|---|---|---|---|---|
| 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 | CASTLE HAYNE |
| Zip Code | 28429 |
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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.