INTENSIVE MENTAL CARE INC (NPI# 1962712653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962712653 |
| Entity Type | Organization |
| Organization Name | INTENSIVE MENTAL CARE INC |
| Other Organization Name | INTENSIVE REHAB HEALTH SERVICES |
| Practice Address |
2015 Ayrsley Town Blvd Ste 202 Charlotte NC 28273-4068 |
| Mailing Address |
Po Box 1207 Wake Forest NC 27588-1207 |
| Practice Telephone | 2523128207 |
| Practice Fax Number | 8885352496 |
| Mailing Telephone | 2523128207 |
| Mailing Fax Number | 8885352496 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | EULANDA ELLIOTT (PRESIDENT) |
| Authorized Official Telephone | 2523128207 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Intensive Rehab Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427338565 | Intensive Mental Care Inc | Social Worker | 401 S Griffin St Ste 175, Elizabeth City, NC 27909-4594 | 2011-08-21 |
| 1679705958 | Intensive Mental Care Inc | Community/Behavioral Health | 102 West Mapel Street, Gatesville, NC 27938 | 2009-08-20 |
| 1174755938 | Intensive Mental Care Inc | Early Intervention Provider Agency | 317 Ocean Hwy S, Hertford, NC 27944-7902 | 2009-08-12 |
| 1285944801 | Intensive Mental Care Inc | Behavioral Analyst | 2015 Ayrsley Town Blvd, Suite 202, Charlotte, NC 28273-4067 | 2010-10-16 |
| Street Address |
2015 AYRSLEY TOWN BLVD STE 202 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28273-4068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205462918 | Trueu Counseling and Education | Counselor | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2020-03-14 |
| 1760018402 | A Place for Peace, Pllc | Counselor | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2020-03-13 |
| 1295378883 | Ijeoma Enweana | Registered Nurse | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2019-10-25 |
| 1831732635 | Broadlight Health LLC | Home Health | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2019-10-24 |
| 1811539786 | Jesseyetta Lavetta Staton | Social Worker | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2019-10-11 |
| 1417416835 | Top Notch Nurse Staffing & Home Health LLC. | Respite Care | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2019-03-15 |
| 1205301629 | Anew Health Solutions | Counselor | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2018-10-12 |
| 1760957153 | The Reese Collective, LLC | Social Worker | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2018-10-11 |
| 1356604235 | Southside Counseling Center, LLC | Community/Behavioral Health | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2012-06-17 |
| 1427333517 | Courtney Morrison Ycaza | Counselor | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273 | 2011-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| 1487111977 | Shanise Danielle Lewis | Respite Care | Top Notch Nurse Staffing & Home Health LLC., 2015 Ayrsley Town Blvd. Suite 202, Charlotte, NC 28273 | 2019-02-21 |
| 1700361953 | Timothy John Hartman | Chiropractor | 2550 West Arrowood Road Suite 104, Charlotte, NC 28273 | 2018-10-03 |
| 1144703141 | Shaquanda King | Behavior Technician | 15528 Baltinglass Ct., Charlotte, NC 28273 | 2018-09-14 |
| 1184106502 | Janelle Gillis | Behavioral Analyst | 13354 Calloway Glen Dr, Charlotte, NC 28273 | 2018-09-01 |
| 1730688680 | Style By Shandy Inc | Specialist | 2106 Arysley Town Blvd, A, Charlotte, NC 28273 | 2018-02-06 |
| 1063945582 | Bpolloni Consulting | Clinical Medical Laboratory | 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 | 2017-04-11 |
| 1770038325 | Kerry Barbera | Dietitian, Registered | 12421 Belmont Mansion Dr, Charlotte, NC 28273 | 2016-08-23 |
| Find all providers in zip 28273 | ||||
| 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 |
|---|---|---|---|---|
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| 1760090641 | Compact Health Services LLC | Community/Behavioral Health | 7506 E Independence Blvd Ste 130-d, Charlotte, NC 28227-9471 | 2020-07-16 |
| 1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
| 1114540093 | Curtis In Care LLC | Community/Behavioral Health | 10923 Chastain Parc Dr, Charlotte, NC 28216-7654 | 2020-05-26 |
| 1477174407 | Garden of Life, Inc | Community/Behavioral Health | 8339 Fox Swamp Rd, Charlotte, NC 28215-9011 | 2020-04-30 |
| 1134753601 | Luis Ariel Hernandez | Community/Behavioral Health | 6000 Fairview Rd # 1259, Charlotte, NC 28210-2224 | 2020-02-24 |
| 1205468774 | Windsong Family & Psychiatric Associates, Pllc | Community/Behavioral Health | 416 Mccullough Dr Ste 135, Charlotte, NC 28262-4389 | 2020-02-12 |
| 1265071542 | Counseling and Behavioral Therapy | Community/Behavioral Health | 16528 Silversword Dr, Charlotte, NC 28213-4876 | 2020-01-03 |
| 1578101283 | Davis Quality Care LLC | Community/Behavioral Health | 11623 Sweet Rose Ct, Charlotte, NC 28269-3407 | 2019-12-12 |
| Find all providers in CHARLOTTE | ||||
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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.