GHA AUTISM SUPPORTS (NPI# 1982779187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982779187 |
Entity Type | Organization |
Organization Name | GHA AUTISM SUPPORTS |
Other Organization Name | CAROLINA FARMS GROUP HOME #1 |
Practice Address |
31719 Herb Farm Circle Albemarle NC 28001-6316 |
Mailing Address |
Po Box 2487 Albemarle NC 28002-2487 |
Practice Telephone | 7049829600 |
Practice Fax Number | 7049828155 |
Mailing Telephone | 7049829600 |
Mailing Fax Number | 7049828155 |
Enumeration Date | 2006-11-22 |
Last Update Date | 2015-07-15 |
Authorized Official Name | MRS. DAWN HARWOOD ALLEN (CEO) |
Authorized Official Telephone | 7049829600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 315P00000X | Intermediate Care Facility, Mentally Retarded | MHL084054 | NC | Nursing & Custodial Care Facilities |
N | 323P00000X | Psychiatric Residential Treatment Facility | MHL084054 | NC | Residential Treatment Facilities |
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL084054 | NC | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 340614T | 05 |
Other Name | Type Code |
---|---|
Carolina Farms Group Home #1 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730702937 | Gha Autism Supports | Intermediate Care Facility, Mentally Retarded | 44012 Morrow Mountain Rd, Albemarle, NC 28001-8616 | 2020-05-21 |
1275911471 | Gha Autism Supports | Community/Behavioral Health | 221 B N 2nd St, Albemarle, NC 28001-3939 | 2015-05-08 |
1851712988 | Gha Autism Supports | Community/Behavioral Health | 2406 Tanglewood Dr, Albemarle, NC 28001-6713 | 2013-12-16 |
1770918617 | Gha Autism Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24950 Bost Rd, Albemarle, NC 28001-7488 | 2013-09-11 |
1104264639 | Gha Autism Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24798 Ramsey Road, Albemarle, NC 28001-9427 | 2013-06-06 |
1053758847 | Gha Autism Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 117 Delham Ct, Wilmington, NC 28412-7674 | 2013-06-03 |
1346687126 | Gha Autism Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 824 Blake Road, Albemarle, NC 28001-9309 | 2013-06-03 |
1700223583 | Gha Autism Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1621 Saunders Ln, Albemarle, NC 28001-5440 | 2013-06-03 |
1427495209 | Gha Autism Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Linwood Drive, Albemarle, NC 28001-2923 | 2013-06-03 |
1063859858 | Gha Autism Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 125 Charter Street, Albemarle, NC 28001-8608 | 2013-06-03 |
Street Address |
31719 HERB FARM CIRCLE |
City | ALBEMARLE |
State | NC |
Zip Code | 28001-6316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649835828 | Ashley M Duncan | Physician Assistant | Atrium Stanly Emergent Department, 320 Yadkin St, Albermarle, NC 28001 | 2019-05-03 |
1659870616 | Crystal Hamilton | Home Health Aide | 1741 West Main Street, Albemarble, NC 28001 | 2018-02-06 |
1548703358 | J. Lemmons, Dds and Associates, Pa | Clinic/Center | 319 North Second Street, Albemarle, NC 28001 | 2016-11-28 |
1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
1508248279 | Athena Vu Dds Pllc. | Dentist | 1122 North 6th Street, Albemarle, NC 28001 | 2015-06-18 |
1629482054 | Erika Shew | Pharmacist | 835 North Carolina 24, Albemarle, NC 28001 | 2014-06-13 |
1558794974 | Ted Allen Thompson Jr. | Pharmacist | 835 Hwy 24-27, Albemarle, NC 28001 | 2013-08-21 |
1912349606 | Elite Care Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 33973 Lowder Reunion Rd, Albemarle, NC 28001 | 2013-07-23 |
Find all providers in zip 28001 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457793119 | Elite Care Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 619 Mountain Pl, Albemarle, NC 28001-6613 | 2013-07-23 |
1912349606 | Elite Care Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 33973 Lowder Reunion Rd, Albemarle, NC 28001 | 2013-07-23 |
1619222346 | Monarch | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2228 E Main St, Albemarle, NC 28001-8182 | 2012-07-18 |
1205197803 | Monarch | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 207 Anderson Rd, Albemarle, NC 28001-8102 | 2012-05-31 |
1720261605 | Gha, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21160 Biles Rd, Albemarle, NC 28001-8014 | 2007-12-13 |
1548489305 | Elite Care Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2000 W Main St Ste D, Albemarle, NC 28001-5446 | 2007-04-24 |
1699827121 | Monarch | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1617 Moss Springs Rd, Albemarle, NC 28001-7820 | 2007-01-17 |
1003294448 | Elite Care Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2000 W Main St Ste D, Albemarle, NC 28001-5446 | 2015-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
1750935839 | Heavenly Touch Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 | 2019-07-28 |
1073166245 | Making Kids Matter, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 | 2019-07-17 |
1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
1487131074 | Ronald Anthony Benjamin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 | 2018-07-26 |
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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.