ALEXANDER YOUTH NETWORK - PASS DAY TREATMENT (NPI# 1992113260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992113260 |
| Entity Type | Organization |
| Organization Name | ALEXANDER YOUTH NETWORK - PASS DAY TREATMENT |
| Practice Address |
1701 Charles Road Shelby NC 28185-3460 |
| Mailing Address |
6220 Thermal Rd Charlotte NC 28211-5630 |
| Practice Telephone | 7044768385 |
| Mailing Telephone | 7043668712 |
| Mailing Fax Number | 7043628464 |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | NELSON CRAIG BASS (PRESIDENT & CEO) |
| Authorized Official Telephone | 7043668712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 W Marion St, Shelby, NC 281505338 | 7044768062 |
| Street Address |
1701 CHARLES ROAD |
| City | SHELBY |
| State | NC |
| Zip Code | 28185-3460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384022 | Brandi Lee Gregory | Private Vehicle | 53 Edgewood Dr, Shelby, OH 44875-1811 | 2020-10-19 |
| 1073124418 | Brett Rachael Fox | Specialist/Technologist | 9152 W Warren Rd, Shelby, MI 49455-9652 | 2020-08-10 |
| 1457960122 | Jaclyn Grace Gelabert | Physician Assistant | 125 Oak Ave Apt B, Shelby, NC 28152-8252 | 2020-07-28 |
| 1528676848 | Jay C. Stevens | Licensed Practical Nurse | 55 W Smiley Ave, Shelby, OH 44875-1004 | 2020-07-22 |
| 1609493832 | Hazel Ramos | Physical Therapist | 1405 S Lafayette St, Shelby, NC 28152-6657 | 2020-07-04 |
| 1306462692 | Carrie Anne Debrew | Physician Assistant | 2621 Flagstone Ct, Shelby, NC 28152-8075 | 2020-06-22 |
| 1922623750 | Lindsay Mizok Bostian | Physician Assistant | 215 Hillcrest St, Shelby, NC 28152-7726 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1114540390 | Tiana Leilani Gomes | Physician Assistant | 1635 S Dekalb St Apt 605, Shelby, NC 28152-8787 | 2020-05-22 |
| Find all providers in SHELBY | ||||
| 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 |
|---|---|---|---|---|
| 1831720820 | The Kid Guru, LLC | Community/Behavioral Health | 6852 Landor Drive, Shelby, NC 28152 | 2020-01-29 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1720585995 | Momentum Ministries, Inc. | Community/Behavioral Health | 1114 S Lafayette St, Shelby, NC 28152-6708 | 2018-04-12 |
| 1609370568 | Crossroads Treatment Center of Cleveland County, PC | Community/Behavioral Health | 1895 E Dixon Blvd, Shelby, NC 28152 | 2018-03-23 |
| 1700258464 | Momentum Ministries, Inc. | Community/Behavioral Health | 1050 Sam Lattimore Rd, Shelby, NC 28152-0536 | 2015-10-21 |
| 1831578772 | Life Provisions, LLC | Community/Behavioral Health | 111 Carriage Ct, Shelby, NC 28150-8412 | 2015-05-26 |
| 1851636849 | Amazing Minds Theraptic Care | Community/Behavioral Health | 707 S Lafayette St, Suite 1 & 2, Shelby, NC 28150-5819 | 2012-12-03 |
| 1962762542 | Fortress Behavioral Services Inc | Community/Behavioral Health | 836 Churchill Dr, Shelby, NC 28150-6006 | 2012-05-17 |
| 1659630416 | Hope Support Systems Inc | Community/Behavioral Health | 6 Bolt Dr, Shelby, NC 28150-4024 | 2012-05-14 |
| 1952668857 | Cleveland Intervention and Support Services, Inc | Community/Behavioral Health | 614 Cherryville Rd, Shelby, NC 28150-3623 | 2012-04-16 |
| Find all providers in SHELBY | ||||
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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.