G & D RESIDENTIAL SERVICES, LLC (NPI# 1003012758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003012758 |
| Entity Type | Organization |
| Organization Name | G & D RESIDENTIAL SERVICES, LLC |
| Practice Address |
620 Guilford College Rd Ste G Greensboro NC 27409-2027 |
| Practice Telephone | 3362546770 |
| Practice Fax Number | 3362921589 |
| Mailing Telephone | 3362546770 |
| Mailing Fax Number | 3362921589 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2009-06-01 |
| Authorized Official Name | MR. GEOVON KENANE MARTIN (CEO DIRECTOR) |
| Authorized Official Telephone | 3362546770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-041-764 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300792B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912103664 | G & D Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 1208 Sloan St, Greensboro, NC 27401-3442 | 2007-06-21 |
| 1962631622 | G & D Residential Services, LLC | Case Management | 620 Guilford College Rd Ste G, Greensboro, NC 27409-2027 | 2009-07-02 |
| Street Address |
620 GUILFORD COLLEGE RD STE G |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27409-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568559540 | New Progressions, LLC | Community Based Residential Treatment Facility, Mental Illness | 620 Guilford College Rd Ste G, Greensboro, NC 27409-2027 | 2006-10-09 |
| 1821430752 | Bertha Ann Sims | Social Worker | 620 Guilford College Rd Ste G, Greensboro, NC 27409-2027 | 2013-07-19 |
| 1962631622 | G & D Residential Services, LLC | Case Management | 620 Guilford College Rd Ste G, Greensboro, NC 27409-2027 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609423136 | Ethan Lechner | Social Worker | Holistic Commons, 123 S. Walnut Circle, Greensboro, NC 27409 | 2019-08-20 |
| 1558844340 | Alphonza Faison Jr. | Registered Nurse | 5201 W Market St Ste 108, Greensboro, NC 27409 | 2018-09-08 |
| 1821578410 | Trifecta Transportation Services Inc. | Non-emergency Medical Transport (VAN) | 5617 Hornaday Rd Unit J, Greensboro, NC 27409 | 2018-08-14 |
| 1003393067 | Alonzo Jones | Medical Foods Supplier | 5617 Hornaday Rd, Unit J, Greensboro, NC 27409 | 2018-07-23 |
| 1073065785 | Occupational Health Centers of North Carolina, PC | Clinic/Center | 3306 Edgefield Road, Greensboro, NC 27409 | 2016-10-28 |
| 1184055667 | Novant Medical Group, Inc | Family Medicine | 501 Hickory Branch Road, Greensboro, NC 27409 | 2013-12-09 |
| 1588094478 | James Bassett | Veterinarian | 501 Nicholas Rd., Carolina Veterinary Specialists, Greensboro, NC 27409 | 2013-11-14 |
| 1386813038 | Alex Glenn Tomlinson | Specialist | 142 North Walnut Cir, Apt B, Greensboro, NC 27409 | 2008-02-27 |
| 1477739670 | Angela Marie Odom | Speech-Language Pathologist | 4325-3d Cedarcroft Court, Greensboro, NC 27409 | 2008-01-17 |
| 1538341037 | Meia Deneaca Burke | Counselor | 7900 Triad Center, Suite 350, Greensboro, NC 27409 | 2007-11-27 |
| Find all providers in zip 27409 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1760982888 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 300 Bingham St, Greensboro, NC 27401 | 2018-02-15 |
| 1659757110 | Crestbrook Rehabilitation | Community Based Residential Treatment Facility, Mental Illness | 2814 Liberty Oaks Dr Apt A, Greensboro, NC 27406-9754 | 2015-08-07 |
| 1811373624 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 5221 Fox Hunt Dr, B, Greensboro, NC 27407-7143 | 2015-08-04 |
| 1598141582 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 318 E Vandalia Rd, Greensboro, NC 27406-5906 | 2015-08-03 |
| 1396133203 | Youth Enrichment Group Home Inc | Community Based Residential Treatment Facility, Mental Illness | 321 E Montcastle Dr Unit F, Greensboro, NC 27406-5344 | 2014-12-30 |
| 1346511748 | Blessed New Beginnings, LLC | Community Based Residential Treatment Facility, Mental Illness | 515 Guilford College Rd, Greensboro, NC 27409-2015 | 2012-01-18 |
| 1851673875 | Warm Hearts Family Care | Community Based Residential Treatment Facility, Mental Illness | 4113 Summerglen Dr, Greensboro, NC 27406-6425 | 2011-09-15 |
| 1972882868 | Griffin Supervised Living | Community Based Residential Treatment Facility, Mental Illness | 2 Partnership Ct, Greensboro, NC 27405-5200 | 2011-08-09 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27409 |
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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.