CHAVIS MANOR, LLC (NPI# 1023399292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023399292 |
| Entity Type | Organization |
| Organization Name | CHAVIS MANOR, LLC |
| Practice Address |
204 Circle Dr Gibsonville NC 27249-2310 |
| Practice Telephone | 3364375873 |
| Mailing Telephone | 3364375873 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |
| Authorized Official Name | DEIRDRE LEA MILTON (OWNER) |
| Authorized Official Telephone | 3364375873 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
MHL041-1022 | NC | Nursing & Custodial Care Facilities |
| Street Address |
204 CIRCLE DR |
| City | GIBSONVILLE |
| State | NC |
| Zip Code | 27249-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679758734 | Kirby J. Ransom Dmd Pa II | Dentist | 408 Burlington Ave, Gibsonville, NC 27249-0198 | 2008-01-08 |
| 1962585034 | David Anthony Roberts | Dentist | 408 Burlington Street, Gibsonville, NC 27249-0348 | 2006-10-23 |
| 1265780035 | Home Meadows Services LLC | Assisted Living Facility | 605 Whitsett Ave, Gibsonville, NC 27249-2042 | 2012-08-27 |
| 1083033716 | Union Avenue Group Home II | Custodial Care Facility | 605 Whitsett Ave, Gibsonville, NC 27249-2042 | 2014-04-09 |
| 1356578470 | Smith Works Pharmacy Inc | Pharmacy | 235 Burke St, Gibsonville, NC 27249-2402 | 2009-06-16 |
| 1275015554 | Haleigh Cooper | Chiropractor | 107 Lewis St, Gibsonville, NC 27249-2436 | 2018-09-03 |
| 1730663733 | Community First Chiropractic Pllc | Chiropractor | 107 Lewis St, Gibsonville, NC 27249-2436 | 2018-09-17 |
| 1801913140 | Gayle Renee Compton | Speech-Language Pathologist | 111 Piedmont Ave, Gibsonville, NC 27249-2450 | 2007-03-23 |
| 1568661411 | Marella Phillips | Social Worker | 111 Piedmont Ave, Gibsonville, NC 27249-2450 | 2007-07-12 |
| 1811999154 | Piedmont Satellite Service Center Inc | Durable Medical Equipment & Medical Supplies | 1230 Springwood Church Road, Gibsonville, NC 27249-2646 | 2005-06-01 |
| Find all providers in zip 27249 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265780035 | Home Meadows Services LLC | Assisted Living Facility | 605 Whitsett Ave, Gibsonville, NC 27249-2042 | 2012-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032320 | Healthy Moral Homes, LLC | Assisted Living Facility | 1513 Parks Village Rd, Zebulon, NC 27597-9580 | 2020-10-28 |
| 1578182556 | Connecting Dots Counseling Services | Assisted Living Facility | 2305 Woodbury Dr, Hillsborough, NC 27278-6620 | 2020-04-10 |
| 1629600770 | Safe Haven Facilities LLC | Assisted Living Facility | 412 Warren St, Williamston, NC 27892-2454 | 2020-02-06 |
| 1609406578 | True Nobility Care, LLC | Assisted Living Facility | 206 S Bend Dr, Durham, NC 27713-6163 | 2020-01-20 |
| 1265998124 | Valerie Smith | Assisted Living Facility | 112 Shore Lake Dr Apt A, Greensboro, NC 27455-1452 | 2019-02-15 |
| 1376018895 | Abraham E Ketter | Assisted Living Facility | 4708 Twisted Oaks Rd Apt 104, Charlotte, NC 28212-7317 | 2018-10-11 |
| 1275014359 | Paris Washington | Assisted Living Facility | 3220 Atlas Dr, Charlotte, NC 28269-4193 | 2018-08-27 |
| 1396232195 | Southern Living for Seniors of Burnsville Nc LLC | Assisted Living Facility | 270 Love Fox Rd, Burnsville, NC 28714-9109 | 2018-04-17 |
| 1598123564 | Hills Dda Group Home | Assisted Living Facility | 2017 Eastridge Cir, Kinston, NC 28501-5224 | 2016-02-05 |
| 1013382811 | Joy and Devotion Family Services, Inc. | Assisted Living Facility | 5616 Old Garden Rd Apt 101, Wilmington, NC 28403-4435 | 2015-12-04 |
| Find all providers with the same taxonomy | ||||
| City | GIBSONVILLE |
| Zip Code | 27249 |
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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.