CARL SAMUELS (NPI# 1033652532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033652532 |
| Entity Type | Individual |
| Full Name | CARL SAMUELS |
| Credential | C.S.A.C |
| Practice Address |
4310 Alderny Pl High Point NC 27265-9277 |
| Practice Telephone | 3363039020 |
| Mailing Telephone | 3363039020 |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81-4398418 | NC | Residential Treatment Facilities |
| Street Address |
4310 ALDERNY PL |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27265-9277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376086876 | Co-operative Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4310 Alderny Pl, High Point, NC 27265-9277 | 2016-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066985 | Rowanty N. Jenkins | Registered Nurse | 4305 Holstein Drive, High Point, NC 27265 | 2020-09-02 |
| 1407355704 | Triad Pediatrics, PC | Pediatrics | 2754 Hwy 68, Suite 111, High Point, NC 27265 | 2018-02-02 |
| 1942730452 | Triad Women's Health and Wellness Center | Obstetrics & Gynecology | 3750 Admiral Dr., Suite 104, High Point, NC 27265 | 2017-06-16 |
| 1992235642 | Gina Cobb Davis | Registered Nurse | 2215 Hickswood Rd., High Point, NC 27265 | 2017-06-15 |
| 1700316395 | Jennifer George | Specialist/Technologist | 3988 Clubhouse Court Apt. 2h, High Point, NC 27265 | 2017-06-15 |
| 1730530510 | Safe Living Solutions | Contractor | 2209 Eastchester Dr., Ste 109, High Point, NC 27265 | 2016-06-23 |
| 1528412087 | Johnette Walser | Social Worker | 2411 Penny Road, Suite 102, High Point, NC 27265 | 2016-04-20 |
| 1093143489 | Debbie Schmitz | Specialist | 801 Lindsay St. Suite E, High Point, NC 27265 | 2013-10-22 |
| 1164786034 | Janice Rene' Swanson | Dietitian, Registered | 4515 Premier Dr Ste 401, High Point, NC 27265 | 2012-06-26 |
| 1053600551 | Lynn Buie Brooks | Counselor | 460 Sandybrooke Dr., High Point, NC 27265 | 2011-04-05 |
| Find all providers in zip 27265 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427341858 | Flying Start Creative Expressions Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1204 Sternly Way, High Point, NC 27260-8498 | 2011-05-18 |
| 1487897468 | Black and Associates Global Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1502 Cloverdale St., High Point, NC 27260-4412 | 2009-04-07 |
| 1336265685 | The Arc of High Point | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3417 Corvair Dr, High Point, NC 27265-1809 | 2007-03-21 |
| 1619093895 | The Arc of High Point | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 400 Dogwood Cir, High Point, NC 27260-2514 | 2007-03-21 |
| 1629108071 | Triad Adult Day Care Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 409 E Fairfield Rd, Suite A, High Point, NC 27263-2281 | 2007-03-06 |
| 1053457259 | Chisholm Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 305 Newview Rd, High Point, NC 27260-4329 | 2007-01-29 |
| 1225174428 | Chisholm Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 425 N Scientific St, High Point, NC 27260-4337 | 2007-01-29 |
| 1114073814 | Chisholm Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 431 N Scientific St, High Point, NC 27260-4337 | 2007-01-26 |
| 1376086876 | Co-operative Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4310 Alderny Pl, High Point, NC 27265-9277 | 2016-12-01 |
| 1386017523 | Wescare Professional Services, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 917 Gaines Ave, High Point, NC 27263-2147 | 2015-11-10 |
| Find all providers in HIGH POINT | ||||
| City | HIGH POINT |
| Zip Code | 27265 |
Please comment or provide details below to improve the information on CARL SAMUELS.
| 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.