CLEVLAND WELLNESS CENTER (NPI# 1043402464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043402464 |
| Entity Type | Organization |
| Organization Name | CLEVLAND WELLNESS CENTER |
| Practice Address |
1054 College Avenue Shelby NC 28080 |
| Mailing Address |
2488 Lochstone Drive Gastonia NC 28054-5186 |
| Practice Telephone | 7048530173 |
| Practice Fax Number | 7048530535 |
| Mailing Telephone | 7048530173 |
| Mailing Fax Number | 7048530535 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |
| Authorized Official Name | GWENDOLYN DIANE HUGHES (OFFICE MANAGER) |
| Authorized Official Telephone | 7048530173 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891036Y | 05 |
| Street Address |
1054 COLLEGE AVENUE |
| City | SHELBY |
| State | NC |
| Zip Code | 28080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851648851 | Without Limits Community Base Services | Community/Behavioral Health | 4501 Highway 73, Iron Station, NC 28080 | 2012-08-08 |
| 1124288964 | Schenck Family Care Home | Assisted Living Facility | 4823 Paysour Pond Rd, Iron Station, NC 28080-0041 | 2008-06-16 |
| 1780998914 | Jessica Ann Kincaid | Developmental Therapist | 1432 Adkin Dr, Iron Station, NC 28080-8404 | 2010-07-29 |
| 1265680821 | Charlote Barrineau | Occupational Therapist | 1431 Spring Pond Ct, Iron Station, NC 28080-9412 | 2008-09-08 |
| 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053852939 | Heather Hiroki | Substance Abuse Rehabilitation Facility | 2775 State Route 39, Shelby, OH 44875 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395457 | Changing Paths of Nc 2 LLC | Substance Abuse Rehabilitation Facility | 150 Cedar Ln, Rose Hill, NC 28458 | 2020-08-06 |
| 1982212874 | Hall Empowerment Network | Substance Abuse Rehabilitation Facility | 4450 Kinkead Ct Apt 33, Fayetteville, NC 28314-2420 | 2020-07-16 |
| 1710504642 | The Awakening Wellness Clinic, Inc | Substance Abuse Rehabilitation Facility | 8 Carver Rd, Jacksonville, NC 28540-7010 | 2020-06-26 |
| 1609408269 | Pear Tree Peace Community Economic Development Corporation | Substance Abuse Rehabilitation Facility | 612 Pine Tops Rd, Murfreesboro, NC 27855-9595 | 2020-02-11 |
| 1396383352 | Deerhaven Gardens, LLC. | Substance Abuse Rehabilitation Facility | 66 N Deerhaven Ln, Asheville, NC 28803-0120 | 2019-12-20 |
| 1255973210 | Blissfully Supported LLC | Substance Abuse Rehabilitation Facility | 645 Dunbrook Ln, Charlotte, NC 28217-3405 | 2019-10-11 |
| 1235785726 | Eighth Month Ventures, LLC | Substance Abuse Rehabilitation Facility | 405 Franklin Blvd, Greensboro, NC 27401-4610 | 2019-08-12 |
| 1538720396 | Adaptive Interventions Group, LLC | Substance Abuse Rehabilitation Facility | 107 Robinson Dr, Cherryville, NC 28021-8100 | 2019-06-24 |
| 1356813802 | Red Oak Adolescent Recovery LLC | Substance Abuse Rehabilitation Facility | 517 Cub Creek Rd, Ellenboro, NC 28040-8733 | 2018-12-21 |
| 1619475308 | Titan Holding Group, LLC | Substance Abuse Rehabilitation Facility | 4944 Parkway Plaza Ste 200, Charlotte, NC 28217-0000 | 2018-01-27 |
| Find all providers with the same taxonomy | ||||
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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.