CYRUS HOME LLC (NPI# 1043641830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043641830 |
| Entity Type | Organization |
| Organization Name | CYRUS HOME LLC |
| Other Organization Name | CYRUS HOME |
| Practice Address |
3101 Ginger Lake Ct Zebulon NC 27597-5738 |
| Practice Telephone | 9192170015 |
| Practice Fax Number | 9194048252 |
| Mailing Telephone | (919) 217-0015 |
| Mailing Fax Number | 9194048252 |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2017-06-05 |
| Authorized Official Name | MRS. LUEASE CYRUS (OWNER/OPERATOR) |
| Authorized Official Telephone | 9192170015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL092262 | NC | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Cyrus Home | Doing Business As Name - Organization |
| Street Address |
3101 GINGER LAKE CT |
| City | ZEBULON |
| State | NC |
| Zip Code | 27597-5738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457668 | Tiffani Morson | Massage Therapist | 15055 Nc 96, Zebulon, NC 27597 | 2020-08-11 |
| 1639692775 | Katherine Skinner | Counselor | 21 Carlyle Rd., Zebulon, NC 27597 | 2017-07-20 |
| 1851703821 | Kimberly Griswold | Pharmacist | 2021 Wynnscott Farm Lane, Zebulon, NC 27597 | 2014-05-27 |
| 1770922502 | Thompson Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1701 West Gannon Avenue, Zebulon, NC 27597 | 2013-06-14 |
| 1780924266 | Jones Outreach Services,llp | Counselor | 700b Pony Road, Zebulon, NC 27597 | 2013-02-21 |
| 1053692806 | Allcare Health Source L.L.C. | Home Health | 806 Arendale, B, Zebulon, NC 27597 | 2011-09-07 |
| 1700104171 | Clearly Speaking, Inc. | Speech-Language Pathologist | 9100 Ashton Glen Dr, Zebulon, NC 27597 | 2010-05-11 |
| 1497975817 | Connie Mullins | Nurse Practitioner | 1002 Dogwood Drive, Zebulon, NC 27597 | 2007-04-26 |
| 1073730370 | Amanda Cottle Kapl | Speech-Language Pathologist | 13270 Brantley Woods Rd, Zebulon, NC 27597 | 2007-04-19 |
| 1578780169 | Heber W. Windley IIi, D.d.s.,m.s.,p.a. | Dentist | 315 Hospital Road, Zebulon, NC 27597 | 2007-04-18 |
| Find all providers in zip 27597 | ||||
| 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 |
|---|---|---|---|---|
| 1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
| 1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1710443395 | Unity 4 Us Community Outreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 Lincoln St, Belmont, NC 28012-3045 | 2019-02-19 |
| 1871059444 | Believing Everyone Succeeds Together | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 | 2019-02-19 |
| 1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
| 1316415037 | Igr Collaborations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 | 2018-11-12 |
| 1164924940 | David Douglas Whitfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5342 Us Highway 301 North, Micro, NC 27555 | 2018-03-07 |
| 1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
| 1659897833 | Shelby Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 S Dekalb St Ste A, Shelby, NC 28150-6189 | 2017-08-18 |
| 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.