FOOTPRINTS IN RECOVERY LLC (NPI# 1053682435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053682435 |
| Entity Type | Organization |
| Organization Name | FOOTPRINTS IN RECOVERY LLC |
| Practice Address |
4721 N Croatan Hwy Kitty Hawk NC 27949-8912 |
| Mailing Address |
Po Box 217 Kill Devil Hills NC 27948 |
| Practice Telephone | 8774290713 |
| Practice Fax Number | 2524418248 |
| Mailing Telephone | 8774290713 |
| Mailing Fax Number | 2524418248 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |
| Authorized Official Name | DENISE MARIE KOZER (OWNER) |
| Authorized Official Telephone | 8774290713 |
| Authorized Official Credential | BSN,RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
4721 N CROATAN HWY |
| City | KITTY HAWK |
| State | NC |
| Zip Code | 27949-8912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134460892 | Obxmd, P.C. | Clinic/Center | 4721 N Croatan Hwy, Kitty Hawk, NC 27949-8912 | 2013-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194294207 | Jamie Lee Haidinger | Social Worker | 105 Trinitie Dr, Duck, NC 27949 | 2018-11-19 |
| 1831611649 | Bmsc Nc LLC | Social Worker | 150 Olde Duck Rd, Kitty Hawk, NC 27949 | 2017-07-13 |
| 1942587332 | Coastal Family Medicine and Wellness Center,pllc | Family Medicine | 5200 North Croatan Highway, Suite 7, Kitty Hawk, NC 27949 | 2011-11-14 |
| 1326360371 | The Wellness Center of The Outer Banks Inc | Chiropractor | 3723 N. Croatan Hwy, Unit G, Kitty Hawk, NC 27949 | 2010-02-18 |
| 1467623900 | Albemarle Eye Center, Pllc | Optometrist | 3524 N Croatan Hwy, Kitty Hawk, NC 27949 | 2008-03-12 |
| 1982761854 | Donald E Lovis | Physical Therapist | 5567 N Croatan Highway, Kitty Hawk, NC 27949 | 2007-01-02 |
| 1639247349 | Donna Epley Trivette | Speech-Language Pathologist | 113 Light Keepers Way, Kitty Hawk, NC 27949 | 2006-12-01 |
| 1710062815 | Ken J Tompkins Md PC | Dermatology | 5565 Croatan Highway, Kitty Hawk, NC 27949 | 2006-10-26 |
| 1063420420 | Amy Marie Dougherty | Physical Therapist | 102 Pinnacle Ct, Kitty Hawk, NC 27949 | 2006-08-03 |
| 1760683163 | Christine Bowers Hutto | Nurse Practitioner | 5200 N Croatan Hwy, Beach Medical Care, Kitty Hawk, NC 27949 | 2007-05-31 |
| Find all providers in zip 27949 | ||||
| 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 |
|---|---|---|---|---|
| 1164963542 | Coastal Recovery Solutions, Inc. | Substance Abuse Rehabilitation Facility | 3512 Virginia Dare Trl N, Kitty Hawk, NC 27949-4079 | 2017-03-17 |
| 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 | ||||
| City | KITTY HAWK |
| Zip Code | 27949 |
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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.