STATE OF NC DIVISION OF HEALTH SERVICES (NPI# 1063637411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063637411 |
| Entity Type | Organization |
| Organization Name | STATE OF NC DIVISION OF HEALTH SERVICES |
| Practice Address |
3311 Burnt Mill Dr Suite 100 Wilmington NC 28403-2654 |
| Mailing Address |
Dph- Early Intervention Br 1916 Mail Service Center Raleigh NC 27699-1916 |
| Practice Telephone | 9102515817 |
| Practice Fax Number | 9102512652 |
| Mailing Telephone | 9197075520 |
| Mailing Fax Number | 9198704834 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2015-11-25 |
| Authorized Official Name | MS. JILL SINGER (EARLY INTERVENTION BRANCH HEAD) |
| Authorized Official Telephone | 9197075520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3403402 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114143542 | State of Nc Division of Health Services | Clinic/Center | 145 West Parker Road, Suite A, Morganton, NC 28655-4649 | 2007-04-17 |
| 1558587972 | State of Nc Division of Health Services | Clinic/Center | 87 Bonnie Lane, Sylva, NC 28779-8511 | 2007-04-17 |
| 1891919254 | State of Nc Division of Health Services | Clinic/Center | 2359 Highway 105, Boone, NC 28607-7814 | 2007-04-13 |
| 1841414257 | State of Nc Division of Health Services | Clinic/Center | 1211a Ireland Dr, Fayetteville, NC 28304-3372 | 2007-04-13 |
| 1104041540 | State of Nc Division of Health Services | Clinic/Center | 141 Storage Rd, Rocky Mount, NC 27804-8561 | 2007-04-13 |
| 1801011242 | State of Nc Division of Health Services | Clinic/Center | 10 Parker Ln, Suite 1, Pinehurst, NC 28374-7903 | 2007-04-13 |
| 1942424387 | State of Nc Division of Health Services | Clinic/Center | 852 Merrimon Ave, Asheville, NC 28804-2405 | 2007-04-13 |
| 1346464716 | State of Nc Division of Health Services | Clinic/Center | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-04-13 |
| 1568686988 | State of Nc Division of Health Services | Clinic/Center | 122 N Elm St, Suite 400, Greensboro, NC 27401-2842 | 2007-04-13 |
| 1801011234 | State of Nc Division of Health Services | Clinic/Center | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2007-04-13 |
| Street Address |
3311 BURNT MILL DR SUITE 100 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053309989 | Roxanne S. Devane | Nurse Practitioner | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2005-10-13 |
| 1760924021 | Mary Mcghan | Registered Nurse | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2016-11-17 |
| 1952762098 | Michelle Willis | Occupational Therapist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2016-03-17 |
| 1306186218 | Julie Kuetemeyer | Audiologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2013-03-01 |
| 1538335526 | Sarah Puwalowski | Psychologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2008-04-30 |
| 1710106034 | Carrie Rowley | Audiologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2007-04-25 |
| 1811013899 | Sarah Rebecca Verrone | Speech-Language Pathologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2007-03-22 |
| 1225153158 | Walter John Krug | Psychologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2007-03-20 |
| 1033258793 | Gail Marcus | Genetic Counselor, MS | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2007-02-06 |
| 1366528473 | Sarah Richardson Bentzler | Psychologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1891277315 | Connections Community Support Programs Inc. | Clinic/Center | 3821 Lancaster Pike, Wilmington, DE 19805-1512 | 2018-08-31 |
| 1598142861 | Solutions Home Care | Clinic/Center | 260 Fordham Rd, Wilmington, MA 01887-2170 | 2015-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174355 | A Better You Wellness Center | Clinic/Center | 3103 Durant Rd, Greenville, NC 27834-6786 | 2020-08-13 |
| 1770118556 | Enable LLC | Clinic/Center | 4050 Legion Rd, Hope Mills, NC 28348-8872 | 2020-03-11 |
| 1083128508 | Almarch Family Care, LLC | Clinic/Center | 1924 Beverly Rd, Rocky Mount, NC 27801-6313 | 2017-11-20 |
| 1669995577 | L.a.s Learning Playhouse, LLC | Clinic/Center | 210 Craver Ave, Salisbury, NC 28146-5906 | 2017-07-23 |
| 1528314408 | Laura Maria Mckoy | Clinic/Center | 122 Live Oak Drive, Jacksonville, NC 28540 | 2012-07-30 |
| 1306123294 | Lane's House Adult Group Home | Clinic/Center | 3159 Octavia Dr, Rocky Mount, NC 27804-7959 | 2011-11-07 |
| 1639408248 | Self-determination LLC | Clinic/Center | 103 Ebenezer Rd, Kings Mtn, NC 28086 | 2009-12-09 |
| 1235388133 | Eaglemere Living Facility | Clinic/Center | 200 Eagles Mere Trl, Rocky Mount, NC 27804-8850 | 2008-09-16 |
| 1043468796 | Making It Happen, Inc. | Clinic/Center | 355 Ransom Rd, Winston Salem, NC 27106-3835 | 2008-09-07 |
| 1689841298 | Safe Harbour | Clinic/Center | 13 East Dr, Jacksonville, NC 28546-8214 | 2008-05-13 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on STATE OF NC DIVISION OF HEALTH SERVICES.
| 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.