GOLDEN GIRL, INC. (NPI# 1073755104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073755104 |
| Entity Type | Organization |
| Organization Name | GOLDEN GIRL, INC. |
| Practice Address |
999 B Street Ceredo WV 22507-0876 |
| Mailing Address |
Po Box 876 Ceredo WV 25507-0876 |
| Practice Telephone | 3044531401 |
| Practice Fax Number | 3044536273 |
| Mailing Telephone | 3044531401 |
| Mailing Fax Number | 3044536273 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |
| Authorized Official Name | MRS. LEAH RENEE HARRISON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3044531401 |
| Authorized Official Credential | MA, LPC, ALPS, L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0023496003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730320060 | Golden Girl, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 999 B Street, Ceredo, WV 25507-0876 | 2009-03-17 |
| Street Address |
999 B STREET |
| City | CEREDO |
| State | WV |
| Zip Code | 22507-0876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730320060 | Golden Girl, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 999 B Street, Ceredo, WV 25507-0876 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851594238 | Susan Huss Brooke | Counselor | 826 Monaskon Rd, Lively, VA 22507 | 2007-06-06 |
| 1265452171 | Ellen A Kingsbury | Anesthesiology | 36 Lively Oaks Road, Lively, VA 22507 | 2006-07-20 |
| 1407835937 | Salvatore Karl Bavuso | Family Medicine | 36 Lively Oaks Rd, Lively, VA 22507 | 2006-01-12 |
| 1831192939 | John Wesley Melton IIi | Internal Medicine | 36 Lively Oaks Rd., Lively, VA 22507 | 2005-05-23 |
| 1043700347 | Chesapeake Hospital Corporation | Family Medicine | 36 Lively Oaks Rd, Lively, VA 22507 | 2018-05-14 |
| 1932699303 | Chesapeake Hospital LLC | Clinic/Center | 36 Lively Oaks Rd, Lively, VA 22507 | 2018-05-11 |
| 1306386974 | Erin K Corsa | Nurse Practitioner | 36 Lively Oaks Road, Lively, VA 22507 | 2017-03-02 |
| 1720259187 | Chesapeake Medical Group, Inc. | Family Medicine | 36 Lively Oaks Road, Lively, VA 22507 | 2008-03-13 |
| 1306945266 | Lively Drug Company Inc | Pharmacy | 36 Lively Oaks Rd, State Rt 3, Lively, VA 22507 | 2006-09-21 |
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730320060 | Golden Girl, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 999 B Street, Ceredo, WV 25507-0876 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609383298 | Genesis Youth Crisis Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 413 Chestnut Street, Parsons, WV 26287 | 2018-01-04 |
| 1447622618 | The Children's Home Society of West Virginia, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 142 Cherry St, Daniels, WV 25832-9695 | 2015-10-27 |
| 1649664855 | Yale Academy LLC | Residential Treatment Facility, Emotionally Disturbed Children | 7 Crosswinds Dr, Fairmont, WV 26554-9193 | 2015-03-25 |
| 1366846016 | Family Connections, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3305 Tent Church Road, Colliers, WV 26035 | 2014-10-09 |
| 1427470277 | Burlington United Methodist Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5162 Us 220 North, Moorefield, WV 26836 | 2014-01-14 |
| 1164776589 | Mike Allen Beswick | Residential Treatment Facility, Emotionally Disturbed Children | 34 Potomac Crossway, Lewisburg, WV 24901-8900 | 2012-11-07 |
| 1295972248 | Yore Academy, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 7 Crosswind Drive, Fairmont, WV 26554 | 2009-01-13 |
| 1215199336 | Braley & Thompson, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 12 Clotine St, Saint Albans, WV 25177-2509 | 2008-06-30 |
| 1366602039 | Board of Child Care, Wv | Residential Treatment Facility, Emotionally Disturbed Children | 715 Brown Rd, Martinsburg, WV 25404-7282 | 2008-06-16 |
| 1104086503 | Charles W. Cammack Children's Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 64 6th Ave W, Huntington, WV 25701-1751 | 2008-06-10 |
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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.