REDEEM HOUSE, LLC (NPI# 1073786703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073786703 |
| Entity Type | Organization |
| Organization Name | REDEEM HOUSE, LLC |
| Practice Address |
2729 Gilliam Rd Elon NC 27244-9162 |
| Practice Telephone | 8646078051 |
| Mailing Telephone | 8646078051 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | MR. LONDON CORREL DAVIS (MEMBER/MANGER) |
| Authorized Official Telephone | 8646078051 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-001-157 | NC | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013100031 | Redeem House, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2711 Maple Ave, Burlington, NC 27215-7117 | 2007-08-22 |
| Street Address |
2729 GILLIAM RD |
| City | ELON |
| State | NC |
| Zip Code | 27244-9162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144702846 | Eric Roman | Specialist/Technologist | Koury Field House 2500 Campus Box, Elon, NC 27244 | 2018-08-30 |
| 1457845489 | Hannah Daly | Specialist/Technologist | 104 E. Haggard Avenue, Elon, NC 27244 | 2018-06-22 |
| 1780113068 | Ewa W Czajkowska-jenkins | Physical Therapist | 106 Palladium Ct, Elon, NC 27244 | 2017-06-08 |
| 1003294059 | Adriana Cline | Pediatrics | 908 South Williamson Avenue, Elon, NC 27244 | 2015-05-11 |
| 1568859288 | Michelle Smith Flinchum | Nurse Practitioner | 301 O' Kelly Avenue, Elon, NC 27244 | 2015-04-21 |
| 1861890139 | Emily Williams | Specialist/Technologist | 301 S. O'kelly Ave, Elon, NC 27244 | 2014-12-18 |
| 1891100988 | Sarah Parker | Nurse Practitioner | 301 South O'kelly Avenue, Rn Ellington Center for Health and Wellness, Elon, NC 27244 | 2014-06-26 |
| 1194937698 | Robert Andrew Watson | General Practice | 311 Truitt Drive, Elon, NC 27244 | 2007-05-04 |
| 1487773909 | Robert Norwood Ellington | Obstetrics & Gynecology | 100 Campus Dr, 2040 Campus Box, Elon, NC 27244 | 2007-03-28 |
| 1164540225 | Elon Village Homes, Inc. | Assisted Living Facility | 715 E Haggard Ave., Elon, NC 27244 | 2007-03-27 |
| Find all providers in zip 27244 | ||||
| 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 |
|---|---|---|---|---|
| 1255473161 | Generation Change Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2100 Elon Ct, Elon, NC 27244-9771 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
| 1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
| 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.