SUCCESS ADOLESCENT AND ADULT SERVICES INC. (NPI# 1093138877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093138877 |
| Entity Type | Organization |
| Organization Name | SUCCESS ADOLESCENT AND ADULT SERVICES INC. |
| Practice Address |
665 E Saunders Street Maxton NC 28364 |
| Mailing Address |
35 Hawk Ridge Dr Spring Lake NC 28390-7050 |
| Practice Telephone | 9103170323 |
| Mailing Telephone | 9102866559 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |
| Authorized Official Name | MRS. MARGARET URETHA PASTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9102866559 |
| Authorized Official Credential | RN, BSN, CCM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 145300 | NC | Agencies |
| Street Address |
665 E SAUNDERS STREET |
| City | MAXTON |
| State | NC |
| Zip Code | 28364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740783976 | Myranda Kari Hammonds | Specialist/Technologist | 11344 Deep Branch Rd., Maxton, NC 28364 | 2018-03-14 |
| 1336695030 | Mariah Oxendine | Counselor | 5981 Mcleod Rd, Maxton, NC 28364 | 2016-09-01 |
| 1174922546 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 120 S Odom St, St. Pauls, NC 28364 | 2014-08-21 |
| 1710314406 | Lauren Allia Jung | Pharmacist | 106 East Dr. Martin Luther King Jr. Dr., Maxton, NC 28364 | 2013-09-26 |
| 1568725646 | Katina Dianne Dial-scott | Counselor | 202 Hwy 74 West, Maxton, NC 28364 | 2012-06-22 |
| 1659647766 | Bridge of Empowerment,llc | Community/Behavioral Health | 651 East Wilmington Street, Maxton, NC 28364 | 2012-03-23 |
| 1871722637 | Ingram Health Services/manna House,inc | Community/Behavioral Health | 505 West Martin Luther King Drive, Maxton, NC 28364 | 2009-07-14 |
| 1710170238 | Fairley Support Group Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12519 Us Hwy 501 South, Maxton, NC 28364 | 2007-08-20 |
| 1114137692 | Debbie Hammonds Chavis | Specialist | 209 West Third Street, Pembroke, NC 28364 | 2007-05-23 |
| 1831209535 | Kerr Drug Inc A Delaware Company | Pharmacy | 106 Martin Luther King Dr, Maxton, NC 28364 | 2006-08-30 |
| Find all providers in zip 28364 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659647766 | Bridge of Empowerment,llc | Community/Behavioral Health | 651 East Wilmington Street, Maxton, NC 28364 | 2012-03-23 |
| 1871722637 | Ingram Health Services/manna House,inc | Community/Behavioral Health | 505 West Martin Luther King Drive, Maxton, NC 28364 | 2009-07-14 |
| 1073753463 | Southeastern Treatment Services, LLC. | Community/Behavioral Health | 109 W Central St, Maxton, NC 28364-1703 | 2009-02-25 |
| 1801057443 | Tt & T Services | Community/Behavioral Health | 106 Mccabe St, Maxton, NC 28364-1735 | 2008-06-17 |
| 1982800702 | Angelo's Care Home, Inc. | Community/Behavioral Health | 10091 Us Highway 74 W, Maxton, NC 28364-8936 | 2007-06-27 |
| 1811029309 | Rha Health Services Nc, LLC | Community/Behavioral Health | 15235 Airport Rd, Maxton, NC 28364-6821 | 2007-03-10 |
| 1609911411 | Primary Health Choice, Inc. | Community/Behavioral Health | 22421 Andrew Jackson Hwy, Maxton, NC 28364-6721 | 2007-02-20 |
| 1265686802 | Unity Behavioral Healthcare | Community/Behavioral Health | 11279 Deep Branch Rd, Maxton, NC 28364-8958 | 2008-11-10 |
| 1093974396 | Gate Way Health Care Associates LLC | Community/Behavioral Health | 612 E Dr Martin Luther King Jr Dr, Maxton, NC 28364-1800 | 2008-06-03 |
| 1386841302 | Rha Health Services Nc, LLC | Community/Behavioral Health | 15235 Airport Rd, Maxton, NC 28364-6821 | 2007-07-02 |
| Find all providers in MAXTON | ||||
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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.