FOOTPRINTS CAROLINA INC


Address: 970 Roberts Dr, Gastonia, NC 28054-5804
Phone: 7048544826

FOOTPRINTS CAROLINA INC (NPI# 1093838237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093838237
Entity Type Organization
Organization Name FOOTPRINTS CAROLINA INC
Practice Address 970 Roberts Dr
Gastonia
NC 28054-5804
Mailing Address 2020 Remount Rd
Gastonia
NC 28054-7437
Practice Telephone 7048544826
Practice Fax Number 7045242095
Mailing Telephone 7045242009
Mailing Fax Number 7045242095
Enumeration Date 2007-04-10
Last Update Date 2020-08-22
Authorized Official Name KIM STRICKLAND DAVIS (QAQI MANAGER)
Authorized Official Telephone 7045242009
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053588038 Footprints Carolina Inc Case Management 138 Allendale Dr, Forest City, NC 28043-2874 2008-05-09
1376725366 Footprints Carolina Inc Community/Behavioral Health 917 First Street, Shelby, NC 28150-3958 2007-11-30

Office Location

Street Address 970 ROBERTS DR
City GASTONIA
State NC
Zip Code 28054-5804

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225671423 Michaela Karsyn Morris Behavioral Analyst 2875 Court Dr. B, Gastonia, NC 28054 2019-10-21
1982263810 Brenda Sue Fox Occupational Therapist Brian Center, 969 Cox Rd, Gastonia, NC 28054 2019-06-13
1174096911 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 469 Hospital Drive, Suite B1, Gastonia, NC 28054 2019-01-04
1255801817 Jarae Mcswain Counselor 1558 Union Road, Ste F, Gastonia, NC 28054 2018-11-27
1427549807 Alterman & Dhillon Charlotte Metro, Pplc Dentist 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 2018-05-22
1871083147 Terrence Lamont Campbell Dentist 2641 Court Dr Ste A, Gastonia, NC 28054 2018-05-13
1861995367 Jefferson and Jefferson LLC. Respite Care 945 East 6 Ave, Gastonia, NC 28054 2018-03-12
1790154912 Tyler Adcock Pharmacist 2324 South New Hope Rd, Gastonia, NC 28054 2015-09-17
1922481894 Alesha Nicole Logan Nurse Practitioner 1895 Hoffman Rd Ste A, Gastonia, NC 28054 2015-07-09
1457732596 Buffie Baker Eller Counselor 2005 Flint Lane, Gastonia, NC 28054 2015-06-15
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245837061 Bliss Haven Group LLC Community Based Residential Treatment Facility, Mental Illness 2442 Sandhurst Ct, Gastonia, NC 28054-2738 2020-10-05
1801409859 Destiny & Miracle LLC Community Based Residential Treatment Facility, Mental Illness 1024 Houston St, Gastonia, NC 28052-1632 2020-08-28
1306381801 A Better Concept Community Based Residential Treatment Facility, Mental Illness 3019 Fallswood Dr, Gastonia, NC 28052-6054 2016-12-20
1861943474 Rockhouse Mental Health Care Agency LLC Community Based Residential Treatment Facility, Mental Illness 1518 Belmar Dr, Gastonia, NC 28052-5103 2016-10-18
1326474008 Melange Health Solutions, LLC Community Based Residential Treatment Facility, Mental Illness 1818 West Fifth Avenue, Gastonia, NC 28054 2013-09-25
1285983528 Alternative Community Penalties Program, Inc. Community Based Residential Treatment Facility, Mental Illness 400 East Fifth Avenue, Gastonia, NC 28054 2012-08-31
1144510850 Miracle Houses, Inc. Community Based Residential Treatment Facility, Mental Illness 2004 Twin Ave, Gastonia, NC 28052-1369 2011-04-14
1164658597 Innovative Compliance Solutions Community Based Residential Treatment Facility, Mental Illness 4912 Duncan Ln, Gastonia, NC 28056-9361 2009-05-29
1417149311 Bridgebuilders Family & Youth Services Inc. Community Based Residential Treatment Facility, Mental Illness 1219 Cambridge Ave, Gastonia, NC 28054-1528 2007-08-14
1336282862 Assured Resource Environment Community Based Residential Treatment Facility, Mental Illness 1816 Middle St, Gastonia, NC 28052-7626 2007-02-15
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Competitor

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City GASTONIA
Zip Code 28054

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Dataset Information

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.

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