MENTORING FOR CHANGE, INC (NPI# 1104144682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104144682 |
| Entity Type | Organization |
| Organization Name | MENTORING FOR CHANGE, INC |
| Practice Address |
211 W 14th St Suite D Greenville NC 27834-4081 |
| Mailing Address |
1206 Evans St Greenville NC 27834-4102 |
| Practice Telephone | 2526952004 |
| Practice Fax Number | 2526952005 |
| Mailing Telephone | 2526952004 |
| Mailing Fax Number | 2526952005 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-13 |
| Authorized Official Name | DR. DALTON STEPHON KORNEGAY (PHD) |
| Authorized Official Telephone | 2527142145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
211 W 14TH ST SUITE D |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-4081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1851866768 | Jillian Kime | Day Training, Developmentally Disabled Services | 241 Commerce St Ste A, Greenville, NC 27858-5029 | 2018-10-06 |
| 1811220387 | Loving Hands Homemaker | Day Training, Developmentally Disabled Services | 1276 Longview Dr, Greenville, MS 38703-6633 | 2009-09-15 |
| 1952586349 | A Small Miracle, Inc. | Day Training, Developmentally Disabled Services | 2406 Charles Blvd, Greenville, NC 27858-5924 | 2008-01-03 |
| 1922283423 | Erica Laquonia Singleton | Day Training, Developmentally Disabled Services | 1654 Highway 1 S, Greenville, MS 38701-7108 | 2008-01-02 |
| 1801085683 | Healing Touch Homecare, LLC | Day Training, Developmentally Disabled Services | 2304 Joe Ramsey Blvd E, Greenville, TX 75401-6474 | 2007-10-17 |
| 1679792022 | Town of Greenville | Day Training, Developmentally Disabled Services | 100 Pritham Ave., Greenville, ME 04441 | 2007-04-24 |
| 1386762193 | Eastern Carolina Vocational Center, Inc. | Day Training, Developmentally Disabled Services | 901 Staton Rd, Greenville, NC 27834-9050 | 2007-03-27 |
| 1629195706 | Alpha Omega Health, Inc. | Day Training, Developmentally Disabled Services | 2421 Charles Blvd, Greenville, NC 27858-5925 | 2007-03-23 |
| 1033279328 | Zoe Community Services | Day Training, Developmentally Disabled Services | 2110 Sir Raleigh Ct, Greenville, NC 27858-5567 | 2006-12-09 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on MENTORING FOR CHANGE, INC.
| 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.