AVERY YOUTH SERVICES FOR BOYS, INC. (NPI# 1104153485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104153485 |
| Entity Type | Organization |
| Organization Name | AVERY YOUTH SERVICES FOR BOYS, INC. |
| Practice Address |
742 Mcknight Dr Suite 201 Knightdale NC 27545-7764 |
| Practice Telephone | 9192619688 |
| Practice Fax Number | 9192610118 |
| Mailing Telephone | 9192619688 |
| Mailing Fax Number | 9192610118 |
| Enumeration Date | 2009-11-08 |
| Last Update Date | 2009-11-08 |
| Authorized Official Name | MR. TERRENCE AVERY SHIELDS (PRESIDENT) |
| Authorized Official Telephone | 9192619688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
742 MCKNIGHT DR SUITE 201 |
| City | KNIGHTDALE |
| State | NC |
| Zip Code | 27545-7764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255491528 | Knightdale Eyecare Optometric, P.a. | Optometrist | 742 Mcknight Dr, Suite 100, Knightdale, NC 27545-7764 | 2006-12-09 |
| 1730444217 | Alexander Resilience, Inc. | Community/Behavioral Health | 742 Mcknight Dr, Suite 225, Knightdale, NC 27545-7764 | 2012-07-10 |
| 1053635037 | Sonja K Martin | Counselor | 742 Mcknight Dr, Suite 200, Knightdale, NC 27545-7764 | 2010-03-20 |
| 1205063138 | Communication 360 LLC | Speech-Language Pathologist | 742 Mcknight Dr, Suite 221, Knightdale, NC 27545-7764 | 2009-06-18 |
| 1538316112 | Jonathan M Lutz | Optometrist | 742 Mcknight Dr, Suite 100, Knightdale, NC 27545-7764 | 2008-08-26 |
| 1245389279 | Opal Dionne Williams | Speech-Language Pathologist | 742 Mcknight Dr, Suite 221, Knightdale, NC 27545-7764 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688526 | Galberth Health | Physical Therapist | 8002 Peachtree Town Ln, Knightdale, NC 27545 | 2017-09-24 |
| 1790215390 | Edward Hoggard Jr. | Counselor | 2013 Ballston Place, Knightdale, NC 27545 | 2017-06-15 |
| 1730635970 | Tara Forsythe | Social Worker | 4006 Peachtree Town Lane, Knightdale, NC 27545 | 2016-08-28 |
| 1134504962 | Maybell Grino | Pharmacist | 7201 Us Highway 64, Knightdale, NC 27545 | 2015-07-22 |
| 1477948735 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 1408 Silver Valley Dr, Knightdale, NC 27545 | 2015-04-03 |
| 1235560772 | Shameka Latoya Davis | Counselor | 7417 Knightdale Blvd Unit 101, Knightdale, NC 27545 | 2013-12-10 |
| 1992135107 | Daniel Ross Conti | Dentist | 1001 Widewaters Parkway, Knightdale, NC 27545 | 2013-11-25 |
| 1255773644 | David D Sanjurjo | Nurse Practitioner | 7201 Us Hwy 64, Knightdale, NC 27545 | 2013-07-25 |
| 1790037133 | Dona D Mayo | Counselor | 502 Mcknight Drive, Better Communities, Knightdale, NC 27545 | 2012-10-09 |
| 1699972257 | Lindsay Horwat | Occupational Therapist | 1010 Emerald Common Drive, Apartment 205, Knightdale, NC 27545 | 2007-06-28 |
| Find all providers in zip 27545 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275432 | Green Life Enhancement Services | Case Management | 1220 Aragon Dr Apt 101, Knightdale, NC 27545-6027 | 2020-08-13 |
| 1982239414 | Shars Auspicious Care LLC | Case Management | 210 Jewel Haven Way, Knightdale, NC 27545-7212 | 2020-03-05 |
| 1801076195 | Inner Touch, LLC | Case Management | 4310 Twin Spires Dr, Knightdale, NC 27545-7071 | 2007-11-05 |
| 1619332517 | Aci Support Specialists, LLC | Case Management | 1408 Silver Valley Dr, Knightdale, NC 27545-7557 | 2015-12-18 |
| 1962883363 | Aci Support Specialists, Inc. | Case Management | 815 Laurens Way, Knightdale, NC 27545-7881 | 2015-06-11 |
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|---|---|---|---|---|
| 1316548084 | Carolina Bridges Home Health | Case Management | 8410 Six Forks Rd Ste 104, Raleigh, NC 27615-3079 | 2020-11-07 |
| 1861008179 | Maggie Janes LLC | Case Management | 3004 Hillmer Dr, Raleigh, NC 27609-7810 | 2020-09-22 |
| 1245846294 | Tamekia Dowdy | Case Management | 845 Mckoy Town Rd, Cameron, NC 28326-9619 | 2020-09-16 |
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1700499944 | Goal Digger Network LLC | Case Management | 5220 Delco St, Fayetteville, NC 28311-2332 | 2020-08-27 |
| 1598377731 | Lux Glamorous Wigs & Company | Case Management | 1237 Tyvola Dr # Rd, Charlotte, NC 28210-3870 | 2020-08-19 |
| 1629688122 | Aketre Whitaker | Case Management | 526 Coker Town Rd, Whitakers, NC 27891-8942 | 2020-08-09 |
| 1912517046 | Coastal Community Services, LLC | Case Management | 138 Turquoise Dr, Jacksonville, NC 28546-8757 | 2020-08-04 |
| 1700494903 | Reimagine Billing Concepts LLC | Case Management | 9816 Cockerham Ln, Huntersville, NC 28078-2737 | 2020-07-14 |
| 1740806769 | Richard Lepine | Case Management | 2013 Castleburg Dr, Apex, NC 27523-5154 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | KNIGHTDALE |
| Zip Code | 27545 |
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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.