FALCON CREST RESIDENTIAL CARE (NPI# 1104944081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104944081 |
| Entity Type | Organization |
| Organization Name | FALCON CREST RESIDENTIAL CARE |
| Practice Address |
1101 S Fifth St Mebane NC 27302-9182 |
| Mailing Address |
1101 South Fifth Street Mebane NC 27302-1101 |
| Practice Telephone | 3362262575 |
| Practice Fax Number | 3362262474 |
| Mailing Telephone | 3362262575 |
| Mailing Fax Number | 3362262474 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2013-08-21 |
| Authorized Official Name | MS. WENDY KAY BRADSHER (ADM. MANAGER/OWNER) |
| Authorized Official Telephone | 3362262575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 753096607 | NC | Residential Treatment Facilities |
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL-001-141 | NC | Residential Treatment Facilities |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-001-141 | NC | Residential Treatment Facilities |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL-001-103 | NC | Residential Treatment Facilities |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-001-103 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603770 | 05 | |
| NC | 6603415 | 05 | |
| NC | 6603998 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262010 | Falcon Crest Residential Care | Community Based Residential Treatment Facility, Mental Illness | 1433 Morningside Dr, Burlington, NC 27217-1718 | 2018-10-25 |
| 1306284195 | Falcon Crest Residential Care | Community/Behavioral Health | 2094 Haith-fuller Trail, Mebane, NC 27302 | 2013-06-13 |
| Street Address |
1101 S FIFTH ST |
| City | MEBANE |
| State | NC |
| Zip Code | 27302-9182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538309182 | Susie's Place for Community Support | Community/Behavioral Health | 1101 S Fifth St, Mebane, NC 27302-9182 | 2009-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389117 | Heather Shelton | Speech-Language Pathologist | 2502 S Nc 119, Mebane, NC 27302 | 2018-09-13 |
| 1538653514 | I.c.a.r.e. Counseling Services, Pllc | Counselor | 106 S Fourth St Ste A, Mebane, NC 27302 | 2018-06-21 |
| 1558860858 | Ridge Care Inc | Custodial Care Facility | 1999 South Highway 119 S, Mebane, NC 27302 | 2018-02-02 |
| 1619496767 | Lindsay Elizabeth Grobman | Physical Therapist | 412 Tighfield Dr, Mebane, NC 27302 | 2017-09-10 |
| 1760911689 | Lane and Associates Xxxi, Dds, Pa | Dentist | 1242 S Fifth St, Mebane, NC 27302 | 2017-06-05 |
| 1386042554 | Alamance Manor Assisted Living LLC | Custodial Care Facility | 1999 South Highway 150, Mebane, NC 27302 | 2014-12-19 |
| 1467850883 | Hope's Highway, Pllc | Social Worker | 105 East Center St., Suite B9, Mebane, NC 27302 | 2014-12-17 |
| 1841639341 | Blankenship Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6207 Paylor Street, Mebane, NC 27302 | 2013-06-18 |
| 1346689171 | Champion Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 507 Blue Lake Drive, Mebane, NC 27302 | 2013-06-14 |
| 1306284195 | Falcon Crest Residential Care | Community/Behavioral Health | 2094 Haith-fuller Trail, Mebane, NC 27302 | 2013-06-13 |
| Find all providers in zip 27302 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841639341 | Blankenship Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6207 Paylor Street, Mebane, NC 27302 | 2013-06-18 |
| 1346689171 | Champion Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 507 Blue Lake Drive, Mebane, NC 27302 | 2013-06-14 |
| 1114179512 | Hope Farm Residential Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2832 Nureus Dr., Mebane, NC 27302-0581 | 2008-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1750935839 | Heavenly Touch Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 | 2019-07-28 |
| 1073166245 | Making Kids Matter, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 | 2019-07-17 |
| 1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
| 1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1487131074 | Ronald Anthony Benjamin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 | 2018-07-26 |
| 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.