PEOPLE ACHIEVING LIVING SKILL (NPI# 1124164595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124164595 |
Entity Type | Organization |
Organization Name | PEOPLE ACHIEVING LIVING SKILL |
Practice Address |
200 N 13th St Suite 3b Erwin NC 28339-1700 |
Practice Telephone | 9108974311 |
Practice Fax Number | 9108974342 |
Mailing Telephone | 9108974311 |
Mailing Fax Number | 9108974342 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | PAMELA TERRY (CEO) |
Authorized Official Telephone | 9108974311 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL043062 | NC | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8301279 B | 05 | |
NC | 3408775 | 05 |
Street Address |
200 N 13TH ST SUITE 3B |
City | ERWIN |
State | NC |
Zip Code | 28339-1700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164835013 | Community Health &wellness Inc | Community/Behavioral Health | 200 N 13th St, Suite 18a, Erwin, NC 28339-1700 | 2014-06-09 |
1356685788 | Nuelife Health System, LLC | Home Health | 200 N 13th St, 19 C, Erwin, NC 28339-1700 | 2012-11-26 |
1982948352 | Nuelife Health Systems | Home Health | 200 N 13th St, 19c, Erwin, NC 28339-1700 | 2012-11-25 |
1578874442 | United Rehabilitation Services, Inc. | Clinic/Center | 200 N 13th St, Erwin, NC 28339-1700 | 2010-06-25 |
1487987293 | Unlimited Access | Case Management | 200 N 13th St, Suite 19-d, Erwin, NC 28339-1700 | 2009-09-10 |
1063571578 | People Achieving Living Skills | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 200 N 13th St, Suite 3-b, Erwin, NC 28339-1700 | 2006-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679952501 | Hallie Ann Huffman | Counselor | 596 E Jackson Blvd Bldg B, Erwin, NC 28339 | 2015-05-26 |
1225441561 | Premium Home Health Care, Inc. | Home Health | 102 A South 12th Street, Erwin, NC 28339 | 2014-06-04 |
1174547715 | Mcphails Pharmacy Inc | Pharmacy | 105 East H St, Mcphails Pharmacy Inc, Erwin, NC 28339 | 2006-07-27 |
1639680168 | Ashley Unaegbu | Physician Assistant | 901 Denim Dr, Erwin, NC 28339 | 2017-10-24 |
1750806717 | Elizabeth Kristin Charney | Physical Therapist | 133 Professional Dr, Erwin, NC 28339 | 2017-08-10 |
1821329665 | Md Abu Zahed Karim | Internal Medicine | 901 Denim Dr, Erwin, NC 28339 | 2010-01-19 |
1396051918 | Raydex Home Care | Home Health | 731 W M St, Erwin, NC 28339-1412 | 2010-08-19 |
1003197468 | Rha Health Services Nc, LLC | Community/Behavioral Health | 300 W J St, Erwin, NC 28339-1428 | 2011-08-30 |
1013064252 | Helping Hands Health Care Service, LLC | Home Health | 200 North 13th Street, Suite 19d, Erwin, NC 28339-1700 | 2007-01-03 |
1841251527 | Erwin Fire Department & Rescue Squad Inc | Ambulance | 200 S 13th St, Erwin, NC 28339-1706 | 2006-03-31 |
Find all providers in zip 28339 |
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 |
---|---|---|---|---|
1063571578 | People Achieving Living Skills | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 200 N 13th St, Suite 3-b, Erwin, NC 28339-1700 | 2006-12-08 |
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 |
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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.