EAGLES NEST REGENERATION INC (NPI# 1144631110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144631110 |
Entity Type | Organization |
Organization Name | EAGLES NEST REGENERATION INC |
Practice Address |
4410 Christianburg Pike Ne Floyd VA 24091 |
Practice Telephone | 5407454001 |
Mailing Telephone | 5407454001 |
Enumeration Date | 2014-05-13 |
Last Update Date | 2014-05-13 |
Authorized Official Name | MR. GREG KLEINFELTER (CEO) |
Authorized Official Telephone | 5407500885 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | VA | Residential Treatment Facilities |
Street Address |
4410 CHRISTIANBURG PIKE NE |
City | FLOYD |
State | VA |
Zip Code | 24091 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417490145 | Greenecare Counseling LLC | Social Worker | 401 S. Locust St., Ste 102, Floyd, VA 24091 | 2016-11-29 |
1073854402 | Elise Karen Greene | Social Worker | 401 South Locust Street, Ste 102, Floyd, VA 24091 | 2013-03-11 |
1386636041 | Seyed Hessam Saadat | Family Medicine | 140 Christiansburg Pike, Tri-area Community Health Center At Floyd, Floyd, VA 24091 | 2005-08-18 |
1043749153 | Caroline Thomsen Egloff | Physical Therapist | 815 E Main St, Floyd, VA 24091 | 2017-06-12 |
1578953303 | Amanda Elise Richardson | Physician Assistant | 140 Christiansburg Pike Ne, Floyd, VA 24091 | 2015-02-02 |
1194908491 | Tri Area Community Health | Clinic/Center | 140 Christiansburg Pike, Floyd, VA 24091 | 2007-12-10 |
1205920592 | Patricia F Fedorchak | Nurse Practitioner | 911 E Main St, Floyd, VA 24091 | 2006-10-03 |
1174535207 | Lorraine Marie French | General Practice | 140 Christiansburg Pike, Tri-area Community Health At Floyd, Floyd, VA 24091 | 2006-08-13 |
1063436723 | Wall Residences, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1281 Huckleberry Ridge Rd Ne, Floyd, VA 24091-2037 | 2006-07-27 |
1083625982 | Strengthening Our System Inc | Day Training, Developmentally Disabled Services | 636 Sowers Rd Ne, Floyd, VA 24091-2076 | 2006-08-10 |
Find all providers in zip 24091 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
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1033730619 | Twin Branch Wellness & Recovery LLC | Substance Abuse Rehabilitation Facility | 1471 Davis Mill Rd, Lancaster, VA 22503-2111 | 2020-05-05 |
1063052579 | Landmark Recovery of Norfolk LLC | Substance Abuse Rehabilitation Facility | 1516 Harmon St, Norfolk, VA 23518-4056 | 2020-01-13 |
1619514957 | Volunteers of America Chesapeake, Inc. | Substance Abuse Rehabilitation Facility | 1554 Columbia Pike, Arlington, VA 22204-4667 | 2019-12-05 |
1326699927 | Caron Marc LLC | Substance Abuse Rehabilitation Facility | 4600 Fairfax Dr Ste 906, Arlington, VA 22203-1553 | 2019-09-25 |
1184188641 | The Bridge Ministry, Inc. | Substance Abuse Rehabilitation Facility | 3054 Dixie Hill Rd, Buckingham, VA 23921-3017 | 2019-01-29 |
1316427214 | Virginia Health Operations LLC | Substance Abuse Rehabilitation Facility | 1318 Kurtz Rd, Mc Lean, VA 22101-4017 | 2018-08-20 |
1740766161 | Community Wellness & Support, LLC | Substance Abuse Rehabilitation Facility | 34 Medical Park Blvd Ste A, Petersburg, VA 23805-9283 | 2018-07-18 |
1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
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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.