LONG ACRES FAMILY CARE HOME#1 (NPI# 1154463693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154463693 |
| Entity Type | Organization |
| Organization Name | LONG ACRES FAMILY CARE HOME#1 |
| Practice Address |
400 Parnell Dr Raleigh NC 27610-3402 |
| Mailing Address |
1133 Villa Green Ct Raleigh NC 27612-2488 |
| Practice Telephone | 9192317500 |
| Mailing Telephone | 9106768062 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RANSFORD NYLANDER THOMPSON (PRESIDENT) |
| Authorized Official Telephone | 9197958338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
FCL-092-025 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7802070 | 05 |
| Street Address |
400 PARNELL DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327278 | L.c. Braxton Counseling, Pllc | Clinic/Center | 5700 Six Forks Rd Ste 202, Raleigh, NC 27609-8616 | 2019-10-16 |
| 1831742857 | Nextstep Enhancement Services Inc | Clinic/Center | 7204 Lowell Ridge Rd, Raleigh, NC 27616-8684 | 2019-07-18 |
| 1942769625 | Latoya Nelson Enterprises, LLC | Clinic/Center | 211 E Six Forks Rd Ste 204, Raleigh, NC 27609-7753 | 2019-03-13 |
| 1154835023 | Sacred Journey Family Services LLC | Clinic/Center | 4840 Quarryman Rd, Raleigh, NC 27610-6625 | 2017-11-29 |
| 1922521590 | Under The Willow Counseling | Clinic/Center | 8410 Six Forks Rd Ste 203, Raleigh, NC 27615-3078 | 2017-07-25 |
| 1063756435 | Good Life Care, Inc | Clinic/Center | 5847 Mchines Pl Ste D, Raleigh, NC 27616-1829 | 2012-11-25 |
| 1164556254 | County of Wake | Clinic/Center | 220 Snow Ave, Raleigh, NC 27603-1535 | 2007-03-14 |
| 1003847229 | Easter Seals Ucp Asap Inc | Clinic/Center | 3801 Lake Boone Trl, Suite 320, Raleigh, NC 27607-2934 | 2006-07-05 |
| 1225654080 | Prolific Life Solutions, Pllc | Clinic/Center | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 | 2020-06-17 |
| 1265095343 | Toni Georgiana, Lcsw, Pllc | Clinic/Center | 5613 Duraleigh Rd Ste 101, Raleigh, NC 27612-2694 | 2019-04-15 |
| Find all providers in RALEIGH | ||||
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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.