FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC (NPI# 1164871604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164871604 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC |
| Other Organization Name | ELLENBORO ELEMENTARY |
| Practice Address |
813 Piney Mountain Church Rd Ellenboro NC 28040-8656 |
| Mailing Address |
Po Box 759194 Baltimore MD 21275-9195 |
| Practice Telephone | 7043440491 |
| Practice Fax Number | 7043440493 |
| Mailing Telephone | 7043440491 |
| Mailing Fax Number | 7043440493 |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | PAMELA L FREELEY (NC BILLING SYSTEMS SUPERVISOR) |
| Authorized Official Telephone | 7043440491 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Ellenboro Elementary | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235588419 | Family Preservation Services of North Carolina, LLC | Community/Behavioral Health | 161 N Oak St, Spindale, NC 28160-1208 | 2016-06-08 |
| 1073962254 | Family Preservation Services of North Carolina, LLC | Community/Behavioral Health | 201 Bob Hardin Rd, Rutherfordton, NC 28139-6908 | 2016-06-08 |
| 1629427802 | Family Preservation Services of North Carolina, LLC | Community/Behavioral Health | 286 Learning Pkwy, Forest City, NC 28043-7504 | 2016-06-08 |
| 1568893709 | Family Preservation Services of North Carolina, LLC | Community/Behavioral Health | 1314 Patton Ave Ste C, Asheville, NC 28806-2648 | 2013-12-12 |
| 1093096844 | Family Preservation Services of North Carolina, LLC | Community/Behavioral Health | 1340 Patton Ave Ste A, Asheville, NC 28806-2623 | 2011-09-07 |
| 1902100704 | Family Preservation Services of North Carolina, LLC | Community/Behavioral Health | 2270 Sugarloaf Rd, Hendersonville, NC 28792-8854 | 2011-01-07 |
| 1982935698 | Family Preservation Services of North Carolina, LLC | Community/Behavioral Health | 690 Ridge Rd, Hendersonville, NC 28792-7468 | 2010-01-20 |
| 1215268958 | Family Preservation Services of North Carolina, LLC | Community/Behavioral Health | 3345 Haywood Rd, Hendersonville, NC 28791-9721 | 2010-01-20 |
| 1952537615 | Family Preservation Services of North Carolina, LLC | Counselor | 120 Chadwick Square Court, Ste C, Hendersonville, NC 28739-3201 | 2009-06-08 |
| 1760528913 | Family Preservation Services of North Carolina, LLC | Community/Behavioral Health | 139 E Trade St, Forest City, NC 28043-3149 | 2007-01-29 |
| Street Address |
813 PINEY MOUNTAIN CHURCH RD |
| City | ELLENBORO |
| State | NC |
| Zip Code | 28040-8656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396053898 | Fresh Perspectives Nutrition Counseling, LLC | Dietitian, Registered | 1027 E Us Hwy 74 Bus, Ellenboro, NC 28040 | 2010-09-17 |
| 1740594613 | Christine P Bach | Dietitian, Registered | 1027 East Us Hwy 74 Bus, Ellenboro, NC 28040 | 2010-08-03 |
| 1831372804 | Commonwood Home | Assisted Living Facility | 348 Leonard Lane, Ellenboro, NC 28040 | 2007-12-12 |
| 1669528022 | Paul Leo Tecklenberg | Internal Medicine | 128 Volley Road, Ellenboro, NC 28040-4710 | 2007-01-26 |
| 1538524400 | Ayumi Deyton | Specialist/Technologist | 153 High Cotton Dr, Ellenboro, NC 28040-7322 | 2015-12-20 |
| 1750719720 | Calvin Clay | Physical Therapy Assistant | 135 High Cotton Dr, Ellenboro, NC 28040-7322 | 2013-10-29 |
| 1962647040 | New Generations Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 170 Tiney Rd, Ellenboro, NC 28040-7608 | 2008-12-03 |
| 1528418621 | Directcare | Community/Behavioral Health | 135 Michelle Dr, Ellenboro, NC 28040-7619 | 2016-06-20 |
| 1700327178 | Kiki Logan | Early Intervention Provider Agency | 245 E Park Rd, Ellenboro, NC 28040-7621 | 2017-03-17 |
| 1710418462 | Moving Forward Pediatric Services | Exclusive Provider Organization | 245 E Park Rd, Ellenboro, NC 28040-7621 | 2017-03-24 |
| Find all providers in zip 28040 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528418621 | Directcare | Community/Behavioral Health | 135 Michelle Dr, Ellenboro, NC 28040-7619 | 2016-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| 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.