POTTER'S HOUSE OUTREACH CORPORATION (NPI# 1225164171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225164171 |
| Entity Type | Organization |
| Organization Name | POTTER'S HOUSE OUTREACH CORPORATION |
| Practice Address |
100 Westlake Rd Suite 104 Fayetteville NC 28314-1660 |
| Mailing Address |
100 Westlake Dr Suite 104 Fayetteville NC 28314 |
| Practice Telephone | 9108677791 |
| Practice Fax Number | 9108677731 |
| Mailing Telephone | 9108677791 |
| Mailing Fax Number | 9108677731 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. VINCENT TERRELL ROBINSON (OWNER CEO) |
| Authorized Official Telephone | 9106709121 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457682452 | Potter's House Outreach Corporation | Community/Behavioral Health | 603 Country Club Drive, Fayetteville, NC 28301-7686 | 2010-01-15 |
| 1568622009 | Potter's House Outreach Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 105 Harvest Ln, Raeford, NC 28376-6516 | 2008-06-09 |
| Street Address |
100 WESTLAKE RD SUITE 104 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314-1660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831389535 | New Beginnings of North Carolina, LLC | In Home Supportive Care | 100 Westlake Rd, Suite 102, Fayetteville, NC 28314 | 2007-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499944 | Goal Digger Network LLC | Case Management | 5220 Delco St, Fayetteville, NC 28311-2332 | 2020-08-27 |
| 1437799178 | Brickhouse Management | Case Management | 2529 Raeford Rd Ste C-8, Fayetteville, NC 28305-5098 | 2020-01-10 |
| 1255828612 | Working Concepts Inc | Case Management | 110 Habersham Dr Ste 325, Fayetteville, GA 30214-1381 | 2018-04-20 |
| 1831569268 | Daybreak Case Management Services | Case Management | 110 Hunters Gln, Fayetteville, GA 30215-1914 | 2015-09-28 |
| 1073999538 | Aci Support Specialists, Inc. | Case Management | 257 Kenwood Dr, Fayetteville, NC 28311-0833 | 2015-08-07 |
| 1811323595 | Aci Support Specialists | Case Management | 1619 Winnabow Drive, Fayetteville, NC 28304 | 2013-09-25 |
| 1518393297 | Aci Support Specialists | Case Management | 2257 Spindletree Drive, Fayetteville, NC 28304 | 2013-09-25 |
| 1891121588 | Aci Support Specialists | Case Management | 2633 Gressitt Point Ln, Fayetteville, NC 28306-3555 | 2013-09-25 |
| 1568801355 | Aci Support Specialists, Inc. | Case Management | 342 Wagoner Dr, Suite 107, Fayetteville, NC 28303-4686 | 2013-06-14 |
| 1164787248 | Conceive Believe&achieve LLC | Case Management | 6380 Cliffdale Rd Unit 25032, Fayetteville, NC 28314-2970 | 2012-07-05 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
Please comment or provide details below to improve the information on POTTER'S HOUSE OUTREACH CORPORATION.
| 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.