REID HOME (NPI# 1225440480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225440480 |
Entity Type | Organization |
Organization Name | REID HOME |
Practice Address |
191 Railroad Lane Warrenton NC 27589 |
Mailing Address |
2331 Crownpoint Executive Drive Suite J Charlotte NC 28227 |
Practice Telephone | 7048413544 |
Mailing Telephone | 7048413544 |
Enumeration Date | 2014-05-22 |
Last Update Date | 2017-05-29 |
Authorized Official Name | MRS. KIERAN DEAN (PRESIDENT, CFO) |
Authorized Official Telephone | 7048413544 |
Is Organization Subpart | Y |
Parent Organization Name | UNITED SUPPORT SERVICES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3409493 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | REID HOME CONTRACTING, LLC | 298 Spring Hill Rd, Monroe, CT 06468 |
Colorado Business Entities | Reid Home Improvements | Po Box 440008, Aurora, CO 80044 |
Washington State Corporations | REID HOMES LLC | 40 Lake Bellevue #100, Bellevue, WA 98005 |
Oregon Corporations, Companies and Business Names | REID HOMES, INC. | 1883 Saginaw S, Salem, OR 97302 |
Street Address |
191 RAILROAD LANE |
City | WARRENTON |
State | NC |
Zip Code | 27589 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972154151 | Myia Pitt | Technician | 305 E Butte Street, Warrenton, NC 27589 | 2019-09-27 |
1326507260 | Alpha Magnolia Garden LLC | Assisted Living Facility | 930 Hwy. 158 Bus. East, Warrenton, NC 27589 | 2019-03-19 |
1780069096 | Anna D Ragonese | Occupational Therapist | 864 Hwy Business 158 West, Warrenton, NC 27589 | 2015-07-28 |
1255759155 | Jocqueline Spencer | Occupational Therapist | 864 Us Highway 158, Business West, Warrenton, NC 27589 | 2014-03-29 |
1871914705 | Kimberlee Plyler | Occupational Therapy Assistant | 864 Us Hwy 158 Business, Warrenton, NC 27589 | 2013-12-19 |
1104251008 | Ilana Danielle Coffer | Speech-Language Pathologist | Us Hwy 158 Business W, Warrenton, NC 27589 | 2013-09-10 |
1134552722 | Derick Nathaniel Bayersdorfer | Occupational Therapy Assistant | 864 Us Hwy 158 Business West, Warrenton, NC 27589 | 2013-08-19 |
1144669979 | Goode Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 391 Snowhill Road, Warrenton, NC 27589 | 2013-06-14 |
1831532944 | Futrell Pharmacy Service, Inc | Pharmacy | 108b S. Main Street, Warrenton, NC 27589 | 2013-04-09 |
1790023968 | Carmita Debroux | Physical Therapy Assistant | 864 Us Highway158 Business West, Warrenton, NC 27589 | 2013-01-23 |
Find all providers in zip 27589 |
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 |
---|---|---|---|---|
1912373424 | Family Preservation Services, Inc | Community/Behavioral Health | 169 Keith St, Warrenton, VA 20186-3231 | 2015-08-19 |
1336461342 | Ricky Paylor | Community/Behavioral Health | 328 Parktown Rd, Warrenton, NC 27589-9151 | 2010-02-17 |
1396998480 | Act Family Program | Community/Behavioral Health | 39 Garrett Street, Suite 109, Warrenton, VA 20186 | 2008-11-03 |
1508029604 | Golden Footprint LLC | Community/Behavioral Health | 108 S Bragg St, Suite 6, Warrenton, NC 27589-2048 | 2008-07-08 |
1649806134 | Youniversal Solutions | Community/Behavioral Health | 126 N Main St, Warrenton, NC 27589-1922 | 2020-03-17 |
1356901979 | Joshua Terrill | Community/Behavioral Health | 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 | 2019-06-17 |
1588904304 | Strategic Interventions, LLC | Community/Behavioral Health | 108 S Bragg St, Warrenton, NC 27589 | 2013-02-15 |
1720352453 | Freedom House Recovery Center | Community/Behavioral Health | 126 N Main St, Warrenton, NC 27589-1922 | 2012-02-27 |
1467750257 | E Squared Community Services | Community/Behavioral Health | 126 N Main St, Warrenton, NC 27589-1922 | 2011-03-03 |
1093017931 | Prodigious Health Services, LLC | Community/Behavioral Health | 108 S Bragg St, Warrenton, NC 27589-2048 | 2010-11-29 |
Find all providers in WARRENTON |
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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.