ELITE ADOLESCENT CARE, INC.


Address: 4501 Old Battleground Rd, Greensboro, NC 27410-9352
Phone: 9104830324

ELITE ADOLESCENT CARE, INC. (NPI# 1235401811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235401811
Entity Type Organization
Organization Name ELITE ADOLESCENT CARE, INC.
Other Organization Name YOUTHSPRING RESIDENTIAL TREATMENT
Practice Address 4501 Old Battleground Rd
Greensboro
NC 27410-9352
Mailing Address Po Box 38338
Greensboro
NC 27408-8338
Practice Telephone 9104830324
Mailing Telephone 3367637287
Enumeration Date 2012-01-30
Last Update Date 2015-12-16
Authorized Official Name MR. AVERY B. GREEN (CEO)
Authorized Official Telephone 3367637287
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers
N 104100000X Social Worker Behavioral Health & Social Service Providers
N 101YS0200X Counselor
Specialization: School
Behavioral Health & Social Service Providers
N 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers
N 1041S0200X Social Worker
Specialization: School
Behavioral Health & Social Service Providers
N 251S00000X Community/Behavioral Health Agencies
Y 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 6008846 05

Other Provider/Organization Names

Other Name Type Code
YouthSpring Residential Treatment Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326412578 Elite Adolescent Care, Inc. Psychiatric Residential Treatment Facility 4501 Old Battleground Rd, Greensboro, NC 27410-9352 2015-11-25
1689000689 Elite Adolescent Care, Inc. Counselor 4501 Old Battleground Rd, Greensboro, NC 27410-9352 2013-09-23
1508290420 Elite Adolescent Care, Inc. Counselor 111 Lamon St, 103, Fayetteville, NC 28301-4901 2013-08-27

Office Location

Street Address 4501 OLD BATTLEGROUND RD
City GREENSBORO
State NC
Zip Code 27410-9352

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720269087 Greenwoods, Inc. Assisted Living Facility 4501 Old Battleground Rd, Greensboro, NC 27410-9352 2007-11-15
1326412578 Elite Adolescent Care, Inc. Psychiatric Residential Treatment Facility 4501 Old Battleground Rd, Greensboro, NC 27410-9352 2015-11-25
1689000689 Elite Adolescent Care, Inc. Counselor 4501 Old Battleground Rd, Greensboro, NC 27410-9352 2013-09-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669095014 Well-spring Home Care LLC In Home Supportive Care 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 2020-05-20
1679139372 Iora Health North Carolina, P.C. Internal Medicine 3351 Battleground Ave., Greensboro, NC 27410 2019-05-17
1669950689 Matthew W Devaney Dds @ Brassfield, Pa Dentist 2018 New Garden Rd D., Greensboro, NC 27410 2018-08-01
1306323951 Carolina Children's Eye Care, Pa Ophthalmology Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 2018-07-26
1457846495 Courtney Canty James Pharmacist 3300 W Friendly Ave, Greensboro, NC 27410 2018-06-22
1063904506 Jonathan Hunt Dentist 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 2018-05-31
1487158549 Ruth Ann Foster Registered Nurse 3005 Steepleton Colony Court, Greensboro, NC 27410 2018-03-22
1568973360 Novant Medical Group Inc. Internal Medicine 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 2017-10-19
1942724729 Greenbrook Tms Greensboro LLC Psychiatry & Neurology 1931 New Garden Rd Ste 108, Greensboro, NC 27410 2017-08-02
1750810156 Ibrahim Koroma Home Health Aide 4907 Hickory Woods Dr, Greensboro, NC 27410 2017-06-08
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740840990 Alexander Youth Network Psychiatric Residential Treatment Facility 1601 Huffine Mill Rd., Bldg B, Greensboro, NC 27405-5509 2019-06-19
1750525648 Alamance House Psychiatric Residential Treatment Facility 1473 Alamance Church Rd, Greensboro, NC 27406-9415 2009-04-23
1215106984 Leon Harlie Sturdivant Sr. Psychiatric Residential Treatment Facility 808 Mystic Dr, Greensboro, NC 27406-5726 2008-02-26
1164581203 Linda C. Glasgow Psychiatric Residential Treatment Facility 2206 Emerywood Rd, Greensboro, NC 27403-3765 2006-12-06
1447292669 Youth Focus, Inc. Psychiatric Residential Treatment Facility 1601 Huffine Mill Rd, Greensboro, NC 27405-5509 2006-06-12
1326412578 Elite Adolescent Care, Inc. Psychiatric Residential Treatment Facility 4501 Old Battleground Rd, Greensboro, NC 27410-9352 2015-11-25
1841536018 Youth Focus Rtc Psychiatric Residential Treatment Facility 1601 Huffine Mill Rd, Greensboro, NC 27405-5509 2012-12-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578067146 Alexander Youth Network Psychiatric Residential Treatment Facility 6220e Thermal Rd, Charlotte, NC 28211-5630 2018-03-20
1750827150 Stephen's Home Psychiatric Residential Treatment Facility 6214 Paylor St, Mebane, NC 27302-7020 2017-01-10
1013450055 Rwilliams Psychiatric Residential Treatment Facility 511 Tansy Dr, Charlotte, NC 28214-8832 2016-11-23
1891247490 Healing Community Adult Cre Psychiatric Residential Treatment Facility 55 Congress St, Asheville, NC 28801-4342 2016-10-30
1598219149 Equinox Rtc, LLC Psychiatric Residential Treatment Facility 2420 Middle Fork Rd, Hendersonville, NC 28792-1032 2016-08-12
1497128631 The Woodard Home Psychiatric Residential Treatment Facility 4100 Cherry Tree Dr, Monroe, NC 28110-9692 2015-11-10
1184096661 Canyon Hills Treatment Facility, LLC Psychiatric Residential Treatment Facility 769 Aberdeen Rd, Raeford, NC 28376-0029 2015-10-23
1891164174 Kearney Home Psychiatric Residential Treatment Facility 4408 Iyar Way, Wake Forest, NC 27587-4166 2015-09-17
1396111837 Mcguinn Home Psychiatric Residential Treatment Facility 16 Columbia Cir, Hendersonville, NC 28792-7005 2015-08-19
1487020921 Hill Home Psychiatric Residential Treatment Facility 2313 Huntington Rd, Burlington, NC 27215-6140 2015-08-19
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Competitor

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City GREENSBORO
Zip Code 27410

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Dataset Information

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.

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