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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6008846 | 05 |
Other Name | Type Code |
---|---|
YouthSpring Residential Treatment | Doing Business As Name - Organization |
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 |
Street Address |
4501 OLD BATTLEGROUND RD |
City | GREENSBORO |
State | NC |
Zip Code | 27410-9352 |
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 |
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 |
Find all providers in zip 27410 |
Taxonomy Code | 323P00000X |
Grouping | Residential Treatment Facilities |
Classification | Psychiatric Residential Treatment Facility |
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 |
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 |
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 |
Find all providers with the same taxonomy |
City | GREENSBORO |
Zip Code | 27410 |
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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.