BRITESMILZ FAMILY & COMMUNITY CONNECTIONS, LLC (NPI# 1245359439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245359439 |
| Entity Type | Organization |
| Organization Name | BRITESMILZ FAMILY & COMMUNITY CONNECTIONS, LLC |
| Practice Address |
1165 Gregory Dr Roanoke Rapids NC 27870-6442 |
| Mailing Address |
Po Box 86 Roanoke Rapids NC 27870-0086 |
| Practice Telephone | 2525377575 |
| Practice Fax Number | 2525379008 |
| Mailing Telephone | 2525377575 |
| Mailing Fax Number | 2525379008 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. EVELYN S. DAWSON (DIRECTOR) |
| Authorized Official Telephone | 2525377575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| X | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861700502 | Britesmilz Family & Community Connections, LLC | Community/Behavioral Health | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2010-09-15 |
| 1699080770 | Britesmilz Family & Community Connections, LLC | Community/Behavioral Health | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2010-08-12 |
| 1275854895 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2010-06-17 |
| 1992939573 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2009-05-11 |
| 1851534325 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2009-04-14 |
| 1720234131 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2008-08-18 |
| 1760661961 | Britesmilz Family & Community Connections, LLC | Counselor | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2007-10-24 |
| 1558557991 | Britesmilz Family & Community Connections, LLC | Marriage & Family Therapist | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2007-09-19 |
| 1982723177 | Britesmilz Family & Community Connections, LLC | Counselor | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2007-03-28 |
| Street Address |
1165 GREGORY DR |
| City | ROANOKE RAPIDS |
| State | NC |
| Zip Code | 27870-6442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427159078 | Brite Smilz Family & Community Connections LLC | Clinic/Center | 1165 Gregory Dr, Roanoke Rapids, NC 27870 | 2006-09-26 |
| 1386090983 | Homecare Management Corporation | Community/Behavioral Health | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2016-05-12 |
| 1861700502 | Britesmilz Family & Community Connections, LLC | Community/Behavioral Health | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2010-09-15 |
| 1699080770 | Britesmilz Family & Community Connections, LLC | Community/Behavioral Health | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2010-08-12 |
| 1275854895 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2010-06-17 |
| 1851611727 | Britesmilz Family & Cmmunity Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2010-06-02 |
| 1992939573 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2009-05-11 |
| 1851534325 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2009-04-14 |
| 1720234131 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2008-08-18 |
| 1760661961 | Britesmilz Family & Community Connections, LLC | Counselor | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2007-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721596 | Holt Assessment Services, LLC | Community/Behavioral Health | 622 Unit C Roanoke Avenue, Roanoke Rapids, NC 27870 | 2020-02-10 |
| 1053951244 | Wl Transportation LLC | Non-emergency Medical Transport (VAN) | 557 Litte Deep Creek Road, Roanoke Rapids, NC 27870 | 2020-01-15 |
| 1740748474 | Alexis S Gomez | Physician Assistant | 257 Nc-125, Roanoke Rapids, NC 27870 | 2019-03-12 |
| 1255874418 | Diane Shaw | Technician | 1015 Roanoke Avenue Suite A, Roanoke Rapids, NC 27870 | 2016-11-21 |
| 1568818912 | Adrianne Teague | Counselor | 60 N Highway 125, Roanoke Rapids, NC 27870 | 2016-05-04 |
| 1831552322 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 171 Nc Higway 125, Roanoke Rapids, NC 27870 | 2016-04-01 |
| 1710347885 | Golden Gate Human Services and Transportation | Counselor | 1028 Roanoke Avenue, Roanoke Rapids, NC 27870 | 2016-03-02 |
| 1811354905 | Michael D Turner | Physical Therapy Assistant | 171 Nc Highway 25, Roanoke Rapids, NC 27870 | 2016-01-21 |
| 1215323274 | D'vine Intervention Counseling Center | Community/Behavioral Health | 2424 Oak Street, Portsmouth, VA 27870 | 2015-04-07 |
| 1720408222 | Chastity Kinsler | Counselor | 60 North Highway 125, Roanoke Rapids, NC 27870 | 2014-04-23 |
| Find all providers in zip 27870 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000976 | Jamel Jones | Case Manager/Care Coordinator | 107 Davelin Pl, Goldsboro, NC 27530-4507 | 2020-10-12 |
| 1043821952 | Tracy Simerson | Case Manager/Care Coordinator | 9021 Duval Hill St, Raleigh, NC 27603-7522 | 2020-08-13 |
| 1104449164 | Yolanda Lynn Simpson | Case Manager/Care Coordinator | 559 Foster Rd, Yanceyville, NC 27379-8914 | 2020-05-26 |
| 1487274064 | J'aunie Y Mcrae-knight | Case Manager/Care Coordinator | 2037 Mlk Jr Dr, Greensboro, NC 27406-3314 | 2020-04-23 |
| 1144849597 | Barbara Denise Gaskins | Case Manager/Care Coordinator | 719 W 15th St Ste 727, Washington, NC 27889-3667 | 2020-04-15 |
| 1386273894 | Human Coalition | Case Manager/Care Coordinator | 4237 Louisburg Rd Ste 105, Raleigh, NC 27604-4348 | 2020-04-06 |
| 1275172298 | Kelsy Timas | Case Manager/Care Coordinator | 143 Skateway Dr, Fayetteville, NC 28304-2640 | 2019-12-23 |
| 1972153328 | Monida Fields | Case Manager/Care Coordinator | 4845 Ashley Park Ln Apt 220, Charlotte, NC 28210-4134 | 2019-09-18 |
| 1245884196 | Mildred Hopkins | Case Manager/Care Coordinator | 507 1st St, Spring Hope, NC 27882-9342 | 2019-07-30 |
| 1972167302 | Wfic | Case Manager/Care Coordinator | 811 Wesley Dr, Salisbury, NC 28146-2257 | 2019-05-01 |
| Find all providers with the same taxonomy | ||||
| City | ROANOKE RAPIDS |
| Zip Code | 27870 |
Please comment or provide details below to improve the information on BRITESMILZ FAMILY & COMMUNITY CONNECTIONS, LLC.
| 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.