MR. MOORE BYNUM (NPI# 1265619274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265619274 |
| Entity Type | Individual |
| Full Name | MR. MOORE BYNUM |
| Practice Address |
518 Arlington St Rocky Mount NC 27801-5657 |
| Mailing Address |
131 Bynum Pl Norlina NC 27563-9139 |
| Practice Telephone | 2524462082 |
| Mailing Telephone | 2522572307 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-033-054 | NC | Residential Treatment Facilities |
| Street Address |
518 ARLINGTON ST |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27801-5657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407313752 | Raitesha Neville | Social Worker | 518 Arlington St, Rocky Mount, NC 27801-5657 | 2019-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070215 | My Guardian Angel Family Care Home | Custodial Care Facility | 514 Cokey Road, Rocky Mount, NC 27801 | 2020-10-15 |
| 1487268660 | Tiambra Armeire Battle | Occupational Therapist | 1900 Windsor Drive, Rocky Mount, NC 27801 | 2020-09-03 |
| 1639661796 | Opportunities Industrialization Center, Inc | Clinic/Center | 260 Albemarle Avenue, Rocky Mount, NC 27801 | 2018-06-05 |
| 1891290466 | Your Best Life Awaits Counseling & Coaching Institute, Pllc | Clinic/Center | 107 Se Main St Suite 203, Rocky Mount, NC 27801 | 2018-03-27 |
| 1922352434 | Southern Mattress Co. Inc. | Durable Medical Equipment & Medical Supplies | 1812 Cokey Road, Rocky Mount, NC 27801 | 2012-11-06 |
| 1275805046 | Kota Transport Service LLC | Non-emergency Medical Transport (VAN) | 1125 South Cambridge Circle, Rocky Mount, NC 27801 | 2012-02-08 |
| 1750543781 | Jones and Jones Enterprises LLC | Community/Behavioral Health | 907 East Holly Street, Rocky Mount, NC 27801 | 2008-07-01 |
| 1235316035 | Claire Smith | Pharmacist | 130 Sw Main Street, Almand's Drug Store, Rocky Mount, NC 27801 | 2008-01-24 |
| 1104007723 | House of Hope | Clinic/Center | 2416 Sheve Rd., Rocky Mount, NC 27801 | 2007-11-26 |
| 1376724039 | Brenda W Bryan | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2001 Vernon Rd, Rocky Mount, NC 27801 | 2007-11-21 |
| Find all providers in zip 27801 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811163017 | Daystar Residential Group Home Inc | Residential Treatment Facility, Emotionally Disturbed Children | 418 Magnolia Dr, Rocky Mount, NC 27801-5843 | 2008-05-07 |
| 1639379845 | Uplifting Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2040 Jarrett Dr, Rocky Mount, NC 27803-3749 | 2007-07-25 |
| 1841431517 | Positive Steps Residential Services #2 | Residential Treatment Facility, Emotionally Disturbed Children | 115 Wye St, Rocky Mount, NC 27801-5679 | 2009-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
| 1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY MOUNT |
| Zip Code | 27801 |
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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.