CRC HEALTH (NPI# 1316165749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316165749 |
| Entity Type | Organization |
| Organization Name | CRC HEALTH |
| Practice Address |
111 Town Hollow Rd Cedar Bluff VA 24609-9622 |
| Mailing Address |
366 Shortts Rd Raven VA 24639-9455 |
| Practice Telephone | 2769633554 |
| Mailing Telephone | 2769635518 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. VICKIE LYNN PERKINS (LPN) |
| Authorized Official Telephone | 2769633554 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 0002052423 | VA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679802789 | Crc Health | Clinic/Center | 7020 Friars Road, San Diego, CA 92108 | 2009-12-18 |
| 1205055381 | Crc Health | Nursing Facility/Intermediate Care Facility | 2970 Baptist Valley Rd, Cedar Bluff, VA 24609-8654 | 2007-04-25 |
| 1437372778 | Crc Health | Clinic/Center | 7020 Friars Rd, San Diego, CA 92108-1126 | 2007-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | CRC HEALTH CORPORATION | 105 N. Bascom Ave., Second Fl., San Jose, CA 95128 |
| North Carolina Corporations | CRC Health Corporation | 2 South Salisbury Street, Raleigh, NC 27601 |
| Oregon Corporations, Companies and Business Names | CRC HEALTH OREGON, LLC | 6100 Tower Circle, Suite 1000, Franklin, TN 37067 |
| Street Address |
111 TOWN HOLLOW RD |
| City | CEDAR BLUFF |
| State | VA |
| Zip Code | 24609-9622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386783314 | Galax Treatment Center, LLC | Clinic/Center | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2007-02-06 |
| 1457837346 | Jordan Dean Griffith | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2018-07-14 |
| 1477046324 | Tonia Jeanne Johnson | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2018-06-14 |
| 1366935322 | Brittany Nicole Fuller | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2018-06-13 |
| 1407008675 | Jeani Renee Hodges | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2008-10-19 |
| 1588816094 | Lena Levae Richardson | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2008-10-15 |
| 1295987071 | Shelia Lovejoy Smith | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2008-10-13 |
| 1407008238 | Kelley Lambert | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2008-10-10 |
| 1043462872 | Teresa Arveline Fields | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2008-10-10 |
| 1649421728 | Amber Leigh Stevenson | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609 | 2008-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831669498 | Appalachian Agency for Senior Citizens, Inc | Non-emergency Medical Transport (VAN) | 164 College Ridge Road, Cedar Bluff, VA 24609 | 2018-11-27 |
| 1568930568 | Jerry Gray Gilchrist IIi | Private Vehicle | 308 College Estates Rd, Cedar Bluff, VA 24609 | 2018-11-07 |
| 1538575949 | At Home Personal Care | In Home Supportive Care | 2032 Cedar Valley Dr, Suite1, Cedar Bluff, VA 24609 | 2014-07-07 |
| 1124375217 | Billy Chad Mullins | Counselor | 216 College Ridge Rd., Cedar Bluff, VA 24609 | 2012-08-08 |
| 1124329388 | Healing Waters Counseling Center | Social Worker | 1113 Cedar Valley Dr., Cedar Bluff, VA 24609 | 2010-11-04 |
| 1154658854 | Bradley Todd Kinder | Counselor | 1100 Cedar Valley Drive, Suite 3, Cedar Bluff, VA 24609 | 2009-11-17 |
| 1447488796 | Thomas Luke Stillwell | Optometrist | 7831 Mountain Rd, Cedar Bluff, VA 24609 | 2009-06-25 |
| 1467698639 | Family Preservation Services, Inc | Community/Behavioral Health | 1089, Cedar Bluff, VA 24609 | 2008-12-18 |
| 1366614869 | Susan Renee Harris | Nurse Practitioner | 541 Community College Rd, Dickenson Hall, Cedar Bluff, VA 24609 | 2008-03-25 |
| 1841472040 | Roy C Gomez, Md, PC | Clinic/Center | 2308 Cedar Valley Drive, Cedar Bluff, VA 24609 | 2007-11-29 |
| Find all providers in zip 24609 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841786100 | Horizon Behavioral Health | Intermediate Care Facility, Mental Illness | 999 Lakeview Dr, Lynchburg, VA 24502-2803 | 2018-07-10 |
| 1790158749 | Monica Smith | Intermediate Care Facility, Mental Illness | 220 Brandon Rd, Richmond, VA 23224-1214 | 2015-11-12 |
| 1639513781 | City of Virginia Beach Human Services | Intermediate Care Facility, Mental Illness | 2525 Lifetime Cir, Virginia Beach, VA 23456-1499 | 2013-04-19 |
| 1073796694 | River City Residences, LLC | Intermediate Care Facility, Mental Illness | 10201 Duryea Dr, Richmond, VA 23235-1705 | 2007-12-06 |
| 1891863973 | Theresa'-venia, LLC | Intermediate Care Facility, Mental Illness | 1536 Centre Ave, Portsmouth, VA 23704-6802 | 2006-11-30 |
| 1447362660 | Commonwealth of Virginia Hiram W Davis Medical Center | Intermediate Care Facility, Mental Illness | Albemarle and 7th Streets, Building 110, Petersburg, VA 23803-0030 | 2006-09-01 |
| 1467475830 | Skyline Terrace Convalescent Home | Intermediate Care Facility, Mental Illness | 123 Lakeview Road, Woodstock, VA 22664-0558 | 2006-07-25 |
| 1376523225 | Hillcrest Nursing Home Inc | Intermediate Care Facility, Mental Illness | 110 Lauck Dr, Winchester, VA 22603-4282 | 2006-01-18 |
| 1073030383 | Lioness Community Care of Virginia LLC | Intermediate Care Facility, Mental Illness | 4445 Corporation Ln, Virginia Beach, VA 23462-3262 | 2017-08-28 |
| 1205165636 | Behavioral Health Arlington County Dhs | Intermediate Care Facility, Mental Illness | 1725 N George Mason Dr, Arlington, VA 22205-3675 | 2009-12-14 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR BLUFF |
| Zip Code | 24609 |
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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.