GREATER IMAGE HC (NPI# 1326476383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326476383 |
| Entity Type | Organization |
| Organization Name | GREATER IMAGE HC |
| Practice Address |
1112 Devonshire Trl Aberdeen NC 28315-3910 |
| Mailing Address |
401 Robeson Street Fayetteville NC 28301 |
| Practice Telephone | 9109441674 |
| Mailing Telephone | 9103210069 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | RODNEY L JOHNSON (CEO) |
| Authorized Official Telephone | 9103210069 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL-063-105 | NC | Residential Treatment Facilities |
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1326476383 | 01 |
| Street Address |
1112 DEVONSHIRE TRL |
| City | ABERDEEN |
| State | NC |
| Zip Code | 28315-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457481988 | Peterkin & Associates, Inc. | Assisted Living Facility | 1112 Devonshire Trl, Aberdeen, NC 28315-3910 | 2007-03-06 |
| 1225358427 | Kids' Residential Services, Inc. | Community/Behavioral Health | 1112 Devonshire Trl, Aberdeen, NC 28315-3910 | 2010-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942821681 | Mission Physical Therapy LLC | Clinic/Center | 155 Allison Page Road, Suite B, Aberdeen, NC 28315 | 2020-05-05 |
| 1154768653 | Dr Cameron and Associates, Pllc | Dentist | 292 Turner St., Aberdeen, NC 28315 | 2013-05-24 |
| 1891043493 | Anne M Kratzer | Doula | 1000 Robinwood Rd, Aberdeen, NC 28315 | 2012-08-29 |
| 1912283912 | Triune Laboratory | Clinical Medical Laboratory | 325b Fields Dr, Aberdeen, NC 28315 | 2011-10-24 |
| 1013206705 | Alvin D. Wilson | Social Worker | 115 Ashleigh Blvd, Aberdeen, NC 28315 | 2011-04-01 |
| 1841593167 | Constance L. Pearson | Counselor | 100 Magnolial Square Court, Aberdeen, NC 28315 | 2010-12-08 |
| 1568799617 | Tammie C Watkins | Pharmacist | 15911 Hwy 15-501, Aberdeen, NC 28315 | 2009-11-11 |
| 1518002203 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 604 Magnolia Drive, Aberdeen, NC 28315 | 2007-02-20 |
| 1891855847 | Hope Family Center PC | Family Medicine | 210 Magnolia Square Ct, Aberdeen, NC 28315 | 2006-12-11 |
| 1154427318 | Gary P Dackor Dc Inc | Chiropractor | 1701 North Sandhills Blvd. Suite D, Aberdeen, NC 28315 | 2006-09-15 |
| Find all providers in zip 28315 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518002088 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 928 Magnolia Dr, Aberdeen, NC 28315-2208 | 2007-02-21 |
| 1447395298 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 126 Robin Hood Ln, Aberdeen, NC 28315-4447 | 2007-02-20 |
| 1912042649 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 2990 Reservation Rd, Aberdeen, NC 28315-5414 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702937 | Gha Autism Supports | Intermediate Care Facility, Mentally Retarded | 44012 Morrow Mountain Rd, Albemarle, NC 28001-8616 | 2020-05-21 |
| 1811517774 | Educare Community Living Corporation-north Carolina | Intermediate Care Facility, Mentally Retarded | 834 Tyvola Rd Ste 116, Charlotte, NC 28217-3542 | 2020-04-21 |
| 1598125460 | Rha Health Services Nc LLC | Intermediate Care Facility, Mentally Retarded | 410 N Mineral Springs Rd, Durham, NC 27703-3618 | 2016-03-04 |
| 1023478294 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 619 Ray Ave, Hendersonville, NC 28792-2668 | 2016-03-02 |
| 1740649417 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 310 Locust Street, West Jefferson, NC 28694 | 2016-02-23 |
| 1841655453 | Journeys Healthcare | Intermediate Care Facility, Mentally Retarded | 515 Carver Moore Rd, Lake Waccamaw, NC 28450-9713 | 2015-12-24 |
| 1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
| 1609299916 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 1802 Strickland Bridge Rd, Fayetteville, NC 28304-5739 | 2014-01-23 |
| 1861822314 | Voca Corporation of North Carolina | Intermediate Care Facility, Mentally Retarded | 4109 Enoch Dr, Charlotte, NC 28269-2578 | 2013-11-20 |
| 1902144314 | Rouse's Group Home Inc | Intermediate Care Facility, Mentally Retarded | 5820 Nc 135, Stoneville, NC 27048-8478 | 2013-01-18 |
| Find all providers with the same taxonomy | ||||
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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.