STATE OF NC DIVISION OF HEALTH SERVICES (NPI# 1346464716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346464716 |
| Entity Type | Organization |
| Organization Name | STATE OF NC DIVISION OF HEALTH SERVICES |
| Practice Address |
1065 Vinehaven Dr Concord NC 28025-2439 |
| Mailing Address |
Dph- Early Intervention Br 1916 Mail Service Center Raleigh NC 27699-1916 |
| Practice Telephone | 7047869181 |
| Practice Fax Number | 7047929198 |
| Mailing Telephone | 9197075520 |
| Mailing Fax Number | 9198704834 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2015-11-25 |
| Authorized Official Name | MS. JILL SINGER (EARLY INTERVENTION BRANCH HEAD) |
| Authorized Official Telephone | 9197075520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3403408 | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 3405 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114143542 | State of Nc Division of Health Services | Clinic/Center | 145 West Parker Road, Suite A, Morganton, NC 28655-4649 | 2007-04-17 |
| 1558587972 | State of Nc Division of Health Services | Clinic/Center | 87 Bonnie Lane, Sylva, NC 28779-8511 | 2007-04-17 |
| 1063637411 | State of Nc Division of Health Services | Clinic/Center | 3311 Burnt Mill Dr, Suite 100, Wilmington, NC 28403-2654 | 2007-04-13 |
| 1891919254 | State of Nc Division of Health Services | Clinic/Center | 2359 Highway 105, Boone, NC 28607-7814 | 2007-04-13 |
| 1841414257 | State of Nc Division of Health Services | Clinic/Center | 1211a Ireland Dr, Fayetteville, NC 28304-3372 | 2007-04-13 |
| 1104041540 | State of Nc Division of Health Services | Clinic/Center | 141 Storage Rd, Rocky Mount, NC 27804-8561 | 2007-04-13 |
| 1801011242 | State of Nc Division of Health Services | Clinic/Center | 10 Parker Ln, Suite 1, Pinehurst, NC 28374-7903 | 2007-04-13 |
| 1942424387 | State of Nc Division of Health Services | Clinic/Center | 852 Merrimon Ave, Asheville, NC 28804-2405 | 2007-04-13 |
| 1568686988 | State of Nc Division of Health Services | Clinic/Center | 122 N Elm St, Suite 400, Greensboro, NC 27401-2842 | 2007-04-13 |
| 1801011234 | State of Nc Division of Health Services | Clinic/Center | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2007-04-13 |
| Street Address |
1065 VINEHAVEN DR |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871577437 | Tracy Ellen Kwitowski | Physical Therapist | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2005-12-06 |
| 1396925301 | Heather Woods Jacobs | Registered Nurse | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-11-07 |
| 1578773842 | Margarete Narzynski | Occupational Therapist | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-05-23 |
| 1194849992 | Patricia Lynn Gabrielle Mitlehner | Speech-Language Pathologist | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-03-19 |
| 1043334618 | Kimberly Aylene Kennedy | Psychologist | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-03-19 |
| 1760516066 | Karen Walker Laberdia | Social Worker | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-03-16 |
| 1275667545 | Margaret Ann Lemelin | Speech-Language Pathologist | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-03-16 |
| 1366576696 | Alison Sh'ree Fuller | Audiologist | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-03-16 |
| 1356475685 | Julia R. Alexander | Registered Nurse | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-03-16 |
| 1548384647 | Bonnie Leanne Walsh | Dietitian, Registered | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821203365 | Minute Man Arc for Human Services, Inc. | Clinic/Center | 130c Baker Avenue Ext, Concord, MA 01742-2121 | 2007-05-10 |
| 1548318397 | Minute Man Arc for Human Services, Inc. | Clinic/Center | 1269 Main St, Concord, MA 01742-3099 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174355 | A Better You Wellness Center | Clinic/Center | 3103 Durant Rd, Greenville, NC 27834-6786 | 2020-08-13 |
| 1770118556 | Enable LLC | Clinic/Center | 4050 Legion Rd, Hope Mills, NC 28348-8872 | 2020-03-11 |
| 1083128508 | Almarch Family Care, LLC | Clinic/Center | 1924 Beverly Rd, Rocky Mount, NC 27801-6313 | 2017-11-20 |
| 1669995577 | L.a.s Learning Playhouse, LLC | Clinic/Center | 210 Craver Ave, Salisbury, NC 28146-5906 | 2017-07-23 |
| 1528314408 | Laura Maria Mckoy | Clinic/Center | 122 Live Oak Drive, Jacksonville, NC 28540 | 2012-07-30 |
| 1306123294 | Lane's House Adult Group Home | Clinic/Center | 3159 Octavia Dr, Rocky Mount, NC 27804-7959 | 2011-11-07 |
| 1639408248 | Self-determination LLC | Clinic/Center | 103 Ebenezer Rd, Kings Mtn, NC 28086 | 2009-12-09 |
| 1235388133 | Eaglemere Living Facility | Clinic/Center | 200 Eagles Mere Trl, Rocky Mount, NC 27804-8850 | 2008-09-16 |
| 1043468796 | Making It Happen, Inc. | Clinic/Center | 355 Ransom Rd, Winston Salem, NC 27106-3835 | 2008-09-07 |
| 1689841298 | Safe Harbour | Clinic/Center | 13 East Dr, Jacksonville, NC 28546-8214 | 2008-05-13 |
| 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.