RED OAK ADOLESCENT RECOVERY LLC (NPI# 1356813802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356813802 |
| Entity Type | Organization |
| Organization Name | RED OAK ADOLESCENT RECOVERY LLC |
| Practice Address |
517 Cub Creek Rd Ellenboro NC 28040-8733 |
| Mailing Address |
108 Executive Park Asheville NC 28801-2426 |
| Practice Telephone | 8283180148 |
| Mailing Telephone | 2052517753 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |
| Authorized Official Name | MR. HOWARD BAYLESS-BONVENTRE III (DIRECTOR OF PAYER RELATIONS & CONTR) |
| Authorized Official Telephone | 2052448110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| The Foothills at Red Oak Recovery | Doing Business As Name - Organization |
| Street Address |
517 CUB CREEK RD |
| City | ELLENBORO |
| State | NC |
| Zip Code | 28040-8733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396053898 | Fresh Perspectives Nutrition Counseling, LLC | Dietitian, Registered | 1027 E Us Hwy 74 Bus, Ellenboro, NC 28040 | 2010-09-17 |
| 1740594613 | Christine P Bach | Dietitian, Registered | 1027 East Us Hwy 74 Bus, Ellenboro, NC 28040 | 2010-08-03 |
| 1831372804 | Commonwood Home | Assisted Living Facility | 348 Leonard Lane, Ellenboro, NC 28040 | 2007-12-12 |
| 1669528022 | Paul Leo Tecklenberg | Internal Medicine | 128 Volley Road, Ellenboro, NC 28040-4710 | 2007-01-26 |
| 1538524400 | Ayumi Deyton | Specialist/Technologist | 153 High Cotton Dr, Ellenboro, NC 28040-7322 | 2015-12-20 |
| 1750719720 | Calvin Clay | Physical Therapy Assistant | 135 High Cotton Dr, Ellenboro, NC 28040-7322 | 2013-10-29 |
| 1962647040 | New Generations Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 170 Tiney Rd, Ellenboro, NC 28040-7608 | 2008-12-03 |
| 1528418621 | Directcare | Community/Behavioral Health | 135 Michelle Dr, Ellenboro, NC 28040-7619 | 2016-06-20 |
| 1700327178 | Kiki Logan | Early Intervention Provider Agency | 245 E Park Rd, Ellenboro, NC 28040-7621 | 2017-03-17 |
| 1710418462 | Moving Forward Pediatric Services | Exclusive Provider Organization | 245 E Park Rd, Ellenboro, NC 28040-7621 | 2017-03-24 |
| Find all providers in zip 28040 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395457 | Changing Paths of Nc 2 LLC | Substance Abuse Rehabilitation Facility | 150 Cedar Ln, Rose Hill, NC 28458 | 2020-08-06 |
| 1982212874 | Hall Empowerment Network | Substance Abuse Rehabilitation Facility | 4450 Kinkead Ct Apt 33, Fayetteville, NC 28314-2420 | 2020-07-16 |
| 1710504642 | The Awakening Wellness Clinic, Inc | Substance Abuse Rehabilitation Facility | 8 Carver Rd, Jacksonville, NC 28540-7010 | 2020-06-26 |
| 1609408269 | Pear Tree Peace Community Economic Development Corporation | Substance Abuse Rehabilitation Facility | 612 Pine Tops Rd, Murfreesboro, NC 27855-9595 | 2020-02-11 |
| 1396383352 | Deerhaven Gardens, LLC. | Substance Abuse Rehabilitation Facility | 66 N Deerhaven Ln, Asheville, NC 28803-0120 | 2019-12-20 |
| 1255973210 | Blissfully Supported LLC | Substance Abuse Rehabilitation Facility | 645 Dunbrook Ln, Charlotte, NC 28217-3405 | 2019-10-11 |
| 1235785726 | Eighth Month Ventures, LLC | Substance Abuse Rehabilitation Facility | 405 Franklin Blvd, Greensboro, NC 27401-4610 | 2019-08-12 |
| 1538720396 | Adaptive Interventions Group, LLC | Substance Abuse Rehabilitation Facility | 107 Robinson Dr, Cherryville, NC 28021-8100 | 2019-06-24 |
| 1619475308 | Titan Holding Group, LLC | Substance Abuse Rehabilitation Facility | 4944 Parkway Plaza Ste 200, Charlotte, NC 28217-0000 | 2018-01-27 |
| 1144737016 | Sea Coast Recovery, LLC | Substance Abuse Rehabilitation Facility | 880 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-2600 | 2018-01-02 |
| 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.