GRANDFATHER HOME FOR CHILDREN - MULBERRY (NPI# 1366639916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366639916 |
| Entity Type | Organization |
| Organization Name | GRANDFATHER HOME FOR CHILDREN - MULBERRY |
| Practice Address |
465 Mulberry Branch Road Culowhee NC 28723 |
| Practice Telephone | 8282939210 |
| Practice Fax Number | 8282939216 |
| Mailing Telephone | 8282939210 |
| Mailing Fax Number | 8282939216 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |
| Authorized Official Name | MR. JIM SWINKOLA (CEO) |
| Authorized Official Telephone | 8288985465 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-050-047 | NC | Residential Treatment Facilities |
| Street Address |
465 MULBERRY BRANCH ROAD |
| City | CULOWHEE |
| State | NC |
| Zip Code | 28723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619406 | Katelyn Danielle Marie Edwards | Specialist/Technologist | 245 Memorial Way Western Carolina University, Cullowhee, NC 28723 | 2020-01-30 |
| 1457982738 | Jayden Antonio Velez | Specialist/Technologist | 3971 Little Savannah Rd., Cullowhee, NC 28723 | 2020-01-27 |
| 1861905556 | Melanie Moore Pollard | Speech-Language Pathologist | 158 Health and Human Sciences Building, Cullowhee, NC 28723 | 2017-11-16 |
| 1962948067 | Hanna Reinhart | Specialist/Technologist | 245 Memorial Drive, Suite 7699, Cullowhee, NC 28723 | 2017-01-12 |
| 1184015091 | Emily T Jenkins | Nurse Practitioner | 3971 Little Savannah Road, Cullowhee, NC 28723 | 2015-02-13 |
| 1609147842 | Lindsay Marie Drake Heim | Speech-Language Pathologist | 4121 Little Savannah Rd Rm 132, Speech and Hearing Center, Wcu, Cullowhee, NC 28723 | 2012-01-19 |
| 1992026462 | William Dale Brotherton | Counselor | 91 Killian Bldg. Lane, 204a Killian Bldg., Cullowhee, NC 28723 | 2010-06-18 |
| 1124250303 | Ashley Sweeney Long | Specialist/Technologist | 53 Joyner Dr, Moore Hall, Cullowhee, NC 28723 | 2009-08-20 |
| 1114198058 | Valerie Lee Schwiebert | Counselor | 091 Western Carolina University, Cullowhee, NC 28723 | 2008-03-19 |
| 1134247752 | Nicholas Martin | Specialist/Technologist | G 09 Moore Hall, Western Carolina University, Cullowhee, NC 28723 | 2007-03-26 |
| Find all providers in zip 28723 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1245837061 | Bliss Haven Group LLC | Community Based Residential Treatment Facility, Mental Illness | 2442 Sandhurst Ct, Gastonia, NC 28054-2738 | 2020-10-05 |
| 1386259265 | Nevaehs Caring Hands | Community Based Residential Treatment Facility, Mental Illness | 2509 Dalton Rd, Rocky Mount, NC 27803-4721 | 2020-09-09 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1801409859 | Destiny & Miracle LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 Houston St, Gastonia, NC 28052-1632 | 2020-08-28 |
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1366001976 | Foundation of Hope, Inc. | Community Based Residential Treatment Facility, Mental Illness | 119 Grice Road, Chadbourn, NC 28431-6709 | 2019-06-07 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1174187868 | Stepping Stone Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 2720 White Oak Ln, Kannapolis, NC 28083-7256 | 2019-04-28 |
| 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.