SMITH LANDING 2 (NPI# 1396184982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396184982 |
| Entity Type | Organization |
| Organization Name | SMITH LANDING 2 |
| Practice Address |
196 Theo Robertson Road Macon NC 27551 |
| Mailing Address |
2331 Crownpoint Executive Dr Ste J Charlotte NC 28227-7749 |
| Practice Telephone | 7048413544 |
| Practice Fax Number | 7048413545 |
| Mailing Telephone | 7048413544 |
| Mailing Fax Number | 7048413545 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2017-05-26 |
| Authorized Official Name | MRS. KIERAN M DEAN (PRESIDENT, CFO) |
| Authorized Official Telephone | 7048413544 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNITED SUPPORT SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 093-052 | NC | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409493 | 05 |
| Street Address |
196 THEO ROBERTSON ROAD |
| City | MACON |
| State | NC |
| Zip Code | 27551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407295116 | Cassie's Place | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 905 Oaksville Road, Macon, NC 27551 | 2013-06-17 |
| 1215129119 | Smith's Landing | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1508 Theo Robertson Rd., Macon, NC 27551 | 2007-08-14 |
| 1184165987 | Bridgette Boyd | Adult Companion | 106 Eaton Ferry Rd, Macon, NC 27551-9099 | 2017-03-13 |
| 1174092696 | Unconditional Care Senior Services | Adult Companion | 106 Eaton Ferry Rd, Macon, NC 27551-9099 | 2018-11-14 |
| 1720136963 | Guardian Angel Healthcare | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 474 Macon Embro Rd, Macon, NC 27551-9285 | 2007-01-06 |
| 1730366089 | Willow Road Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 474 Macon Embro Rd, Macon, NC 27551-9285 | 2008-01-29 |
| 1699953497 | Jessie's Place | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 516 Macon Embro Rd, Macon, NC 27551-9287 | 2008-02-04 |
| 1962536672 | Boyd's Rest Home | Custodial Care Facility | 295 Carroll Town Rd, Macon, NC 27551-9292 | 2007-03-15 |
| 1376928846 | Aha Moment, Inc. | Home Health | 295 Carroll Town Rd, Macon, NC 27551-9292 | 2015-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143941 | Wanda Welch | Spec/Tech, Health Info | 2720 Sheraton Dr Ste 170, Macon, GA 31204-6806 | 2020-10-31 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| 1346840451 | Emily Lauren Brooks | Registered Nurse | 104 Ellis Way, Macon, GA 31216-6278 | 2020-10-28 |
| 1538768296 | Ga Diagnostic Providers | Clinic/Center | 5400 Riverside Dr Ste 202, Macon, GA 31210-0818 | 2020-10-22 |
| 1134728447 | Daniela Morgan Ragins | Registered Nurse | 4287 Vinson Ave, Macon, GA 31206-4055 | 2020-10-19 |
| 1659979086 | Mvp Physio Dr. | Clinic/Center | 123 Umiya Nagar Cir, Macon, GA 31206-5401 | 2020-10-16 |
| 1225636392 | Courtney Hampton | Counselor | 1800 Wesleyan Dr Apt 95, Macon, GA 31210-1075 | 2020-10-12 |
| 1578160560 | Ida Mayaka | Nurse Practitioner | 210 Autumn Trace Ct, Macon, GA 31210-8025 | 2020-10-03 |
| 1821604158 | Tekeria Gallemore | Nurse Practitioner | 204 Rockingham Pl, Macon, GA 31217-2615 | 2020-09-22 |
| 1801402714 | Top Dog Solutions LLC | Otolaryngology | 4295 Interstate Dr Ste B, Macon, GA 31210-6815 | 2020-09-17 |
| Find all providers in MACON | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699314807 | Seeds of Life Counseling Agency, LLC | Community/Behavioral Health | 3070 Clairmont Ave, Macon, GA 31204-1049 | 2020-01-06 |
| 1033664222 | Moore Resolutions Group, LLC | Community/Behavioral Health | 4100 Riverside Dr Ste 97, Macon, GA 31210-1848 | 2016-08-17 |
| 1164874509 | Chandra Albritton Counseling Services | Community/Behavioral Health | 152 New St, Suite 109b, Macon, GA 31201-7304 | 2016-07-11 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| 1902220536 | Jode Counseling Training and Treatment Services Inc | Community/Behavioral Health | 3555 Mercer University Dr, Suite 1016, Macon, GA 31204-4940 | 2014-02-18 |
| 1730483306 | River Edge Behavioral Health Center | Community/Behavioral Health | 1881 Twin Pines Dr, Macon, GA 31211-1237 | 2010-12-22 |
| 1972819753 | Resourceful Solutions II | Community/Behavioral Health | 405 Cherry St, Suite 345, Macon, GA 31201-3320 | 2010-08-31 |
| 1437270352 | Community Development System, Inc. | Community/Behavioral Health | 401 Cherry St, Suite 505, Macon, GA 31201-3384 | 2007-04-02 |
| 1295899466 | River Edge Behavioral Health Center | Community/Behavioral Health | 750 Baconsfield Dr, Macon, GA 31211-1491 | 2006-12-21 |
| 1962564963 | River Edge Behavioral Health Center | Community/Behavioral Health | 4164 Riggins Mill Rd, Macon, GA 31217-5440 | 2006-12-15 |
| Find all providers in MACON | ||||
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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.