RESTORATION FAMILY SERVICES, INC. (NPI# 1396921201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396921201 |
| Entity Type | Organization |
| Organization Name | RESTORATION FAMILY SERVICES, INC. |
| Practice Address |
714 Wilkins St Smithfield NC 27577 |
| Mailing Address |
714 Wilkins St Smithfield NC 27577-4648 |
| Practice Telephone | 9199389502 |
| Practice Fax Number | 9199389702 |
| Mailing Telephone | 9199389502 |
| Mailing Fax Number | 9199389702 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2018-10-31 |
| Authorized Official Name | MRS. RENEE HOLLOWAY JONES (PRESIDENT/CEO) |
| Authorized Official Telephone | 9199389502 |
| Authorized Official Credential | LPC, LCASA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | NC | Agencies | |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 712 Wilkins St, Smithfield, NC 275774664 | 9199389502 | 9199389702 |
| 706 Wilkins St Ste B, Smithfield, NC 275774662 | 9199389502 | 9199389702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164591129 | Restoration Family Services, Inc. | Community/Behavioral Health | 15 Noble St, Smithfield, NC 27577-9300 | 2006-11-06 |
| 1689984221 | Restoration Family Services, Inc. | In Home Supportive Care | 15 Noble St, Smithfield, NC 27577-9300 | 2010-10-18 |
| 1740445485 | Restoration Family Services, Inc. | Community/Behavioral Health | 15 Noble St, Smithfield, NC 27577-9300 | 2008-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RESTORATION FAMILY SERVICES, INC. | 5120 E Central Ave Ste 3, Wichita, KS 67208-4168 |
| Street Address |
714 WILKINS ST |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881247666 | Theodora Erim | Counselor | 714 Wilkins St, Smithfield, NC 27577-4648 | 2019-07-19 |
| 1396237822 | Evalina Hinton | Social Worker | 714 Wilkins St, Smithfield, NC 27577-4648 | 2018-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316295744 | Treva Laytana Smith | Counselor | 115 N 3rd Street, Smithfield, NC 27577 | 2012-08-15 |
| 1023150968 | Robeson Health Care Corporation | Counselor | 109 Cambridge Pl, Smithfield, NC 27577-4717 | 2007-02-13 |
| 1235178724 | Anthony M Woodall | Counselor | 111 N 2nd St, Smithfield, NC 27577-3933 | 2006-06-06 |
| 1194334086 | Melissa Sue Lloyd | Counselor | 831 S Brightleaf Blvd, Smithfield, NC 27577-4385 | 2020-07-27 |
| 1356776868 | Bryan K Barros | Counselor | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2013-09-04 |
| 1871867580 | Leslie P Lawhorn | Counselor | 109 Cambridge Pl, Smithfield, NC 27577-4717 | 2012-02-27 |
| 1194023168 | Kim Vicatoria Taylor | Counselor | 109 Cambridge Pl, Smithfield, NC 27577-4717 | 2011-03-01 |
| 1700194404 | Johnston Counseling Services | Counselor | 111 N 2nd St, Smithfield, NC 27577-3933 | 2010-09-16 |
| 1265603666 | Towanda Coley Garner | Counselor | 15 Noble St, Smithfield, NC 27577-9300 | 2008-03-13 |
| 1326187568 | Lisa Marie Britt | Counselor | 1302 W Market St, Smithfield, NC 27577-3339 | 2007-02-05 |
| Find all providers in SMITHFIELD | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
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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.