AT YOUR PLACE, LLC (NPI# 1417473430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417473430 |
| Entity Type | Organization |
| Organization Name | AT YOUR PLACE, LLC |
| Practice Address |
1837 Sardonyx Rd Unit 4 Fayetteville NC 28303-5808 |
| Mailing Address |
111 Lamon Street Suite 118 Fayetteville NC 28301 |
| Practice Telephone | (910) 229-2711 |
| Practice Fax Number | 9102292495 |
| Mailing Telephone | 9102292711 |
| Mailing Fax Number | 9102292495 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | TERA TOWNSEND (OWNER / MEMBER) |
| Authorized Official Telephone | 9102292711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
630418120004 | NC | Technologists, Technicians & Other Technical Service Providers |
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
1837 SARDONYX RD UNIT 4 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902363286 | Tbh Home Healthcare | Adult Companion | 4 Briar Cir Apt D, Fayetteville, NC 28306-4940 | 2019-02-22 |
| 1942630504 | Constance Russell | Adult Companion | 1572 Highway 85 N, Fayetteville, GA 30214-4054 | 2013-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634399 | Amber House Staffing, LLC | Adult Companion | 611 Summit Ave Ste 4, Greensboro, NC 27405-7746 | 2020-09-22 |
| 1528671997 | Antoinette L Williams | Adult Companion | 1727 Pepperwood Way, Leland, NC 28451-9393 | 2020-08-26 |
| 1851937148 | Stevens House of Hope, Inc | Adult Companion | 1002 W Waddell St, Selma, NC 27576-2028 | 2019-11-21 |
| 1831731488 | Emma Rose Van Gilder | Adult Companion | 223 Payne Branch Rd, Blowing Rock, NC 28605-9021 | 2019-10-15 |
| 1407326010 | Home Rule LLC | Adult Companion | 25 1st Ave Ne Ste 103, Hickory, NC 28601-6220 | 2018-11-27 |
| 1811464522 | Larry Moore | Adult Companion | 620 N Church St Apt 1603, Charlotte, NC 28202-3299 | 2018-10-31 |
| 1013490382 | Brianna Terial Amaechi | Adult Companion | 5301 Jade Forest Trl, Raleigh, NC 27616-5148 | 2018-09-12 |
| 1578052098 | Felicia Lavern Gore | Adult Companion | 330 Treeacres Circle Nw, Calabash, NC 28467 | 2018-05-10 |
| 1326550377 | Darlene Denise Seabrooks | Adult Companion | 3807 Woodbriar Trl, Charlotte, NC 28205-4967 | 2017-10-31 |
| 1184165987 | Bridgette Boyd | Adult Companion | 106 Eaton Ferry Rd, Macon, NC 27551-9099 | 2017-03-13 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
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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.