AMBLESIDE, INC. (NPI# 1457472912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457472912 |
| Entity Type | Organization |
| Organization Name | AMBLESIDE, INC. |
| Practice Address |
1 Industrial Dr Snow Hill NC 28580-1334 |
| Practice Telephone | 2527475252 |
| Practice Fax Number | 2527474244 |
| Mailing Telephone | 2527475252 |
| Mailing Fax Number | 2527474244 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DOUGLAS FINLEY (VP OPERATIONS) |
| Authorized Official Telephone | 2527475252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-098-113 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603977 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467573915 | Ambleside, Inc. | Case Management | 1 Industrial Dr, Snow Hill, NC 28580-1334 | 2007-04-03 |
| Street Address |
1 INDUSTRIAL DR |
| City | SNOW HILL |
| State | NC |
| Zip Code | 28580-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730219940 | Ambleside, Inc | Day Training, Developmentally Disabled Services | 1 Industrial Dr, Snow Hill, NC 28580-1334 | 2007-03-06 |
| 1467573915 | Ambleside, Inc. | Case Management | 1 Industrial Dr, Snow Hill, NC 28580-1334 | 2007-04-03 |
| 1548381007 | Ambleside, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1 Industrial Dr, Snow Hill, NC 28580-1334 | 2007-04-03 |
| 1649391129 | Amblecare, Inc. | Home Health | 1 Industrial Dr, Snow Hill, NC 28580-1334 | 2007-04-03 |
| 1235259698 | Amblecare, Inc. | Day Training, Developmentally Disabled Services | 1 Industrial Dr, Snow Hill, NC 28580-1334 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568823698 | Gavin Mundy | Student in an Organized Health Care Education/Training Program | 7 Professional Drive, Snow Hill, NC 28580 | 2016-03-17 |
| 1689870222 | Edwards Community Support Services | Community Based Residential Treatment Facility, Mental Illness | 202 Hart Street, Snow Hill, NC 28580 | 2007-06-21 |
| 1669686887 | Cheryl Taylor Carraway | Dentist | 1117 Se Second St, Snow Hill, NC 28580 | 2007-05-09 |
| 1306882337 | Carmen Lucia Moreno | Pediatrics | 205 Martin Luther King Jr Pkway, Snow Hill, NC 28580 | 2006-06-20 |
| 1134195142 | Alexander Robertson | Pediatrics | 205 Martin Luther King Jr Parkway, Snow Hill, NC 28580 | 2006-02-28 |
| 1700888542 | Greene County Health Care Incorporated | Clinic/Center | 205 Martin Luther King Jr Pkwy, Snow Hill, NC 28580 | 2005-08-11 |
| 1972092054 | Heritage Family Health and Wellness Pa | Family Medicine | 1108b Kingold Blvd, Snow Hill, NC 28580 | 2018-05-04 |
| 1013127067 | Christine C Miller | Registered Nurse | 227 Kingold Blvd Ste B, Snow Hill, NC 28580-1303 | 2007-05-22 |
| 1407975816 | Greene County Dss | Case Management | 227 Kingold Blvd Ste A, Snow Hill, NC 28580-1303 | 2007-03-28 |
| 1205988276 | Port Human Services | Community/Behavioral Health | 227 Kingold Road, Suite C, Snow Hill, NC 28580-1303 | 2007-01-18 |
| Find all providers in zip 28580 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801224134 | Artis Residential Care | Residential Treatment Facility, Emotionally Disturbed Children | 1279 Fred Harrison Rd, Snow Hill, NC 28580-8933 | 2013-10-23 |
| 1174776728 | Better Life Group Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2757 Mewborn Church Rd, Snow Hill, NC 28580-8973 | 2008-10-28 |
| 1548381007 | Ambleside, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1 Industrial Dr, Snow Hill, NC 28580-1334 | 2007-04-03 |
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|---|---|---|---|---|
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| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
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| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
| 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.