DDC GROUP HOME MANAGEMENT INC. (NPI# 1497812234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497812234 |
| Entity Type | Organization |
| Organization Name | DDC GROUP HOME MANAGEMENT INC. |
| Practice Address |
159 Montgomery Heights Rd Selma NC 27576-6407 |
| Mailing Address |
53 Line Dr Raleigh NC 27603-7433 |
| Practice Telephone | 9193513134 |
| Practice Fax Number | 9193299445 |
| Mailing Telephone | 9193299316 |
| Mailing Fax Number | 9193299445 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PENNY D DICKSON (OWNER) |
| Authorized Official Telephone | 9193299316 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-051-143 | NC | Residential Treatment Facilities |
| Street Address |
159 MONTGOMERY HEIGHTS RD |
| City | SELMA |
| State | NC |
| Zip Code | 27576-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588057913 | Andre Williams | Technician, Other | 110 Aj Lane, Wendell, NC 27576 | 2015-03-10 |
| 1184024010 | Jeffrey Ray Watson | In Home Supportive Care | 200 South Massey Street, Selma, NC 27576 | 2014-08-28 |
| 1407109390 | Community and Senior Services of Johnston Cou | Non-emergency Medical Transport (VAN) | 1050 West Noble Street, Selma, NC 27576 | 2012-10-17 |
| 1992951321 | A Step Above Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 512 Webb St, Selma, NC 27576 | 2008-08-18 |
| 1972707222 | Preferred Home Care, Inc. | Home Health | 1100- B S. Pollock Street, Selma, NC 27576 | 2007-06-12 |
| 1700992922 | Waccamaw Pain Partners Pa | Physical Medicine & Rehabilitation | 4033 Hwy 17 Bypass, Suite 108, Murrells Inlet, SC 27576 | 2006-08-21 |
| 1578663472 | Jill Liberty Sonner | Dentist | 1111 S Pollock St, Selma, NC 27576 | 2006-09-22 |
| 1851937148 | Stevens House of Hope, Inc | Adult Companion | 1002 W Waddell St, Selma, NC 27576-2028 | 2019-11-21 |
| 1316501232 | Right At Home Home Healthcare | Home Health | 101 N Green St, Selma, NC 27576-2111 | 2019-04-25 |
| 1053682815 | Michael Na Daniels | Counselor | 105 Winter Ct, Selma, NC 27576-2189 | 2012-01-25 |
| Find all providers in zip 27576 | ||||
| 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 |
|---|---|---|---|---|
| 1992951321 | A Step Above Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 512 Webb St, Selma, NC 27576 | 2008-08-18 |
| 1578628574 | Lane Home | Residential Treatment Facility, Emotionally Disturbed Children | 3620 Lizzie Mill Rd, Selma, NC 27576-8603 | 2006-12-27 |
| 1760597215 | United Methodist Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 1712 Broad St, Selma, AL 36701-4102 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
| 1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
| 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.