GOLDEN FOOTPRINT LLC (NPI# 1508029604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508029604 |
| Entity Type | Organization |
| Organization Name | GOLDEN FOOTPRINT LLC |
| Practice Address |
108 S Bragg St Suite 6 Warrenton NC 27589-2048 |
| Mailing Address |
718 N Harrison Ave Cary NC 27513-5431 |
| Practice Telephone | 9192718146 |
| Practice Fax Number | 9194600776 |
| Mailing Telephone | 9192718146 |
| Mailing Fax Number | 9194600776 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |
| Authorized Official Name | MR. LEONARD SMITH (CEO) |
| Authorized Official Telephone | 9192718146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
108 S BRAGG ST SUITE 6 |
| City | WARRENTON |
| State | NC |
| Zip Code | 27589-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376974659 | Angela Young | Counselor | 108 S Bragg St, Warrenton, NC 27589-2048 | 2013-12-11 |
| 1588904304 | Strategic Interventions, LLC | Community/Behavioral Health | 108 S Bragg St, Warrenton, NC 27589 | 2013-02-15 |
| 1093017931 | Prodigious Health Services, LLC | Community/Behavioral Health | 108 S Bragg St, Warrenton, NC 27589-2048 | 2010-11-29 |
| 1568764686 | Prodigious Health Services, LLC | Counselor | 108 S Bragg St, Warrenton, NC 27589-2048 | 2010-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154151 | Myia Pitt | Technician | 305 E Butte Street, Warrenton, NC 27589 | 2019-09-27 |
| 1326507260 | Alpha Magnolia Garden LLC | Assisted Living Facility | 930 Hwy. 158 Bus. East, Warrenton, NC 27589 | 2019-03-19 |
| 1780069096 | Anna D Ragonese | Occupational Therapist | 864 Hwy Business 158 West, Warrenton, NC 27589 | 2015-07-28 |
| 1225440480 | Reid Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 191 Railroad Lane, Warrenton, NC 27589 | 2014-05-22 |
| 1255759155 | Jocqueline Spencer | Occupational Therapist | 864 Us Highway 158, Business West, Warrenton, NC 27589 | 2014-03-29 |
| 1871914705 | Kimberlee Plyler | Occupational Therapy Assistant | 864 Us Hwy 158 Business, Warrenton, NC 27589 | 2013-12-19 |
| 1104251008 | Ilana Danielle Coffer | Speech-Language Pathologist | Us Hwy 158 Business W, Warrenton, NC 27589 | 2013-09-10 |
| 1134552722 | Derick Nathaniel Bayersdorfer | Occupational Therapy Assistant | 864 Us Hwy 158 Business West, Warrenton, NC 27589 | 2013-08-19 |
| 1144669979 | Goode Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 391 Snowhill Road, Warrenton, NC 27589 | 2013-06-14 |
| 1831532944 | Futrell Pharmacy Service, Inc | Pharmacy | 108b S. Main Street, Warrenton, NC 27589 | 2013-04-09 |
| Find all providers in zip 27589 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417243130 | Warren County Developmental Disabilities Board | Case Management | 105 E Booneslick Rd, Warrenton, MO 63383-2003 | 2011-06-21 |
| 1174756076 | Superior Support Services Inc | Case Management | 113 W Market St, Warrenton, NC 27589-1945 | 2009-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548084 | Carolina Bridges Home Health | Case Management | 8410 Six Forks Rd Ste 104, Raleigh, NC 27615-3079 | 2020-11-07 |
| 1861008179 | Maggie Janes LLC | Case Management | 3004 Hillmer Dr, Raleigh, NC 27609-7810 | 2020-09-22 |
| 1245846294 | Tamekia Dowdy | Case Management | 845 Mckoy Town Rd, Cameron, NC 28326-9619 | 2020-09-16 |
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1700499944 | Goal Digger Network LLC | Case Management | 5220 Delco St, Fayetteville, NC 28311-2332 | 2020-08-27 |
| 1598377731 | Lux Glamorous Wigs & Company | Case Management | 1237 Tyvola Dr # Rd, Charlotte, NC 28210-3870 | 2020-08-19 |
| 1588275432 | Green Life Enhancement Services | Case Management | 1220 Aragon Dr Apt 101, Knightdale, NC 27545-6027 | 2020-08-13 |
| 1629688122 | Aketre Whitaker | Case Management | 526 Coker Town Rd, Whitakers, NC 27891-8942 | 2020-08-09 |
| 1912517046 | Coastal Community Services, LLC | Case Management | 138 Turquoise Dr, Jacksonville, NC 28546-8757 | 2020-08-04 |
| 1700494903 | Reimagine Billing Concepts LLC | Case Management | 9816 Cockerham Ln, Huntersville, NC 28078-2737 | 2020-07-14 |
| 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.