O'BERRY NEURO-MEDICAL TREATMENT CENTER (NPI# 1508902032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508902032 |
| Entity Type | Organization |
| Organization Name | O'BERRY NEURO-MEDICAL TREATMENT CENTER |
| Practice Address |
400 Old Smithfield Road Goldsboro NC 27530 |
| Mailing Address |
400 Old Smithfield Road Goldsboro NC 27530-8464 |
| Practice Telephone | 9195814000 |
| Practice Fax Number | 9195814038 |
| Mailing Telephone | 9195814000 |
| Mailing Fax Number | 9195814038 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | MS. HELEN WOLSTENHOLME (DIVISION DIRECTOR) |
| Authorized Official Telephone | 9198554700 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406028 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720305980 | O'berry Neuro-medical Treatment Center | Skilled Nursing Facility | 400 Old Smithfield Rd, Goldsboro, NC 27530 | 2010-04-28 |
| Street Address |
400 OLD SMITHFIELD ROAD |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063558591 | Oberry Neuro-medical Treatment Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 400 Old Smithfield Road, Goldsboro, NC 27530 | 2007-01-30 |
| 1972649408 | Oberry Neuro-medical Treatment Center | Pharmacy | 400 Old Smithfield Road, Goldsboro, NC 27530-8464 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689777 | A Fathers' Love Family Care Inc | Home Health | 213 N. Carolina St., Goldsboro, NC 27530 | 2018-05-16 |
| 1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
| 1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
| 1831408996 | At Home Senior Services, Inc. | Home Health | 203 N. Jackson Street Office C, Goldsboro, NC 27530 | 2010-10-06 |
| 1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
| 1225250814 | Asa Living, Inc | Clinic/Center | 1308 Ben Brewington Court, Goldsboro, NC 27530 | 2007-05-03 |
| 1790907368 | Tammy Jo Hood | Licensed Practical Nurse | 1700 East Ash Street St. 200, Goldsboro, NC 27530 | 2007-05-03 |
| 1558487421 | Alternative Care Treatments Systems, Inc | Community/Behavioral Health | 139-b Center Street, Goldsboro, NC 27530 | 2007-03-22 |
| 1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
| 1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
| Find all providers in zip 27530 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609015411 | Nova-ic, Inc | Intermediate Care Facility, Mentally Retarded | 1216 North Drive, Goldsboro, NC 27534-1858 | 2009-02-18 |
| 1811136617 | Nova-ic, Inc. | Intermediate Care Facility, Mentally Retarded | 195 Airport Road, Goldsboro, NC 27530-8086 | 2009-02-18 |
| 1043459852 | Nova-ic, Inc. | Intermediate Care Facility, Mentally Retarded | 1509 Holly Street, Goldsboro, NC 27534-3033 | 2009-02-18 |
| 1972742781 | Nova-ic, Inc. | Intermediate Care Facility, Mentally Retarded | 3801 Us 117 North, Goldsboro, NC 27530-8086 | 2009-02-18 |
| 1699914598 | Nova-ic, Inc. | Intermediate Care Facility, Mentally Retarded | 2510 Norwood Ave, Goldsboro, NC 27534-1671 | 2009-02-17 |
| 1750435111 | Life, Inc. | Intermediate Care Facility, Mentally Retarded | 407 N William St, Goldsboro, NC 27530-2801 | 2007-01-23 |
| 1730233362 | Life, Inc. | Intermediate Care Facility, Mentally Retarded | 1101 E Walnut St, Goldsboro, NC 27530-5158 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702937 | Gha Autism Supports | Intermediate Care Facility, Mentally Retarded | 44012 Morrow Mountain Rd, Albemarle, NC 28001-8616 | 2020-05-21 |
| 1811517774 | Educare Community Living Corporation-north Carolina | Intermediate Care Facility, Mentally Retarded | 834 Tyvola Rd Ste 116, Charlotte, NC 28217-3542 | 2020-04-21 |
| 1598125460 | Rha Health Services Nc LLC | Intermediate Care Facility, Mentally Retarded | 410 N Mineral Springs Rd, Durham, NC 27703-3618 | 2016-03-04 |
| 1023478294 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 619 Ray Ave, Hendersonville, NC 28792-2668 | 2016-03-02 |
| 1740649417 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 310 Locust Street, West Jefferson, NC 28694 | 2016-02-23 |
| 1841655453 | Journeys Healthcare | Intermediate Care Facility, Mentally Retarded | 515 Carver Moore Rd, Lake Waccamaw, NC 28450-9713 | 2015-12-24 |
| 1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
| 1609299916 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 1802 Strickland Bridge Rd, Fayetteville, NC 28304-5739 | 2014-01-23 |
| 1861822314 | Voca Corporation of North Carolina | Intermediate Care Facility, Mentally Retarded | 4109 Enoch Dr, Charlotte, NC 28269-2578 | 2013-11-20 |
| 1902144314 | Rouse's Group Home Inc | Intermediate Care Facility, Mentally Retarded | 5820 Nc 135, Stoneville, NC 27048-8478 | 2013-01-18 |
| 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.