J. IVERSON RIDDLE DEVELOPMENT CENTER (NPI# 1538387923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538387923 |
| Entity Type | Organization |
| Organization Name | J. IVERSON RIDDLE DEVELOPMENT CENTER |
| Practice Address |
300 Enola Rd Morganton NC 28655 |
| Mailing Address |
300 Enola Rd Morganton NC 28655-4608 |
| Practice Telephone | 8284332722 |
| Practice Fax Number | 8284332724 |
| Mailing Telephone | 8284332722 |
| Mailing Fax Number | 8284332724 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | MS. HELEN WOLSTENHOLME (DIVISION DIRECTOR - DSOHF) |
| Authorized Official Telephone | 9198554700 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408134 | 05 |
| Street Address |
300 ENOLA RD |
| City | MORGANTON |
| State | NC |
| Zip Code | 28655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114995008 | Carl Leon Edwards | Internal Medicine | 300 Enola Rd, Morganton, NC 28655-4608 | 2006-03-08 |
| 1326524554 | Rebekah Norris | Speech-Language Pathologist | 300 Enola Rd, Morganton, NC 28655-4608 | 2018-07-11 |
| 1154774610 | Jennifer James | Physical Therapist | 300 Enola Rd, Morganton, NC 28655-4608 | 2016-07-20 |
| 1386003945 | Allison Lane | Social Worker | 300 Enola Rd, Morganton, NC 28655-4608 | 2016-02-11 |
| 1154788347 | Danielle Gaglio | Occupational Therapist | 300 Enola Rd, Morganton, NC 28655-4608 | 2016-01-20 |
| 1003217282 | Nicholas Andal | Speech-Language Pathologist | 300 Enola Rd, Morganton, NC 28655-4608 | 2014-09-08 |
| 1144630245 | Debbie H Little | Registered Nurse | 300 Enola Rd, Morganton, NC 28655-4608 | 2014-04-29 |
| 1275883332 | Amy Lee | Registered Nurse | 300 Enola Rd, Morganton, NC 28655-4608 | 2012-09-17 |
| 1871842542 | Christine Nelson | Registered Nurse | 300 Enola Rd, Morganton, NC 28655-4608 | 2012-09-10 |
| 1013276914 | J. Iverson Developmental Center | Physical Therapist | 300 Enola Rd, Morganton, NC 28655-4608 | 2012-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| Find all providers in zip 28655 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801234737 | Omni Visions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1424 Ts Mull Rd, Morganton, NC 28655-7614 | 2013-06-13 |
| 1336467216 | Delljo Enterprises LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Crestlane Dr, Morganton, NC 28655 | 2010-05-17 |
| 1932245487 | J Iverson Riddle Development Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 300 Enola Road, Morganton, NC 28655-4608 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
| 1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1710443395 | Unity 4 Us Community Outreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 Lincoln St, Belmont, NC 28012-3045 | 2019-02-19 |
| 1871059444 | Believing Everyone Succeeds Together | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 | 2019-02-19 |
| 1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
| 1316415037 | Igr Collaborations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 | 2018-11-12 |
| 1164924940 | David Douglas Whitfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5342 Us Highway 301 North, Micro, NC 27555 | 2018-03-07 |
| 1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
| 1659897833 | Shelby Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 S Dekalb St Ste A, Shelby, NC 28150-6189 | 2017-08-18 |
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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.