INNOVATIVE THERAPEUTIC SERVICES (NPI# 1548600174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548600174 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE THERAPEUTIC SERVICES |
| Practice Address |
755 S Main St Raeford NC 28376-3238 |
| Mailing Address |
916 Hay St Fayetteville NC 28305-5314 |
| Practice Telephone | 9102375456 |
| Practice Fax Number | 9108480492 |
| Mailing Telephone | 9102375456 |
| Mailing Fax Number | 9108480492 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |
| Authorized Official Name | MR. ZACCHEAUS ELEY (OWNER) |
| Authorized Official Telephone | 9102375456 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912495839 | Innovative Therapeutic Services | Social Worker | 15600 N Black Canyon Hwy Ste C103, Phoenix, AZ 85053-4055 | 2018-04-26 |
| 1316337967 | Innovative Therapeutic Services | Social Worker | 44 N Potomac St, Hagerstown, MD 21740-4855 | 2015-02-03 |
| 1073903951 | Innovative Therapeutic Services | Community/Behavioral Health | 44 N Potomac St, Hagerstown, MD 21740-4855 | 2015-01-29 |
| 1811331937 | Innovative Therapeutic Services | Community/Behavioral Health | 14440 Cherry Lane Ct, 208, Laurel, MD 20707-4946 | 2013-04-19 |
| Street Address |
755 S MAIN ST |
| City | RAEFORD |
| State | NC |
| Zip Code | 28376-3238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871845578 | Primary Health Choice, Inc. | Counselor | 755 S Main St, Raeford, NC 28376-3238 | 2012-10-05 |
| 1275852204 | T & L Empowerment, LLC | In Home Supportive Care | 755 S Main St, Suite 5, Raeford, NC 28376-3238 | 2010-06-01 |
| 1891935607 | A Primary Choice, Inc. | In Home Supportive Care | 755 S Main St, Raeford, NC 28376-3238 | 2009-03-06 |
| 1821290677 | Primary Health Choice, Inc. | Counselor | 755 S Main St, Raeford, NC 28376-3238 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185104 | Elite Supply Services, Inc. | Durable Medical Equipment & Medical Supplies | 2148 Bus-us 401, Raeford, NC 28376 | 2020-05-18 |
| 1205485695 | Brenda P Gregorio | Technician | 297 Gregorios Ln, Raeford, NC 28376 | 2019-09-09 |
| 1083197115 | Jennifer Picerno Bowyer | Nurse Practitioner | 929 Prospect Ave., Raeford, NC 28376 | 2018-09-14 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1508398991 | Rockfish Pharmacy Inc | Pharmacy | 221 Flagstone Lane, Raeford, NC 28376 | 2017-04-03 |
| 1205281235 | William Fiebig | Nurse Practitioner | Hoke Hospital, 210 Medical Pavilion Drive, Raeford, NC 28376 | 2016-04-27 |
| 1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
| 1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
| 1649658287 | Divine Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 320 Birch St, Raeford, NC 28376 | 2015-05-15 |
| 1992192298 | David Abdulhaqq | Counselor | 225 Aggies Lane, Raeford, NC 28376 | 2015-04-24 |
| Find all providers in zip 28376 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063869246 | Quest Family Care, Inc | Community/Behavioral Health | 6331 Philippi Church Rd, Raeford, NC 28376-6127 | 2016-05-18 |
| 1366896425 | Tisha Evans | Community/Behavioral Health | 156 Rye Ln, Raeford, NC 28376-5301 | 2016-04-14 |
| 1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
| 1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
| 1407267883 | Makin' Choices, Inc. | Community/Behavioral Health | 255 Castle Creek Dr, Raeford, NC 28376-8515 | 2014-05-19 |
| 1427496777 | Monarch | Community/Behavioral Health | 1992 Turnpike Rd, Raeford, NC 28376-8597 | 2013-06-10 |
| 1437403052 | Lyfe Changing Services, LLC | Community/Behavioral Health | 120 Mayflower Ln, Raeford, NC 28376-9799 | 2012-11-05 |
| 1134402464 | Truth Mental Health Substance | Community/Behavioral Health | 120 W Edinborough Ave, Raeford, NC 28376-2859 | 2011-09-22 |
| 1598085102 | Monarch | Community/Behavioral Health | 1212 E Prospect Ave, Raeford, NC 28376-3027 | 2010-06-04 |
| 1881821635 | Monarch | Community/Behavioral Health | 170 Oak St, Raeford, NC 28376-3270 | 2009-06-19 |
| Find all providers in RAEFORD | ||||
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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.