STATE OF NC DIVISION OF HEALTH SERVICES


Address: 87 Bonnie Lane, Sylva, NC 28779-8511
Phone: 8286313900

STATE OF NC DIVISION OF HEALTH SERVICES (NPI# 1558587972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558587972
Entity Type Organization
Organization Name STATE OF NC DIVISION OF HEALTH SERVICES
Practice Address 87 Bonnie Lane
Sylva
NC 28779-8511
Mailing Address Dph- Early Intervention Br
1916 Mail Service Center
Raleigh
NC 27699-1916
Practice Telephone 8286313900
Practice Fax Number 8286319200
Mailing Telephone 9197075520
Mailing Fax Number 9198704834
Enumeration Date 2007-04-17
Last Update Date 2012-06-04
Authorized Official Name DR. DEBORAH E. CARROLL (EARLY INTERVENTION BRANCH HEAD)
Authorized Official Telephone 9197075520
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 3403415 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114143542 State of Nc Division of Health Services Clinic/Center 145 West Parker Road, Suite A, Morganton, NC 28655-4649 2007-04-17
1063637411 State of Nc Division of Health Services Clinic/Center 3311 Burnt Mill Dr, Suite 100, Wilmington, NC 28403-2654 2007-04-13
1891919254 State of Nc Division of Health Services Clinic/Center 2359 Highway 105, Boone, NC 28607-7814 2007-04-13
1841414257 State of Nc Division of Health Services Clinic/Center 1211a Ireland Dr, Fayetteville, NC 28304-3372 2007-04-13
1104041540 State of Nc Division of Health Services Clinic/Center 141 Storage Rd, Rocky Mount, NC 27804-8561 2007-04-13
1801011242 State of Nc Division of Health Services Clinic/Center 10 Parker Ln, Suite 1, Pinehurst, NC 28374-7903 2007-04-13
1942424387 State of Nc Division of Health Services Clinic/Center 852 Merrimon Ave, Asheville, NC 28804-2405 2007-04-13
1346464716 State of Nc Division of Health Services Clinic/Center 1065 Vinehaven Dr, Concord, NC 28025-2439 2007-04-13
1568686988 State of Nc Division of Health Services Clinic/Center 122 N Elm St, Suite 400, Greensboro, NC 27401-2842 2007-04-13
1801011234 State of Nc Division of Health Services Clinic/Center 2842 Neuse Blvd, New Bern, NC 28562-2839 2007-04-13

Office Location

Street Address 87 BONNIE LANE
City SYLVA
State NC
Zip Code 28779-8511

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174642920 Kay Ellen Wheeler Registered Nurse 87 Bonnie Lane, Sylva, NC 28779 2007-03-29
1740301217 Sherry Miles Robison Dietitian, Registered 87 Bonnie Lane, Sylva, NC 28779 2007-04-03
1871614099 Vicky Dosch Psychologist 87 Bonnie Lane, Sylva, NC 28779 2007-04-03
1760503940 David F Peters Psychologist 87 Bonnie Lane, Sylva, NC 28779 2007-04-03
1568581494 Anna M Wood Dietitian, Registered 87 Bonnie Lane, Sylva, NC 28779 2007-03-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578109286 Kristie Gail Smith Nurse Practitioner 98 Cope Creek Rd A-b, Sylva, NC 28779 2019-11-18
1538702667 Charlie C Lytle Speech-Language Pathologist 185 Brick Farm Rd, Sylva, NC 28779 2019-10-22
1174040869 Meridian Behavioral Health Services, Inc Community/Behavioral Health 516 Parris Branch Rd, Sylva, NC 28779 2017-08-24
1235562133 Michelle Cooper Cagle Social Worker 587 Cope Creek Rd, Sylva, NC 28779 2013-08-14
1336459049 Sara Ellen Curry Social Worker 98 D Cope Creek Road, Sylva, NC 28779 2010-10-15
1902137128 Skyland House, LLC Assisted Living Facility 185 Brickfarm Road, Dillsboro, NC 28779 2010-01-28
1538349931 Family Preservation Services of North Carolina, Inc. Psychiatry & Neurology 206 Marsh Lily Drive, Sylva, NC 28779 2007-11-14
1871783175 Lauren Jenelle March Psychologist 70 Westcare Dr, Sylva, Sylva, NC 28779 2007-08-01
1285836205 Peter C Buck Counselor 132 Ramblewood Dr., Sylva, NC 28779 2007-06-01
1508088873 Pathways for The Future Home Health 525 Mineral Springs Drive, Sylva, NC 28779 2007-05-03
Find all providers in zip 28779

Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578174355 A Better You Wellness Center Clinic/Center 3103 Durant Rd, Greenville, NC 27834-6786 2020-08-13
1770118556 Enable LLC Clinic/Center 4050 Legion Rd, Hope Mills, NC 28348-8872 2020-03-11
1083128508 Almarch Family Care, LLC Clinic/Center 1924 Beverly Rd, Rocky Mount, NC 27801-6313 2017-11-20
1669995577 L.a.s Learning Playhouse, LLC Clinic/Center 210 Craver Ave, Salisbury, NC 28146-5906 2017-07-23
1528314408 Laura Maria Mckoy Clinic/Center 122 Live Oak Drive, Jacksonville, NC 28540 2012-07-30
1306123294 Lane's House Adult Group Home Clinic/Center 3159 Octavia Dr, Rocky Mount, NC 27804-7959 2011-11-07
1639408248 Self-determination LLC Clinic/Center 103 Ebenezer Rd, Kings Mtn, NC 28086 2009-12-09
1235388133 Eaglemere Living Facility Clinic/Center 200 Eagles Mere Trl, Rocky Mount, NC 27804-8850 2008-09-16
1043468796 Making It Happen, Inc. Clinic/Center 355 Ransom Rd, Winston Salem, NC 27106-3835 2008-09-07
1689841298 Safe Harbour Clinic/Center 13 East Dr, Jacksonville, NC 28546-8214 2008-05-13
Find all providers with the same taxonomy

Competitor

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City SYLVA
Zip Code 28779

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Dataset Information

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.

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