FRIENDWAY GROUP HOME (NPI# 1568554293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568554293 |
| Entity Type | Organization |
| Organization Name | FRIENDWAY GROUP HOME |
| Other Organization Name | COMMUNITY INNOVATIONS INC |
| Practice Address |
202 Friendway Rd Greensboro NC 27409-2116 |
| Mailing Address |
3210 Fairhill Dr Raleigh NC 27612-3220 |
| Practice Telephone | 3368522636 |
| Mailing Telephone | 9192560824 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANDY ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 9106425697 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | MHL041070 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3416216 | 05 |
| Other Name | Type Code |
|---|---|
| Community Innovations Inc | Doing Business As Name - Organization |
| Street Address |
202 FRIENDWAY RD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27409-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841378783 | Community Innovations Inc 59 | Intermediate Care Facility, Mentally Retarded | 202 Friendway Rd, Greensboro, NC 27409-2116 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609423136 | Ethan Lechner | Social Worker | Holistic Commons, 123 S. Walnut Circle, Greensboro, NC 27409 | 2019-08-20 |
| 1558844340 | Alphonza Faison Jr. | Registered Nurse | 5201 W Market St Ste 108, Greensboro, NC 27409 | 2018-09-08 |
| 1821578410 | Trifecta Transportation Services Inc. | Non-emergency Medical Transport (VAN) | 5617 Hornaday Rd Unit J, Greensboro, NC 27409 | 2018-08-14 |
| 1003393067 | Alonzo Jones | Medical Foods Supplier | 5617 Hornaday Rd, Unit J, Greensboro, NC 27409 | 2018-07-23 |
| 1073065785 | Occupational Health Centers of North Carolina, PC | Clinic/Center | 3306 Edgefield Road, Greensboro, NC 27409 | 2016-10-28 |
| 1184055667 | Novant Medical Group, Inc | Family Medicine | 501 Hickory Branch Road, Greensboro, NC 27409 | 2013-12-09 |
| 1588094478 | James Bassett | Veterinarian | 501 Nicholas Rd., Carolina Veterinary Specialists, Greensboro, NC 27409 | 2013-11-14 |
| 1386813038 | Alex Glenn Tomlinson | Specialist | 142 North Walnut Cir, Apt B, Greensboro, NC 27409 | 2008-02-27 |
| 1477739670 | Angela Marie Odom | Speech-Language Pathologist | 4325-3d Cedarcroft Court, Greensboro, NC 27409 | 2008-01-17 |
| 1538341037 | Meia Deneaca Burke | Counselor | 7900 Triad Center, Suite 350, Greensboro, NC 27409 | 2007-11-27 |
| Find all providers in zip 27409 | ||||
| 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 |
|---|---|---|---|---|
| 1558481531 | Voca Corp of North Carolina | Intermediate Care Facility, Mentally Retarded | 401 Meadowood St, Greensboro, NC 27409-2307 | 2007-03-31 |
| 1588709174 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 416 Boxwood Dr, Greensboro, NC 27410-4906 | 2007-02-21 |
| 1740325257 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 1800 Strathmore Dr, Greensboro, NC 27410-2116 | 2007-02-21 |
| 1558446732 | Community Innovations Inc 60 | Intermediate Care Facility, Mentally Retarded | 908 Westridge Rd, Greensboro, NC 27410-4506 | 2006-10-26 |
| 1841378783 | Community Innovations Inc 59 | Intermediate Care Facility, Mentally Retarded | 202 Friendway Rd, Greensboro, NC 27409-2116 | 2006-11-01 |
| 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 | ||||
| City | GREENSBORO |
| Zip Code | 27409 |
Please comment or provide details below to improve the information on FRIENDWAY GROUP HOME.
| 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.