GIFTED VISIONS LLC


Address: 148 Carrie Dr, Clayton, NC 27527-5731
Phone: 9195856130

GIFTED VISIONS LLC (NPI# 1568611440) 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) 1568611440
Entity Type Organization
Organization Name GIFTED VISIONS LLC
Practice Address 148 Carrie Dr
Clayton
NC 27527-5731
Mailing Address 2532 Maybrook Crossing Dr
Raleigh
NC 27610-3296
Practice Telephone 9195856130
Practice Fax Number 9195856130
Mailing Telephone 9198039392
Mailing Fax Number 9195856130
Enumeration Date 2008-09-16
Last Update Date 2008-09-23
Authorized Official Name MRS. SHANICKA PORTER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9198039392
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 322D00000X Residential Treatment Facility, Emotionally Disturbed Children MHL-051-166 NC Residential Treatment Facilities
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children MHL-051-167 NC Residential Treatment Facilities

Office Location

Street Address 148 CARRIE DR
City CLAYTON
State NC
Zip Code 27527-5731

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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

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NPI Name Taxonomy Address Enumeration
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1467579490 Kmg Holdings, Inc Residential Treatment Facility, Emotionally Disturbed Children 956 N O'neil Street, Clayton, NC 27520-6457 2007-03-23
1255791919 House of Hope of Nc Residential Treatment Facility, Emotionally Disturbed Children 408 Covered Bridge Rd, Clayton, NC 27520-6559 2016-02-24
1629113170 Rose of Sharon Adolescent Treatment Home II Residential Treatment Facility, Emotionally Disturbed Children 2885 Bennington Dr, Clayton, NC 27520-5971 2007-02-21

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1821562224 Carter Clinic, Pa Residential Treatment Facility, Emotionally Disturbed Children 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 2019-01-18
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Competitor

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City CLAYTON
Zip Code 27527

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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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