STATE OF NC DIVISION OF HEALTH SERVICES (NPI# 1568686988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568686988 |
| Entity Type | Organization |
| Organization Name | STATE OF NC DIVISION OF HEALTH SERVICES |
| Practice Address |
122 N Elm St Suite 400 Greensboro NC 27401-2842 |
| Mailing Address |
Dph- Early Intervention Br 1916 Mail Service Center Raleigh NC 27699-1916 |
| Practice Telephone | 3363345601 |
| Practice Fax Number | 3363345657 |
| Mailing Telephone | 9197075520 |
| Mailing Fax Number | 9198704834 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2015-11-25 |
| Authorized Official Name | MS. JILL SINGER (EARLY INTERVENTION BRANCH HEAD) |
| Authorized Official Telephone | 9197075520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 3410 | 01 |
| NC | 3403407 | 05 |
| 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 |
| 1558587972 | State of Nc Division of Health Services | Clinic/Center | 87 Bonnie Lane, Sylva, NC 28779-8511 | 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 |
| 1801011234 | State of Nc Division of Health Services | Clinic/Center | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2007-04-13 |
| Street Address |
122 N ELM ST SUITE 400 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336241637 | Christine Broadwater | Counselor | 122 N Elm St, Suite 1015, Greensboro, NC 27401-2878 | 2006-09-05 |
| 1356715601 | Set Up Ministries | Community/Behavioral Health | 122 N Elm St, Suite M-16 (216), Greensboro, NC 27401-2878 | 2015-11-24 |
| 1710288923 | Central State of The Carolinas, Inc. | Case Management | 122 N Elm St, Suite 810, Greensboro, NC 27401-2878 | 2010-11-04 |
| 1043460165 | Pieter Cameron Vaniderstine | Psychologist | 122 N Elm St, Suite 400, Greensboro, NC 27401-2878 | 2008-09-25 |
| 1932393667 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 122 N Elm St, Suite 800, Greensboro, NC 27401-2878 | 2007-09-06 |
| 1396939021 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 122 N Elm St, Suite 800, Greensboro, NC 27401-2878 | 2007-09-06 |
| 1023202751 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 122 N Elm St, Suite 800, Greensboro, NC 27401-2878 | 2007-09-06 |
| 1316132046 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 122 N Elm St, Suite 800, Greensboro, NC 27401-2878 | 2007-09-06 |
| 1609066638 | Lisa Hennes Weber | Occupational Therapist | 122 N Elm St, Suite 400, Greensboro, NC 27401-2878 | 2007-07-26 |
| 1841496478 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 122 N Elm St, Suite 800, Greensboro, NC 27401-2878 | 2007-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699897504 | After Gateway Inc. | Clinic/Center | 501 S Mendenhall St, Greensboro, NC 27403-2514 | 2007-04-04 |
| 1134253875 | A Place for T.j. Health Care Inc. | Clinic/Center | 5001 Heathridge Ter, Greensboro, NC 27410-8419 | 2007-03-15 |
| 1669547030 | Advantage Bhs | Clinic/Center | 1030 Silver Rd, Greensboro, GA 30642-2157 | 2006-11-21 |
| 1093215972 | Bac Developmental Program Inc | Clinic/Center | 2203 Coliseum Blvd, Greensboro, NC 27403-3214 | 2018-02-16 |
| 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 | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
Please comment or provide details below to improve the information on STATE OF NC DIVISION OF HEALTH SERVICES.
| 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.