RESIDENTIAL OPTION SERVING ADOLESCENTS, LLC (NPI# 1578160552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578160552 |
| Entity Type | Organization |
| Organization Name | RESIDENTIAL OPTION SERVING ADOLESCENTS, LLC |
| Practice Address |
2316 Carved Tree Ln Charlotte NC 28262-3154 |
| Practice Telephone | 7046224918 |
| Mailing Telephone | 7046224918 |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2020-10-03 |
| Authorized Official Name | LORI ANN WASHINGTON (DIRECTOR) |
| Authorized Official Telephone | 7046224918 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
2316 CARVED TREE LN |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1740720036 | New Place, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5419 Twin Ln, Charlotte, NC 28269-4635 | 2017-03-06 |
| 1336385699 | 1st Choice Professional Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10532 Green Hedge Ave, Charlotte, NC 28269-1541 | 2008-12-16 |
| 1578735866 | New Place, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8134 Strawberry Point Dr, Charlotte, NC 28215-8487 | 2008-03-27 |
| 1194901157 | Echelon Consulting Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2139 Jennie Linn Dr, Charlotte, NC 28215-2925 | 2008-01-21 |
| 1558547513 | Echelon Consulting Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4724 Carriage Drive Cir, Charlotte, NC 28205-4922 | 2008-01-21 |
| 1972798841 | Walkers Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 5719 Kinglet Ln, Charlotte, NC 28269-7113 | 2007-09-13 |
| 1528188802 | Murray Adolescent Training & Txment Academy | Residential Treatment Facility, Emotionally Disturbed Children | 2012 Commonwealth Ave, Charlotte, NC 28205-5022 | 2007-03-30 |
| 1760506919 | Echelon Consulting Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4508 Carriage Drive Cir, Charlotte, NC 28205 | 2007-03-16 |
| Find all providers in CHARLOTTE | ||||
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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.