EVERGREEN BEHAVIORAL MANAGEMENT, INC. (NPI# 1609189745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609189745 |
| Entity Type | Organization |
| Organization Name | EVERGREEN BEHAVIORAL MANAGEMENT, INC. |
| Other Organization Name | HORIZON HOME CARE |
| Practice Address |
416 Fairley St Laurinburg NC 28352-3612 |
| Mailing Address |
1409 Pinckney St Whiteville NC 28472-2220 |
| Practice Telephone | 9102669993 |
| Practice Fax Number | 9106410606 |
| Mailing Telephone | 9106410600 |
| Mailing Fax Number | 9106410606 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2013-07-18 |
| Authorized Official Name | MS. GINGER G GORE (CEO) |
| Authorized Official Telephone | 9106410600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Horizon Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174823413 | Evergreen Behavioral Management, Inc. | Assisted Living Facility | 5794 Old Us Highway 74, Chadbourn, NC 28431-6779 | 2010-11-02 |
| 1457651309 | Evergreen Behavioral Management, Inc. | Assisted Living Facility | 46 S Cardinal Dr, Wilmington, NC 28403-1843 | 2010-10-26 |
| 1679712277 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 4276 Legend Ave Ste C, Fayetteville, NC 28303-3497 | 2009-02-05 |
| 1588816789 | Evergreen Behavioral Management, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5794 Old Highway 74, Chadbourn, NC 28431-6779 | 2008-10-21 |
| 1538311972 | Evergreen Behavioral Management, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1686 Sam Potts Hwy, Hallsboro, NC 28442-9458 | 2008-10-16 |
| 1508167735 | Evergreen Behavioral Management, Inc. | Assisted Living Facility | 1686 Sam Potts Hwy, Hallsboro, NC 28442-9458 | 2010-11-04 |
| 1669780300 | Evergreen Behavioral Management, Inc. | Clinic/Center | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2010-09-15 |
| 1225277353 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2009-02-12 |
| 1497994099 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 1911 S 17th St, Suite 100, Wilmington, NC 28401-6662 | 2009-02-05 |
| 1528206174 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 416 Fairley St, Laurinburg, NC 28352-3612 | 2009-02-04 |
| Street Address |
416 FAIRLEY ST |
| City | LAURINBURG |
| State | NC |
| Zip Code | 28352-3612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245394071 | Kimberly Phillips | Social Worker | 416 Fairley St, Suite E, Laurinburg, NC 28352-3612 | 2006-12-19 |
| 1285997361 | Monica Shonea Crumpler | Social Worker | 416 Fairley St, Laurinburg, NC 28352-3612 | 2012-06-22 |
| 1558592923 | Karrie Lucille Denson | Counselor | 416 Fairley St, Suite E, Laurinburg, NC 28352-3612 | 2009-08-04 |
| 1528206174 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 416 Fairley St, Laurinburg, NC 28352-3612 | 2009-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497291645 | Hope Mckee | Physician Assistant | 500 Launchwood Dr, Laurinburg, NC 28352 | 2017-01-12 |
| 1174073753 | Scotland County Area Transit System | Non-emergency Medical Transport (VAN) | 1403- C West Boulevard, Laurinburg, NC 28352 | 2016-10-07 |
| 1972969780 | Onsite Healthcare Services LLC | Family Medicine | 9141 Tartan Road, Laurinburg, NC 28352 | 2016-01-08 |
| 1952775108 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 907 Us 401 Bypass, Laurinburg Commons, Laurinburg, NC 28352 | 2015-11-25 |
| 1790165165 | Sheena Kang Neil | Dentist | 109 Mcalpine Ln, Laurinburg, NC 28352 | 2015-06-01 |
| 1114321973 | Alicia Oxendine | Social Worker | 12121 Mccarter Avenue, Laurinburg, NC 28352 | 2014-10-22 |
| 1699185231 | Allen Ballew | Family Medicine | 1707 Berwick Dr Ste B, Laurinburg, NC 28352 | 2014-05-05 |
| 1205256435 | Sharon Miller | Social Worker | 405 Biggs St., Laurinburg, NC 28352 | 2014-04-28 |
| 1215375563 | Qwenzella Wynn | Counselor | 12640 Southwood Dr, Laurinburg, NC 28352 | 2013-06-10 |
| 1114360401 | Jewel Antiqual Mcintyre | Counselor | 420 Fairley Street, Laurinburg, NC 28352 | 2013-04-17 |
| Find all providers in zip 28352 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760710826 | First Choice Comfort Care, Inc. | Technician | 118 James St., Suite P, Laurinburg, NC 28352-8810 | 2009-12-01 |
| 1871823500 | Rainbow 66 Storehouse Inc. | Technician | 525 Atkinson St, Laurinburg, NC 28352-3715 | 2009-12-31 |
| 1952637878 | Rainbow 66 Storehouse Inc. | Technician | 525 Atkinson St, Laurinburg, NC 28352-3715 | 2009-10-28 |
| 1467572545 | Angelic Care | Technician | 910 S Main St, Laurinburg, NC 28352-4737 | 2007-03-30 |
| 1467599225 | Angelic Care | Technician | 910 S Main St, Laurinburg, NC 28352-4737 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323299 | Natalie E King | Technician | 12718 Winding Ridge Rd, Huntersville, NC 28078-7108 | 2020-07-13 |
| 1366064412 | Freedom LLC | Technician | 27 1st Ave Ne Ste 205, Hickory, NC 28601-6219 | 2020-05-12 |
| 1508404120 | Annette Williams | Technician | 118 Gunn Poole Rd, Mebane, NC 27302-8476 | 2019-12-13 |
| 1811451891 | Jamie Flynn | Technician | 2476 Johnsontown Rd, Thomasville, NC 27360-7596 | 2019-01-24 |
| 1043783517 | Carol Ann Carrodus | Technician | 135 Brevard St, Winston Salem, NC 27101-2204 | 2019-01-08 |
| 1588146013 | Giselle Mumayamona Bwensa | Technician | 21 Hawthorne Ln, Youngsville, NC 27596-2083 | 2018-08-31 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1245756634 | Nykysha Bethea | Technician | 3002 Greystone Pt Apt H, Greensboro, NC 27410-8944 | 2017-08-17 |
| 1922464353 | Shavon Land | Technician | 1323 Spruce St, Charlotte, NC 28203-4670 | 2016-01-14 |
| Find all providers with the same taxonomy | ||||
| City | LAURINBURG |
| Zip Code | 28352 |
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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.