QUAD COUNTY GROUP HOMES FOR EMOTIONALLY DISTURBED CHILDREN, INC. (NPI# 1609957869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609957869 |
| Entity Type | Organization |
| Organization Name | QUAD COUNTY GROUP HOMES FOR EMOTIONALLY DISTURBED CHILDREN, INC. |
| Other Organization Name | SERENDIPITY HOUSE |
| Practice Address |
664 Spring St Walnut Cove NC 27052-6879 |
| Mailing Address |
Po Box 508 Walnut Cove NC 27052-0508 |
| Practice Telephone | 3365917234 |
| Practice Fax Number | 3365918230 |
| Mailing Telephone | 3365917234 |
| Mailing Fax Number | 3365918230 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. P. MICHAEL HARTWIG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3365917234 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | MHL-085-002 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603055 | 05 |
| Other Name | Type Code |
|---|---|
| Serendipity House | Doing Business As Name - Organization |
| Street Address |
664 SPRING ST |
| City | WALNUT COVE |
| State | NC |
| Zip Code | 27052-6879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376108191 | Clinton Jamie Edwards | Counselor | 3169 North Carolina Highway South, Walnut Cove, NC 27052 | 2019-05-07 |
| 1104198696 | Betty Presnell | Community Health Worker | 1511 Windmill Street, Walnut Cove, NC 27052 | 2012-01-31 |
| 1336386671 | Deborah L Miller | Speech-Language Pathologist | 1482 Harris Rd., Walnut Cove, NC 27052 | 2009-01-08 |
| 1962623710 | Amber Hubert | Specialist | 511 Windmill Street, Walnut Cove, NC 27052 | 2007-05-01 |
| 1093726929 | Drs Mabe & Mabe Pa | Dentist | 1218 N Main Street, Walnut Cove, NC 27052 | 2006-08-09 |
| 1104934447 | Tex Mabe | Dentist | 1218 N Main Street, Walnut Cove, NC 27052 | 2006-08-28 |
| 1013025352 | Tim Mabe | Dentist | 1218 N Main Street, Walnute Cove, NC 27052 | 2006-08-28 |
| 1295146389 | Monadnock Mind and Body | Clinic/Center | 3169 Nc 8 Hwy S, Autumn Square Suite #201, Walnut Cove, NC 27052-5693 | 2014-05-12 |
| 1184006413 | Miranda Mckinney Mchone | Occupational Therapy Assistant | 1100 Wall Loop Rd, Walnut Cove, NC 27052-5803 | 2015-06-23 |
| 1639153083 | Cameo Bra Shop | Prosthetic/Orthotic Supplier | 1020 Hinsdale Rd, Walnut Cove, NC 27052-6802 | 2005-11-30 |
| Find all providers in zip 27052 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840990 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 1601 Huffine Mill Rd., Bldg B, Greensboro, NC 27405-5509 | 2019-06-19 |
| 1578067146 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 6220e Thermal Rd, Charlotte, NC 28211-5630 | 2018-03-20 |
| 1750827150 | Stephen's Home | Psychiatric Residential Treatment Facility | 6214 Paylor St, Mebane, NC 27302-7020 | 2017-01-10 |
| 1013450055 | Rwilliams | Psychiatric Residential Treatment Facility | 511 Tansy Dr, Charlotte, NC 28214-8832 | 2016-11-23 |
| 1891247490 | Healing Community Adult Cre | Psychiatric Residential Treatment Facility | 55 Congress St, Asheville, NC 28801-4342 | 2016-10-30 |
| 1598219149 | Equinox Rtc, LLC | Psychiatric Residential Treatment Facility | 2420 Middle Fork Rd, Hendersonville, NC 28792-1032 | 2016-08-12 |
| 1497128631 | The Woodard Home | Psychiatric Residential Treatment Facility | 4100 Cherry Tree Dr, Monroe, NC 28110-9692 | 2015-11-10 |
| 1184096661 | Canyon Hills Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 769 Aberdeen Rd, Raeford, NC 28376-0029 | 2015-10-23 |
| 1891164174 | Kearney Home | Psychiatric Residential Treatment Facility | 4408 Iyar Way, Wake Forest, NC 27587-4166 | 2015-09-17 |
| 1396111837 | Mcguinn Home | Psychiatric Residential Treatment Facility | 16 Columbia Cir, Hendersonville, NC 28792-7005 | 2015-08-19 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT COVE |
| Zip Code | 27052 |
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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.