NAZARETH CHILDRENS HOME (NPI# 1629232475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629232475 |
| Entity Type | Organization |
| Organization Name | NAZARETH CHILDRENS HOME |
| Practice Address |
725 Crescent Rd Rockwell NC 28138-7515 |
| Practice Telephone | 7042795556 |
| Practice Fax Number | 7042551801 |
| Mailing Telephone | 7042795556 |
| Mailing Fax Number | 7042551801 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | MS. JACQUELINE LEIGH MILLICAN (DIRECTOR OF LICENSING & PROGRAM DEV) |
| Authorized Official Telephone | 7042795556 |
| Authorized Official Credential | LCSW, LCAS, CSI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253J00000X | Foster Care Agency | NC | Agencies | |
| N | 323P00000X | Psychiatric Residential Treatment Facility | MHL-080-173 | NC | Residential Treatment Facilities |
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | MHL080174 | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568622249 | Nazareth Childrens Home | Residential Treatment Facility, Emotionally Disturbed Children | 7920 Red Road, Rockwell, NC 28138 | 2008-06-16 |
| Street Address |
725 CRESCENT RD |
| City | ROCKWELL |
| State | NC |
| Zip Code | 28138-7515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467574947 | Nazareth Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 725 Crescent Rd, Rockwell, NC 28138-7515 | 2007-04-04 |
| 1255724415 | Amanda Nantz | Counselor | 725 Crescent Rd, Rockwell, NC 28138-7515 | 2015-03-12 |
| 1114233301 | Jacqueline Leigh Millican | Social Worker | 725 Crescent Rd, Rockwell, NC 28138-7515 | 2010-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447536792 | David Andrew Maxwell | Psychologist | 110a East Main Street, Rockwell, NC 28138 | 2011-11-01 |
| 1518240183 | Keri Privette Wetherington | Pharmacist | 8765 Nc Hwy 52, Rockwell, NC 28138 | 2011-09-21 |
| 1801199120 | Deresha M. Simmons | Counselor | 1190 Safe Haven Lane, Rockwell, NC 28138 | 2010-12-08 |
| 1710294012 | Nazareth Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 725 Crescent Road, Nazareth Children's Home, Rockwell, NC 28138 | 2010-09-08 |
| 1568622249 | Nazareth Childrens Home | Residential Treatment Facility, Emotionally Disturbed Children | 7920 Red Road, Rockwell, NC 28138 | 2008-06-16 |
| 1407940042 | Cresent Pharmacy | Pharmacist | 314 E. Main St., Rockwell, NC 28138 | 2006-10-03 |
| 1922583111 | Anya Loraine Dobbs | Counselor | 110 E. Main St, Rockwell, NC 28138 | 2018-10-03 |
| 1497207815 | Shelly Bingham Batts | Pharmacist | 314 E. Main St., Rockwell, NC 28138 | 2016-11-02 |
| 1417370818 | Ascend Psychological Services, Pllc | Counselor | 110a East Main Street, Rockwell, NC 28138 | 2014-01-22 |
| 1730482894 | Crescent Pharmacy of Rowan Inc. | Pharmacy | 314 E Main St, Rockwell, NC 28138 | 2010-12-13 |
| Find all providers in zip 28138 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194025775 | Daymark Recovery Services Inc | Community/Behavioral Health | 1190 Safe Haven Lane, Rockwell, NC 28138-7515 | 2010-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.