CHEROKEE INDIAN HOSPITAL AUTHORITY (NPI# 1629599717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629599717 |
| Entity Type | Organization |
| Organization Name | CHEROKEE INDIAN HOSPITAL AUTHORITY |
| Other Organization Name | CIHA KANVWODIYI RESIDENTIAL TREATMENT |
| Practice Address |
2670 Cornsilk Branch Rd Robbinsville NC 28771-2877 |
| Mailing Address |
1 Hospital Rd Caller Box C-268 Cherokee NC 28719 |
| Practice Telephone | 8283466000 |
| Practice Fax Number | 8283466001 |
| Mailing Telephone | 8284979163 |
| Mailing Fax Number | 8284971723 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | JONATHAN CERI DANDO (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 8284979163 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHEROKEE INDIAN HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| 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 | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | NC | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| CIHA Kanvwodiyi Residential Treatment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457617 | Cherokee Indian Hospital Authority | Psychiatric Unit | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
| 1801284542 | Cherokee Indian Hospital Authority | Psychologist | 77 Paint Town Rd, Cherokee, NC 28719 | 2015-01-05 |
| 1124394978 | Cherokee Indian Hospital Authority | Clinic/Center | 96 Snowbird School Rd, Robbinsville, NC 28771-8093 | 2012-03-27 |
| 1396021200 | Cherokee Indian Hospital Authority | Clinic/Center | 75 Paint Town Road, Cherokee, NC 28719 | 2011-10-25 |
| 1588840318 | Cherokee Indian Hospital Authority | Counselor | 375 Sequoyah Trail, Cherokee, NC 28719 | 2008-01-10 |
| 1285734509 | Cherokee Indian Hospital Authority | Skilled Nursing Facility | 55 Echota Church Rd, Cherokee, NC 28719-9702 | 2006-09-25 |
| 1295336386 | Cherokee Indian Hospital Authority | Clinic/Center | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
| 1073168316 | Cherokee Indian Hospital Authority | Skilled Nursing Facility | 55 Echota Church Rd, Cherokee, NC 28719-9702 | 2019-08-05 |
| 1487184602 | Cherokee Indian Hospital Authority | Chiropractor | 1 Hospital Rd, Room 2028, Cherokee, NC 28719 | 2017-06-20 |
| 1316397987 | Cherokee Indian Hospital Authority | Occupational Therapist | 1 Hospital Rd, Room 2411, Cherokee, NC 28719 | 2016-06-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHEROKEE INDIAN HOSPITAL AUTHORITY | 1 Hospital Rd, Cherokee, NC 28719 |
| Street Address |
2670 CORNSILK BRANCH RD |
| City | ROBBINSVILLE |
| State | NC |
| Zip Code | 28771-2877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659862183 | Donica A Conseen | Case Manager/Care Coordinator | 2670 Cornsilk Branch Rd, Robbinsville, NC 28789 | 2018-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386101046 | Debra L Boone | Counselor | 2670 Cornsilk Branch, Robbinsville, NC 28771 | 2019-02-28 |
| 1225500283 | Keaw'e K Bone | Case Manager/Care Coordinator | 2670 Cornsilk Branch Rd., Snowbird, NC 28771 | 2018-12-31 |
| 1770055915 | Alexandria Orr | Occupational Therapy Assistant | 451 E Buffalo Rd, Robbinville, NC 28771 | 2018-12-28 |
| 1912479726 | Amy Mashburn | Case Manager/Care Coordinator | 2760 Cornsilk Branch, Robbinsvillw, NC 28771 | 2018-12-19 |
| 1801202866 | Lindsay Jenkins | Pharmacist | 238 Rodney Orr Bypass, Robbinsville, NC 28771 | 2014-07-10 |
| 1992982961 | Graham County Ems | Ambulance | 70 West Fort Hill, Robbinsville, NC 28771 | 2008-01-22 |
| 1801014154 | Sylvia Terry Beckner | Counselor | 668 White Oak Road, Robbinsville, NC 28771 | 2007-04-23 |
| 1063544138 | Patrick Johm Kelley | Dentist | 85 Patton Rd., Robbinsville, NC 28771 | 2007-03-12 |
| 1174666788 | County of Graham | Clinic/Center | 21 South Main St, Robbinsville, NC 28771 | 2007-02-14 |
| 1386797801 | Graham County Department of Social Services | Case Management | 420 Rodney Orr Bypass, Robbinsville, NC 28771 | 2007-01-19 |
| Find all providers in zip 28771 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1245837061 | Bliss Haven Group LLC | Community Based Residential Treatment Facility, Mental Illness | 2442 Sandhurst Ct, Gastonia, NC 28054-2738 | 2020-10-05 |
| 1386259265 | Nevaehs Caring Hands | Community Based Residential Treatment Facility, Mental Illness | 2509 Dalton Rd, Rocky Mount, NC 27803-4721 | 2020-09-09 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1801409859 | Destiny & Miracle LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 Houston St, Gastonia, NC 28052-1632 | 2020-08-28 |
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1366001976 | Foundation of Hope, Inc. | Community Based Residential Treatment Facility, Mental Illness | 119 Grice Road, Chadbourn, NC 28431-6709 | 2019-06-07 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1174187868 | Stepping Stone Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 2720 White Oak Ln, Kannapolis, NC 28083-7256 | 2019-04-28 |
| Find all providers with the same taxonomy | ||||
| City | ROBBINSVILLE |
| Zip Code | 28771 |
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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.