SELF-DETERMINATION LLC (NPI# 1639408248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639408248 |
Entity Type | Organization |
Organization Name | SELF-DETERMINATION LLC |
Practice Address |
103 Ebenezer Rd Kings Mtn NC 28086 |
Mailing Address |
103 Ebenezer Rd Kings Mtn NC 28086-8762 |
Practice Telephone | 7047504752 |
Practice Fax Number | 7047504753 |
Mailing Telephone | 7047504752 |
Mailing Fax Number | 7047504753 |
Enumeration Date | 2009-12-09 |
Last Update Date | 2018-08-10 |
Authorized Official Name | FLOYDCE JEFFERIES (PRESIDENT) |
Authorized Official Telephone | 8284330465 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 023-197 | NC | Residential Treatment Facilities |
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 012-129 | NC | Residential Treatment Facilities |
Y | 251B00000X | Case Management | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6604454 | 05 |
Street Address |
103 EBENEZER RD |
City | KINGS MTN |
State | NC |
Zip Code | 28086 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609252493 | Mary Elizabeth Mann | Speech-Language Pathologist | 1563 Lewis Farm Rd, Kings Mountain, NC 28086 | 2015-08-04 |
1831404847 | Sandra Shuford Satterfield | Nurse Practitioner | 500 Phifer Road, Kings Mountain, NC 28086 | 2010-08-13 |
1821317868 | Crawley Memorial Hospital Inc | Long Term Care Hospital | 706 West King Street, Kings Mountain, NC 28086 | 2010-05-28 |
1770731515 | Ingles Markets Inc | Pharmacy | 2111 Shelby Rd, Kings Mountain, NC 28086 | 2008-09-05 |
1659553832 | Jerry Marvin Utt | Social Worker | 301 East Parker Street, Kings Mountain, NC 28086 | 2007-11-29 |
1518087766 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 112 Wooding Pl, Kings Mountain, NC 28086 | 2007-03-30 |
1093831679 | Mark David Lovelace | Pharmacist | 1114 West Gold Street, Extension, Kings Mountain, NC 28086 | 2007-03-22 |
1417016023 | Acrolyst Physician Resources | Internal Medicine | 827 E King Street, Kings Mountain, NC 28086 | 2006-12-08 |
1730248865 | Kmeg Resource Corp Pa | Internal Medicine | 827 East King Street, Kings Mtn, NC 28086 | 2006-12-06 |
1649362526 | William John Majors IIi | Chiropractor | 110 West King Street, Ste 2, Kings Mountain, NC 28086 | 2006-09-29 |
Find all providers in zip 28086 |
Taxonomy Code | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316548084 | Carolina Bridges Home Health | Case Management | 8410 Six Forks Rd Ste 104, Raleigh, NC 27615-3079 | 2020-11-07 |
1861008179 | Maggie Janes LLC | Case Management | 3004 Hillmer Dr, Raleigh, NC 27609-7810 | 2020-09-22 |
1245846294 | Tamekia Dowdy | Case Management | 845 Mckoy Town Rd, Cameron, NC 28326-9619 | 2020-09-16 |
1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
1700499944 | Goal Digger Network LLC | Case Management | 5220 Delco St, Fayetteville, NC 28311-2332 | 2020-08-27 |
1598377731 | Lux Glamorous Wigs & Company | Case Management | 1237 Tyvola Dr # Rd, Charlotte, NC 28210-3870 | 2020-08-19 |
1588275432 | Green Life Enhancement Services | Case Management | 1220 Aragon Dr Apt 101, Knightdale, NC 27545-6027 | 2020-08-13 |
1629688122 | Aketre Whitaker | Case Management | 526 Coker Town Rd, Whitakers, NC 27891-8942 | 2020-08-09 |
1912517046 | Coastal Community Services, LLC | Case Management | 138 Turquoise Dr, Jacksonville, NC 28546-8757 | 2020-08-04 |
1700494903 | Reimagine Billing Concepts LLC | Case Management | 9816 Cockerham Ln, Huntersville, NC 28078-2737 | 2020-07-14 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SELF-DETERMINATION LLC.
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.