LOCH LOMOND (NPI# 1679794598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679794598 |
| Entity Type | Organization |
| Organization Name | LOCH LOMOND |
| Other Organization Name | YOUTH ADULT CARE MANAGEMENT |
| Practice Address |
844 Loch Lomond Cir Concord NC 28025-0416 |
| Mailing Address |
Po Box 1013 Concord NC 28026-1013 |
| Practice Telephone | 7049333505 |
| Mailing Telephone | 7049333505 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RECHON BLACK (OWNER) |
| Authorized Official Telephone | 7049333505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Youth Adult Care Management | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225257256 | Loch Lomond | Residential Treatment Facility, Emotionally Disturbed Children | 844 Loch Lomond Cir, Concord, NC 28025-0416 | 2007-04-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Loch Lomond CM, LLC | 4045 Alpine Drive, Evergreen, CO 80439 |
| Colorado Business Entities | Loch Lomond Forestry | 69 Pooh Corner, Idaho Springs, CO 80452 |
| Colorado Business Entities | Loch Lomond Group, LLC | 4045 Alpine Drive, Evergreen, CO 80439 |
| Colorado Business Entities | Loch Lomond Heights Association | 1901 Rainbow Rd., Idaho Springs, CO 80452 |
| Colorado Business Entities | Loch Lomond Highlands Homeowners Association Inc | Po Box 214, Idaho Springs, CO 80452 |
| Colorado Business Entities | Loch Lomond Holdings, LLC | 4045 Alpine Drive, Evergreen, CO 80439 |
| Virginia Business Entities | LOCH LOMOND L.L.C. | 2251 Sheppardtown Road, Maidens, Virginia 23102 |
| Colorado Business Entities | Loch Lomond LV, LLC | 4045 Alpine Drive, Evergreen, CO 80439 |
| Colorado Business Entities | Loch Lomond NH, LLC | 4045 Alpine Drive, Evergreen, CO 80439 |
| Colorado Business Entities | LOCH LOMOND PROPERTIES, LLC | 10181 Six Mile Cypress Pkwy, Ste B, Fort Myers, FL 33966 |
| Street Address |
844 LOCH LOMOND CIR |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-0416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265581110 | Progressions 3 - Loch Lomond | Residential Treatment Facility, Emotionally Disturbed Children | 844 Loch Lomond Cir, Concord, NC 28025-0416 | 2007-01-09 |
| 1225257256 | Loch Lomond | Residential Treatment Facility, Emotionally Disturbed Children | 844 Loch Lomond Cir, Concord, NC 28025-0416 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935839 | Heavenly Touch Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 | 2019-07-28 |
| 1073166245 | Making Kids Matter, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 | 2019-07-17 |
| 1740652064 | Lee Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9636 Evanston Street, Concord, NC 28027 | 2015-10-26 |
| 1538507371 | Diana's Homecare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1202 Doncastle Ct, Concord, NC 28025-2899 | 2013-06-13 |
| 1114365004 | Diana's Homecare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2435 Old Cedarwood Dr Nw, Concord, NC 28027-2637 | 2013-06-12 |
| 1174803522 | Rha Health Services Nc, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1054 Piney Church Rd, Concord, NC 28025-8526 | 2011-08-17 |
| 1073847877 | Society Cares Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 231 Canvasback Ct Se, Concord, NC 28025-3943 | 2009-09-25 |
| 1598914962 | Diana's Homecare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1204 Doncastle Ct, Concord, NC 28025-2899 | 2008-09-10 |
| 1891973681 | Umar Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 495 Tripolis St, Concord, NC 28025-9015 | 2008-02-05 |
| 1972797744 | Cabarrus County Group Homes Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 211 Long Ave Ne, Concord, NC 28025-3334 | 2007-09-05 |
| Find all providers in CONCORD | ||||
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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.