UNITED FAMILY NETWORK AT WILLOW SPRINGS (NPI# 1689865958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689865958 |
| Entity Type | Organization |
| Organization Name | UNITED FAMILY NETWORK AT WILLOW SPRINGS |
| Other Organization Name | UNITED FAMILY NETWORK INC. |
| Practice Address |
1259 Ridge Road Antier NC 27501 |
| Practice Telephone | 9198942040 |
| Practice Fax Number | 9193310026 |
| Mailing Telephone | 9198942040 |
| Mailing Fax Number | 9193310026 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-09-25 |
| Authorized Official Name | MR. CHRISTOPHER SIMMONS I (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9105786806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-092-576 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LEVEL III RESIDENTIAL | 6603685 | 05 |
| Other Name | Type Code |
|---|---|
| United Family Network Inc. | Other Name - Individual/Organization |
| Street Address |
1259 RIDGE ROAD |
| City | ANTIER |
| State | NC |
| Zip Code | 27501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356991004 | Amelia Ann Weaver | Technician | 2622 Oak Grove Ch. Rd Amelia Ann Weaver, Angier, NC 27501 | 2019-09-16 |
| 1477115061 | Meena Park Lee | Dentist | 15 Rawls Church Rd, Angier, NC 27501 | 2019-07-03 |
| 1598118465 | Nancy Harte | Counselor | 728 N. Raleigh Street, Suite C, Angier, NC 27501 | 2016-07-15 |
| 1780987321 | Phlebotomy Training Institute & Resource | Technician, Pathology | 120 N. Broad St. East Unit A-1, Angier, NC 27501 | 2010-12-20 |
| 1568785194 | United Family Care Inc. | Custodial Care Facility | 10183 Highway 210 North, Angier, NC 27501 | 2010-03-10 |
| 1689854812 | Valley Radiology At Angier LLC | Radiology | 169 Rawls Rd., Angier, NC 27501 | 2007-11-05 |
| 1245376714 | Primrose Villa | Assisted Living Facility | 431 Junny Road, Angier, NC 27501 | 2007-01-30 |
| 1508917592 | Lane and Associates IIi, Dds Pa | Dentist | 15 Rawls Road, Suite 200 Box 160, Angier, NC 27501 | 2007-01-16 |
| 1407903743 | Amber Renn | Physician Assistant | 185 Rawls Road, Angier, NC 27501 | 2007-01-05 |
| 1184738163 | Angier Discount Drug Inc | Pharmacy | 253 N Raliegh Street, Angier, NC 27501 | 2006-08-18 |
| Find all providers in zip 27501 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
| 1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
| 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.