NAZARETH CHILDREN'S HOME (NPI# 1710294012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710294012 |
| Entity Type | Organization |
| Organization Name | NAZARETH CHILDREN'S HOME |
| Practice Address |
725 Crescent Road Nazareth Children's Home Rockwell NC 28138 |
| Mailing Address |
P.o.box 1438 Nazareth Children's Home Rockwell NC 28138 |
| Practice Telephone | 7042795556 |
| Mailing Telephone | 7042795556 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |
| Authorized Official Name | MR. RONNIE DONNELL GLOVER (CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 7042795556 |
| Authorized Official Credential | MSW, P-LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | P005001 | NC | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315488 | Nazareth Children's Home | Counselor | 8 W 5th Ave, Lexington, NC 27292-3224 | 2013-06-13 |
| 1184062952 | Nazareth Children's Home | Social Worker | 936 Copperfield Blvd Ne, Concord, NC 28025-2433 | 2013-06-13 |
| 1467574947 | Nazareth Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 725 Crescent Rd, Rockwell, NC 28138-7515 | 2007-04-04 |
| 1871931642 | Nazareth Children's Home | Counselor | 417 N Main St, Suite B, Salisbury, NC 28144-4376 | 2013-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NAZARETH CHILDREN'S HOME INC | 725 Crescent Rd, Rockwell, NC 28138-7515 |
| Street Address |
725 CRESCENT ROAD NAZARETH CHILDREN'S HOME |
| City | ROCKWELL |
| State | NC |
| Zip Code | 28138 |
| 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 |
| 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 |
| 1376846691 | Katherine A. Mcswain | Counselor | 1190 Safe Haven Lane, Rockwell, NC 28138 | 2010-12-08 |
| Find all providers in zip 28138 | ||||
| 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 |
|---|---|---|---|---|
| 1568622249 | Nazareth Childrens Home | Residential Treatment Facility, Emotionally Disturbed Children | 7920 Red Road, Rockwell, NC 28138 | 2008-06-16 |
| 1467574947 | Nazareth Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 725 Crescent Rd, Rockwell, NC 28138-7515 | 2007-04-04 |
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| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
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| 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 |
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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.