DR. ELRETHA J PERKINS (NPI# 1720210438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720210438 |
| Entity Type | Individual |
| Full Name | DR. ELRETHA J PERKINS |
| Practice Address |
135 Tomlin Creek Ln Stoneville NC 27048-7667 |
| Practice Telephone | 3366278057 |
| Practice Fax Number | 3366122244 |
| Mailing Telephone | 3366278057 |
| Mailing Fax Number | 3366122244 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2010-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MHL-079-101 | NC | Behavioral Health & Social Service Providers |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL-079-101 | NC | Residential Treatment Facilities |
| N | 103K00000X | Behavioral Analyst | MHL-079-101 | NC | Behavioral Health & Social Service Providers |
| Street Address |
135 TOMLIN CREEK LN |
| City | STONEVILLE |
| State | NC |
| Zip Code | 27048-7667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891017877 | Tomlin Creek Ridge | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 135 Tomlin Creek Ln, Stoneville, NC 27048-7667 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669811279 | Smiths Farms | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2660 Smith Road, Stoneville, NC 27048 | 2013-06-17 |
| 1356462063 | Moyer Rest Home | Assisted Living Facility | 5765hwy 135, Stoneville, NC 27048 | 2007-04-02 |
| 1013070283 | Morehead Memorial Hospital | Family Medicine | 110 N. Henry Street, Stoneville, NC 27048 | 2006-12-19 |
| 1548378300 | A&b Wyatt Enterprises, Inc. | Pharmacy | 104 N Henry St, Stoneville, NC 27048 | 2006-08-29 |
| 1215943667 | Angel Smith Jones | Physician Assistant | 110 Henry Street, Stoneville, NC 27048 | 2006-07-31 |
| 1316596364 | Coky Ann Kernodle | Nursing Home Administrator | 5767 Hwy 135, Stoneville, NC 27048-2704 | 2019-09-11 |
| 1932716495 | Lisa Lee Mcshane Lloyd | Counselor | 177 Laurel Bluff Rd, Stoneville, NC 27048-7563 | 2020-09-29 |
| 1801176094 | Cornerstone Orthotics, Corp | Prosthetic/Orthotic Supplier | 160 Ridge Crest Dr, Stoneville, NC 27048-7628 | 2011-08-19 |
| 1114192952 | Stat Mobile Imaging, LLC | Clinic/Center | 1515 Price Grange Rd, Stoneville, NC 27048-8294 | 2008-04-23 |
| 1023569738 | Regal Legacy Group LLC | Custodial Care Facility | 5767 Nc Highway 135, Stoneville, NC 27048-8477 | 2016-10-18 |
| Find all providers in zip 27048 | ||||
| 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 |
|---|---|---|---|---|
| 1669811279 | Smiths Farms | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2660 Smith Road, Stoneville, NC 27048 | 2013-06-17 |
| 1891017877 | Tomlin Creek Ridge | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 135 Tomlin Creek Ln, Stoneville, NC 27048-7667 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 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 |
| 1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
| 1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1487131074 | Ronald Anthony Benjamin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 | 2018-07-26 |
| Find all providers with the same taxonomy | ||||
| City | STONEVILLE |
| Zip Code | 27048 |
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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.