TLC ADULT GROUP HOME (NPI# 1720234495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720234495 |
Entity Type | Organization |
Organization Name | TLC ADULT GROUP HOME |
Practice Address |
401 Moline St Durham NC 27707-2347 |
Mailing Address |
Po Box 11998 Durham NC 27703-1998 |
Practice Telephone | 9199373437 |
Mailing Telephone | 9199373437 |
Enumeration Date | 2008-08-13 |
Last Update Date | 2013-07-17 |
Authorized Official Name | MS. RENEE HAZELWOOD (ADMINISTRATOR) |
Authorized Official Telephone | 9199373437 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MHL#032-441 | NC | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801121140 | Tlc Adult Group Home | Clinic/Center | 186 Pirate Cove Way, Hertford, NC 27944-9691 | 2009-10-05 |
Street Address |
401 MOLINE ST |
City | DURHAM |
State | NC |
Zip Code | 27707-2347 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588086649 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 401 Moline St, Durham, NC 27707-2347 | 2014-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
Find all providers in zip 27707 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629677547 | Julia Kaplinska, Phd, Pllc | Clinic/Center | 4908 Vistawood Way, Durham, NC 27713-8065 | 2020-10-21 |
1215444161 | C. Patricia Hanley, Ph.d Pllc | Clinic/Center | 13 Jenkins Ct Ste 230, Durham, NH 03824-2324 | 2018-01-01 |
1093038994 | Jones Health Services Inc. | Clinic/Center | 3811 Pickett Rd, Durham, NC 27705-5331 | 2010-03-05 |
1154644342 | Roshaun's House of Care | Clinic/Center | 4012 Guess Rd, Durham, NC 27705-1510 | 2010-03-02 |
1194866608 | Outreach Home # 4 | Clinic/Center | 3007 Dearborn Dr, Durham, NC 27704-2303 | 2007-02-08 |
1245371939 | Destiny Home, Inc. | Clinic/Center | 630 Rippling Stream Rd, Durham, NC 27704-1233 | 2007-02-08 |
1245856780 | Brightview Psychiatry Solutions Pllc | Clinic/Center | 2232 Page Rd Ste 101, Durham, NC 27703-7724 | 2020-06-21 |
1801429808 | Cbt Institute of North Carolina | Clinic/Center | 1200 Broad St Ste 103, Durham, NC 27705-3576 | 2020-02-18 |
1659859205 | Quantum Resources Consulting | Clinic/Center | 4411 Ben Franklin Blvd, Durham, NC 27704-2147 | 2018-08-04 |
1821536921 | David F Naftolowitz Md PC | Clinic/Center | 112 Swift Ave, Durham, NC 27705-4883 | 2017-02-08 |
Find all providers in DURHAM |
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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.