PELHAM GARDENS (NPI# 1740517697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740517697 |
| Entity Type | Organization |
| Organization Name | PELHAM GARDENS |
| Other Organization Name | PELHAM GARDENS |
| Practice Address |
306 Old Hwy 29 Pelham NC 27311 |
| Mailing Address |
Po Box 38551 Greensboro NC 27438 |
| Practice Telephone | 3362101446 |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-17 |
| Authorized Official Name | MR. GREGORY VINCENT (OWNER/CEO) |
| Authorized Official Telephone | 3362101446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Pelham Gardens | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PELHAM GARDENS CANDY CORP | 2454 Eastchester Rd, Bronx, New York 10469 |
| New York State Corporations | PELHAM GARDENS DEVELOPMENT CORP. | Development Corporation, 551 5th Avenue, New York, Ny 10017 |
| New York State Corporations | PELHAM GARDENS HOME OWNERS ASSOCIATION, INC. | 240 Madison Avenue, Garden City Park, Ny 11040 |
| Street Address |
306 OLD HWY 29 |
| City | PELHAM |
| State | NC |
| Zip Code | 27311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831607035 | Corey Lewis Tarpley | Private Vehicle | 2838 Red Marshall Rd, Pelham, NC 27311-8413 | 2018-01-22 |
| 1780818526 | Calvin J Slade Sr. | Non-emergency Medical Transport (VAN) | 1162 Arch Cook Rd, Pelham, NC 27311-8746 | 2009-05-07 |
| 1972834059 | Blue Diamond Med Tech | Non-emergency Medical Transport (VAN) | 1162 Arch Cook Rd, Pelham, NC 27311-8746 | 2010-01-28 |
| 1558998724 | Aline Tilithia Kent | Counselor | 2347 Chandler Mill Rd, Pelham, NC 27311-8778 | 2020-03-26 |
| 1972706232 | Lucy Hairston | Custodial Care Facility | 3003 Chandler Mill Rd, Pelham, NC 27311-8785 | 2007-06-06 |
| 1174175137 | Rudy Mccoy Foster | Non-emergency Medical Transport (VAN) | 5765 Allison Rd, Pelham, NC 27311-9038 | 2019-07-10 |
| 1780175604 | Valerie Long Russell | Non-emergency Medical Transport (VAN) | 5744 Allison Rd, Pelham, NC 27311-9038 | 2018-05-25 |
| 1881171494 | V Mobile | Non-emergency Medical Transport (VAN) | 5744 Allison Rd, Pelham, NC 27311-9038 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032874 | Erica A Goroshko | Registered Nurse | 6 Majestic Ave, Pelham, NH 03076-5005 | 2020-11-01 |
| 1508466608 | Megan Miles | Dietitian, Registered | 229 Perthshire Way, Pelham, AL 35124-6267 | 2020-10-28 |
| 1487252920 | Pelham Eye Center LLC | Optometrist | 200 Canyon Park Dr, Pelham, AL 35124-4817 | 2020-10-16 |
| 1093312423 | Pelham Family Chiropractic, LLC | Chiropractor | 71 Bridge St, Pelham, NH 03076-3479 | 2020-10-08 |
| 1659988624 | Paula Mcneil Tall | Social Worker | 457 Weatherly Club Dr, Pelham, AL 35124-2871 | 2020-09-24 |
| 1396351433 | Ashley Brook Loftis | Counselor | 2834j Pelham Pkwy, Pelham, AL 35124-1707 | 2020-09-22 |
| 1497360002 | Ian Maisonville | Optometrist | 3017 Indian Crest Dr, Pelham, AL 35124-4701 | 2020-09-10 |
| 1326652363 | Compassion Counseling, LLC | Clinic/Center | 600 Crosscreek Trl, Pelham, AL 35124-1566 | 2020-09-08 |
| 1477167096 | Joy Cotton | Massage Therapist | 101 Fifth Ave Apt 4, Pelham, NY 10803-1526 | 2020-09-01 |
| 1922611052 | Allison Patricia Billingsley | Dentist | 43 Bridge St Ste 6, Pelham, NH 03076-3400 | 2020-08-28 |
| Find all providers in PELHAM | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
| 1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1710443395 | Unity 4 Us Community Outreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 Lincoln St, Belmont, NC 28012-3045 | 2019-02-19 |
| 1871059444 | Believing Everyone Succeeds Together | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 | 2019-02-19 |
| 1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
| 1316415037 | Igr Collaborations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 | 2018-11-12 |
| 1164924940 | David Douglas Whitfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5342 Us Highway 301 North, Micro, NC 27555 | 2018-03-07 |
| 1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
| 1659897833 | Shelby Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 S Dekalb St Ste A, Shelby, NC 28150-6189 | 2017-08-18 |
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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.