LEE HOME (NPI# 1740652064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740652064 |
| Entity Type | Organization |
| Organization Name | LEE HOME |
| Practice Address |
9636 Evanston Street Concord NC 28027 |
| Mailing Address |
2331 Crownpoint Executive Drive Suite J Charlotte NC 28227 |
| Practice Telephone | 7048413544 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2017-05-29 |
| Authorized Official Name | KIERAN DEAN (PRESIDENT) |
| Authorized Official Telephone | 7048413544 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNITED SUPPORT SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409493 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | LEE HOME IMPROVEMENTS LLC | 120 Carmen Rd, Milford, CT 06460 |
| Washington State Corporations | LEE HOME PROPERTIES LLC | 22604 62nd Ave W, Mountlake Ter, WA 98043-2510 |
| Indiana Business Entities | LEE HOME RENOVATIONS, INC. | 3010 S 600 W, Russiaville, IN 46979 |
| Connecticut Business Registrations | LEE HOME SOLUTIONS LLC | 95 Goodwin St, Manchester, CT 06040 |
| Oklahoma Business Registrations | LEE HOME SOLUTIONS, LLC | 1010 Indiana, Muskogee, OK 74403 |
| Massachusetts Corporations | LEE HOMER LLC | 55 Pittsfield Road, Lenox, MA 01240 |
| Colorado Business Entities | Lee Homes Limited | 618 S Prospect St, Colorado Springs, CO 80903 |
| Washington State Corporations | LEE HOMES LLC | 2720 152nd Ave Ne, Apt 573, Redmond, WA 98052-5964 |
| Iowa Business Entities | LEE HOMES, L.L.C. | 112 Obrian Street, Goose Lake, IA 52750 |
| Street Address |
9636 EVANSTON STREET |
| City | CONCORD |
| State | NC |
| Zip Code | 28027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568928349 | Vida for Autism, LLC | Community/Behavioral Health | 2613 Richard Ave, Concord, CA 94520-4737 | 2019-02-16 |
| 1356821433 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 1470 Civic Ct Ste 100, Concord, CA 94520-5290 | 2018-08-17 |
| 1003332693 | Monarch | Community/Behavioral Health | 354 Spring St Sw, Concord, NC 28025-5041 | 2017-08-16 |
| 1902333636 | Diana's Homecare, Inc | Community/Behavioral Health | 616 Samuel Adams Cir Sw, Concord, NC 28027-0133 | 2017-05-12 |
| 1013460211 | 1st Step Recovery Services LLC | Community/Behavioral Health | 10912 Mccamie Hill Pl, Concord, NC 28025-9153 | 2016-07-25 |
| 1003265869 | Milestones of North Carolina | Community/Behavioral Health | 84 Church St Ne, Concord, NC 28025-4757 | 2016-06-11 |
| 1720437924 | First Place for Youth | Community/Behavioral Health | 2702 Clayton Rd Ste 207, Concord, CA 94519-2747 | 2016-06-08 |
| 1407216377 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 82 Union St S, Ste D, Concord, NC 28025-5061 | 2016-03-04 |
| 1831578160 | Rising Hope Clinical Assistance LLC | Community/Behavioral Health | 7 Todd Dr Ne, Concord, NC 28025-3132 | 2015-05-19 |
| 1053736744 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2355 Whitman Rd Ste F, Concord, CA 94518 | 2014-03-04 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on LEE HOME.
| 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.