VIRGINIA DARE BEHAVORIAL HEALTH SERVICES INC. (NPI# 1770607384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770607384 |
| Entity Type | Organization |
| Organization Name | VIRGINIA DARE BEHAVORIAL HEALTH SERVICES INC. |
| Other Organization Name | VIRGINIA DARE HOME C |
| Practice Address |
367 Lane Road Stantonsburg NC 27883 |
| Practice Telephone | 2522382622 |
| Practice Fax Number | 2522386566 |
| Mailing Telephone | 2522382622 |
| Mailing Fax Number | 2522386566 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS PHYLLIS MAXINE WARD (ADMINISTRATOR) |
| Authorized Official Telephone | 2522382622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | MHL040016 | NC | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805104 | 05 | |
| NC | 8301320 | 05 | |
| NC | 3409231 | 05 |
| Other Name | Type Code |
|---|---|
| Virginia Dare Home C | Doing Business As Name - Organization |
| Street Address |
367 LANE ROAD |
| City | STANTONSBURG |
| State | NC |
| Zip Code | 27883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518945732 | Mary A Clark | Nurse Practitioner | 312 South Main St, Stantonsburg, NC 27883 | 2006-01-06 |
| 1992782643 | Stantonsburg Drug Company, Inc | Pharmacy | 105 South Main Street, Stantonsburg, NC 27883-0040 | 2005-12-23 |
| 1730189119 | Armie Rowland Strickland Jr. | Pharmacist | 105 South Main St, Stantonsburg, NC 27883-0040 | 2005-07-27 |
| 1346396041 | Stantonsburg Drug Company, Inc | Durable Medical Equipment & Medical Supplies | 105 S Main St, Stantonsburg, NC 27883-0040 | 2007-01-26 |
| 1902932478 | Wilson Medical Center, Inc. | Family Medicine | 312 South Main Street, Stantonsburg, NC 27883-0400 | 2007-02-26 |
| 1356580088 | Carrie's Family Care Home | Custodial Care Facility | 1025 Pope Farm Rd, Stantonsburg, NC 27883-8525 | 2009-02-19 |
| 1225459308 | Easter Seals Ucp North Carolina & Virginia Inc. | Assisted Living Facility | 505 Hemphill St, Stantonsburg, NC 27883-9011 | 2013-12-17 |
| 1700418225 | Life, Inc. | Day Training, Developmentally Disabled Services | 505 Hemphill St, Stantonsburg, NC 27883-9011 | 2020-02-12 |
| 1609906288 | Edwards Group Home 4 | Community Based Residential Treatment Facility, Mental Illness | 1269 Apple Tree Rd, Stantonsburg, NC 27883-9039 | 2007-03-06 |
| 1831596535 | Circle of Love Family Care Home LLC. | Custodial Care Facility | 6604 Hwy 264 East Alt., Stantonsburg, NC 27883-9203 | 2014-11-24 |
| Find all providers in zip 27883 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299663 | Family Focused Network | Preferred Provider Organization | 5320 Wisbech Ct, Charlotte, NC 28215-5057 | 2016-12-07 |
| 1407304710 | Erfan Imeni Kashani D.d.s. Pllc | Preferred Provider Organization | 2609 N Duke St Ste 501, Durham, NC 27704-3019 | 2016-09-15 |
| 1013362284 | Better Communities | Preferred Provider Organization | 2149 Valleygate Dr Ste 101, Fayetteville, NC 28304-3666 | 2016-04-25 |
| 1427411339 | Jordan C Poole | Preferred Provider Organization | 9 English Ivy Rd, Asheville, NC 28806-5514 | 2016-03-30 |
| 1528429479 | Elliott's Veteran Support Group | Preferred Provider Organization | 201 Strickland Dr, Princeville, NC 27886-9549 | 2016-03-18 |
| 1568857688 | Psychotherapeutic Community Services Assoc | Preferred Provider Organization | 400 W Main St Ste 501, Durham, NC 27701-3295 | 2015-04-06 |
| 1902236961 | Enhancement Health Care, Inc. | Preferred Provider Organization | 2801 Darrow Rd, Durham, NC 27704-2417 | 2013-11-12 |
| 1043646052 | Comfort Zone In-home Healthcare | Preferred Provider Organization | 2400 Wilkes St, High Point, NC 27260-8272 | 2013-09-23 |
| 1255779161 | Mitzi Elaine Phillips | Preferred Provider Organization | 6985 Nuggett Dr, Morganton, NC 28655-7994 | 2013-06-13 |
| 1669712063 | Neogenesis Foundation | Preferred Provider Organization | 3959 Sterling Pointe Dr, Winterville, NC 28590-5800 | 2013-02-21 |
| Find all providers with the same taxonomy | ||||
| City | STANTONSBURG |
| Zip Code | 27883 |
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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.