DIRECCARE BEHAVIORAL SERVICES,INC (NPI# 1780879825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780879825 |
| Entity Type | Organization |
| Organization Name | DIRECCARE BEHAVIORAL SERVICES,INC |
| Practice Address |
129 West Broad St. Suite C Elizabethtown NC 28337-9005 |
| Mailing Address |
63 Pridgen Rd Lumberton NC 28358-9726 |
| Practice Telephone | 9108720013 |
| Practice Fax Number | 9108720019 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |
| Authorized Official Name | MR. DERECK COE (CO-OWNER) |
| Authorized Official Telephone | 9108720013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301855G | 05 | |
| NC | 8301855B | 05 | |
| NC | 8301855H | 05 |
| Street Address |
129 WEST BROAD ST. SUITE C |
| City | ELIZABETHTOWN |
| State | NC |
| Zip Code | 28337-9005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982844726 | Direccare Behavioral Services, Inc | Community/Behavioral Health | 129 West Broad St., Elizabethtown, NC 28337 | 2009-03-05 |
| 1205088366 | Direccare Behavioral Services | Community/Behavioral Health | 129 West Broad St., Elizabethtown, NC 28337-9005 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1649826447 | Donna Marie Gray | Technician | 1797 Mercer Mill Rd, Elizabethtown, NC 28337 | 2019-08-16 |
| 1053972877 | Professional Eye Care Optometry, Pa | Optometrist | 432 W Broad St, Elizabethtown, NC 28337 | 2019-06-24 |
| 1255896015 | Andersons Drug Store LLC | Durable Medical Equipment & Medical Supplies | 206 S. Poplar St., Elizabethtown, NC 28337 | 2019-02-06 |
| 1336618602 | Genese Anderson Peed | Pharmacist | 206 South Poplar, Elizabethtown, NC 28337 | 2018-11-16 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1821586918 | Coastal Horizons Center Inc. | Community/Behavioral Health | Coastal Horizons Center, Inc. - Bladen Day Treatment, 1496 Hwy 701 S., Elizabethtown, NC 28337 | 2018-04-25 |
| 1205353117 | Brianna Stalnaker | Pharmacist | 371 S Poplar St, Elizabethtown, NC 28337 | 2017-08-23 |
| 1982124681 | Justin M Degarmo Dmd & Ann Hamill Greene Dds Pa | Dentist | 401 Doctors Drive, Elizabethtown, NC 28337 | 2017-06-23 |
| 1336676121 | Megan Mcwhorter | Physical Therapy Assistant | 804 South Poplar Street, Elizabethtown, NC 28337 | 2017-05-11 |
| Find all providers in zip 28337 | ||||
| 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 |
|---|---|---|---|---|
| 1649765850 | Coastal Horizons Center Inc | Community/Behavioral Health | 301 Mercer Mill Rd, Elizabethtown, NC 28337-3960 | 2018-06-29 |
| 1609236165 | Dreamworks Therapeutic Learning Center | Community/Behavioral Health | 207 C South Poplar St, Elizabethtown, NC 28337 | 2016-02-26 |
| 1801234158 | Monarch | Community/Behavioral Health | 412-b Peanut Road, Elizabethtown, NC 28377-0000 | 2013-06-10 |
| 1538394663 | Access Nc, LLC | Community/Behavioral Health | 1360 Martin Luther King Drive, Elizabethtown, NC 28337 | 2009-05-19 |
| 1912148313 | Direccare Behavioral Services, Inc. | Community/Behavioral Health | 129 W Broad St, Elizabethtown, NC 28337-9311 | 2009-03-13 |
| 1366682593 | Missions Unlimited, LLC | Community/Behavioral Health | 2950 W Broad St, Elizabethtown, NC 28337-7137 | 2009-02-27 |
| 1275740821 | Community Innovations, Inc. | Community/Behavioral Health | 410 Peanut Plant Rd, Elizabethtown, NC 28337-9482 | 2007-05-16 |
| 1619014057 | Communicare Inc | Community/Behavioral Health | 1311 N Dixie Ave Bldg D, Elizabethtown, KY 42701-2621 | 2007-02-01 |
| 1962915579 | Collaborative Counseling Group | Community/Behavioral Health | 208 N Mulberry St, Elizabethtown, KY 42701-1464 | 2017-11-06 |
| 1265852057 | Shirley Anne Pittman Artis | Community/Behavioral Health | 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 | 2014-04-21 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 28337 |
Please comment or provide details below to improve the information on DIRECCARE BEHAVIORAL SERVICES,INC.
| 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.