DIVERSIFIED SERVICES OF NC LLC


Address: 255 Adams Point Dr, Garner, NC 27529
Phone: 9196004858

DIVERSIFIED SERVICES OF NC LLC (NPI# 1790214062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790214062
Entity Type Organization
Organization Name DIVERSIFIED SERVICES OF NC LLC
Practice Address 255 Adams Point Dr
Garner
NC 27529
Mailing Address 255 Adams Point Dr
Garner
NC 27529-6507
Practice Telephone 9196004858
Enumeration Date 2017-06-08
Last Update Date 2017-06-08
Authorized Official Name DRUCELLA ROBERTS (AGENCY DIRECTOR)
Authorized Official Telephone 9196004858
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 255 ADAMS POINT DR
City GARNER
State NC
Zip Code 27529

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578112579 Ascend Rehab Therapy Speech-Language Pathologist 45 Waterpine Drive, Garner, NC 27529 2019-09-11
1760039937 Direct Realistic Counseling Sevices Counselor 503 Highway 70, Suite R, Garner, NC 27529 2019-08-22
1285281402 Direct Solutions Counseling Services Counselor 503 R Highway 70, Garner, NC 27529 2019-08-22
1821551920 Rex Hospital Inc Emergency Medicine 1165 Us Hwy 70 W, Garner, NC 27529 2019-04-08
1154888485 First Step Services, LLC Social Worker 1418 Aversboro Road, Suite 201, Garner, NC 27529 2019-02-22
1528533387 Pratibha Verma Physical Therapist 200 Bellarose Nursing and Rehab, Garner, NC 27529 2018-10-09
1073037271 Kim Robert Rogers Marriage & Family Therapist 1140 Holly Springs Road #207, Holly Springs, NC 27529 2017-07-29
1972049369 Michelle Stephens Case Manager/Care Coordinator 7017 Scarlett Ln, Garner, NC 27529 2017-01-10
1962854877 Brittany H Mccrann Social Worker 310 New Fidelity Ct, Garner, NC 27529 2016-07-05
1548634066 Brooke Christine Owen Physician Assistant 400 Us Highway 70 E, Garner, NC 27529 2015-11-20
Find all providers in zip 27529

Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922447424 Mcneil Home - Southerlund Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1014 Southerland Road, Garner, NC 27529 2013-06-18
1811336654 Mcneil Home #3 Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 611 Mckay Place, Garner, NC 27529 2013-06-14
1508205337 Richardson Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 902 Creech Road, Garner, NC 27529 2013-06-14
1306182738 First Alternative Community Support Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 106 Cheney Ct, Garner, NC 27529-4523 2012-12-12
1982815221 Bradley Home Caring for Wake Community and Carolinas Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1505 Kelly Rd, Garner, NC 27529-4107 2007-05-25
1124239462 Bradley Home Caring for Wake Community & Carolinas Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 907 Frances Dr, Garner, NC 27529-4242 2007-05-25
1164853966 Donald Hassell Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 106 Cheney Ct, Garner, NC 27529-4523 2013-12-03
1316371107 Hassell Afl Home Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 106 Cheney Ct, Garner, NC 27529-4523 2013-08-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578160552 Residential Option Serving Adolescents, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2316 Carved Tree Ln, Charlotte, NC 28262-3154 2020-10-03
1649895442 Gaynelle Bolling Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 102 Mandarin Dr, Pikeville, NC 27863-0020 2020-06-08
1851913966 Johnson Enrichment Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 221 Foxcroft Dr, Winston Salem, NC 27103-5313 2020-05-12
1881230795 Walter Jason Young Jr. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 412 Rook Rd, Charlotte, NC 28216-3199 2019-11-26
1750935839 Heavenly Touch Residential Care Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 2019-07-28
1073166245 Making Kids Matter, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 2019-07-17
1891357752 New Hope for Tomorrow LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 528 Baldwin Rd, Burlington, NC 27217-1702 2019-07-01
1114490877 Brenda Gail Cannon Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3105 Vico Ter, Raleigh, NC 27610-5951 2019-01-05
1356813455 Lamesha Marshall Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3335 Avalon Ave, Charlotte, NC 28208-3378 2018-12-31
1487131074 Ronald Anthony Benjamin Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 2018-07-26
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City GARNER
Zip Code 27529

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Dataset Information

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.

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