J. IVERSON RIDDLE DEVELOPMENTAL CENTER (NPI# 1801017710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801017710 |
| Entity Type | Organization |
| Organization Name | J. IVERSON RIDDLE DEVELOPMENTAL CENTER |
| Practice Address |
300 Enola Rd Morganton NC 28655 |
| Mailing Address |
300 Enola Rd Morganton NC 28655-4608 |
| Practice Telephone | 8284332722 |
| Practice Fax Number | 8284332724 |
| Mailing Telephone | 8284332722 |
| Mailing Fax Number | 8284332724 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | MR. DALE ARMSTRONG (DIVISION DIRECTOR - DSOHF) |
| Authorized Official Telephone | 9198554700 |
| Authorized Official Credential | MBA, FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952634685 | J. Iverson Riddle Developmental Center | Case Management | 300 Enola Rd, Morganton, NC 28655-4608 | 2009-09-14 |
| 1730308982 | J. Iverson Riddle Developmental Center | Community/Behavioral Health | 300 Enola Rd, Morganton, NC 28655 | 2007-04-25 |
| 1649499898 | J. Iverson Riddle Developmental Center | Clinic/Center | 300 Enola Rd, Morganton, NC 28655-4608 | 2007-04-25 |
| Street Address |
300 ENOLA RD |
| City | MORGANTON |
| State | NC |
| Zip Code | 28655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114995008 | Carl Leon Edwards | Internal Medicine | 300 Enola Rd, Morganton, NC 28655-4608 | 2006-03-08 |
| 1326524554 | Rebekah Norris | Speech-Language Pathologist | 300 Enola Rd, Morganton, NC 28655-4608 | 2018-07-11 |
| 1154774610 | Jennifer James | Physical Therapist | 300 Enola Rd, Morganton, NC 28655-4608 | 2016-07-20 |
| 1386003945 | Allison Lane | Social Worker | 300 Enola Rd, Morganton, NC 28655-4608 | 2016-02-11 |
| 1154788347 | Danielle Gaglio | Occupational Therapist | 300 Enola Rd, Morganton, NC 28655-4608 | 2016-01-20 |
| 1003217282 | Nicholas Andal | Speech-Language Pathologist | 300 Enola Rd, Morganton, NC 28655-4608 | 2014-09-08 |
| 1144630245 | Debbie H Little | Registered Nurse | 300 Enola Rd, Morganton, NC 28655-4608 | 2014-04-29 |
| 1275883332 | Amy Lee | Registered Nurse | 300 Enola Rd, Morganton, NC 28655-4608 | 2012-09-17 |
| 1871842542 | Christine Nelson | Registered Nurse | 300 Enola Rd, Morganton, NC 28655-4608 | 2012-09-10 |
| 1013276914 | J. Iverson Developmental Center | Physical Therapist | 300 Enola Rd, Morganton, NC 28655-4608 | 2012-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| Find all providers in zip 28655 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114143542 | State of Nc Division of Health Services | Clinic/Center | 145 West Parker Road, Suite A, Morganton, NC 28655-4649 | 2007-04-17 |
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|---|---|---|---|---|
| 1578174355 | A Better You Wellness Center | Clinic/Center | 3103 Durant Rd, Greenville, NC 27834-6786 | 2020-08-13 |
| 1770118556 | Enable LLC | Clinic/Center | 4050 Legion Rd, Hope Mills, NC 28348-8872 | 2020-03-11 |
| 1083128508 | Almarch Family Care, LLC | Clinic/Center | 1924 Beverly Rd, Rocky Mount, NC 27801-6313 | 2017-11-20 |
| 1669995577 | L.a.s Learning Playhouse, LLC | Clinic/Center | 210 Craver Ave, Salisbury, NC 28146-5906 | 2017-07-23 |
| 1528314408 | Laura Maria Mckoy | Clinic/Center | 122 Live Oak Drive, Jacksonville, NC 28540 | 2012-07-30 |
| 1306123294 | Lane's House Adult Group Home | Clinic/Center | 3159 Octavia Dr, Rocky Mount, NC 27804-7959 | 2011-11-07 |
| 1639408248 | Self-determination LLC | Clinic/Center | 103 Ebenezer Rd, Kings Mtn, NC 28086 | 2009-12-09 |
| 1235388133 | Eaglemere Living Facility | Clinic/Center | 200 Eagles Mere Trl, Rocky Mount, NC 27804-8850 | 2008-09-16 |
| 1043468796 | Making It Happen, Inc. | Clinic/Center | 355 Ransom Rd, Winston Salem, NC 27106-3835 | 2008-09-07 |
| 1689841298 | Safe Harbour | Clinic/Center | 13 East Dr, Jacksonville, NC 28546-8214 | 2008-05-13 |
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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.