LAKEWOOD (NPI# 1801129127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801129127 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD |
| Practice Address |
302 Greenwood Pl Belmont NC 28012-2911 |
| Mailing Address |
Po Box 710 Belmont NC 28012-0710 |
| Practice Telephone | 7048294410 |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2017-08-30 |
| Authorized Official Name | SHANNON CHILDRESS (CHIEF CLINICAL OFFICER) |
| Authorized Official Telephone | 7048294410 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOLY ANGELS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-036-058 | NC | Residential Treatment Facilities |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7802691 | 05 | |
| NC | 3408854 | 05 | |
| NC | STATE FUNDS | 1619310851 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAKEWOOD | 1303 Bayou Dr, Indianola, MS 38751-2938 |
| Colorado Business Entities | Lakewood & Sea Pines LLC | 4270 N Raleigh St, Denver, CO 80212-2328 |
| Virginia Business Entities | Lakewood (Section I) Property Owners Association Inc. | 1854 Ashwell Ridge Dr, Huddleston, Virginia 24104 |
| Colorado Business Entities | LAKEWOOD 12190 LLC | Pob 980580, Park City, UT 84098 |
| New York State Corporations | LAKEWOOD 1456 14 FUNDING L.P. | 999 Central Av Enue, Suite 302, Woodmere, Ny 11598 |
| Washington State Corporations | LAKEWOOD 231 MANAGER, LLC | 3625 Woodland Park Ave N Ste 101, Seattle, WA 98103-7942 |
| Washington State Corporations | LAKEWOOD 231, LLC | 3625 Woodland Park Ave N Ste 101, Seattle, WA 98103-7942 |
| Washington State Corporations | LAKEWOOD 24, L.L.C. | 10013 59th Ave Sw, Lakewood, WA 98499-2757 |
| Washington State Corporations | LAKEWOOD 6 LLC | 17550 Fremont Ave N, Shoreline, WA 98133-4734 |
| Colorado Business Entities | Lakewood 7555 Investments, LLC | 4280 Morrison Road, Denver, CO 80219 |
| Street Address |
302 GREENWOOD PL |
| City | BELMONT |
| State | NC |
| Zip Code | 28012-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447873 | Lisa Emi Mclemore | Technician | 704 Armstrong Rd, Belmont, NC 28012 | 2019-10-02 |
| 1902453244 | Eli Zipkin | Dentist | 965 South Point Road, Belmont, NC 28012 | 2019-08-21 |
| 1457879892 | Sharon H Miller | Acupuncturist | 684 Park St, Belmont, NC 28012 | 2017-09-06 |
| 1083138242 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 905 South Point Rd, Belmont, NC 28012 | 2017-07-31 |
| 1285079533 | Edoardo Pate | Chiropractor | 6021 W Wilkinson Blvd, Belmont, NC 28012 | 2013-04-30 |
| 1023367430 | Abby C Blowe Dds Pa | Dentist | 8024 Water View Drive, Belmont, NC 28012 | 2012-08-30 |
| 1972885598 | Michelle Marie Watkins | Counselor | 32 N Main St Ste 204, Belmont, NC 28012 | 2011-09-10 |
| 1598050791 | Lauren Swafford | Pharmacist | 6750 Wilkinson Boulevard, Belmont, NC 28012 | 2011-06-15 |
| 1316264831 | Evelyn Maiers Bailey | Respiratory Therapist, Certified | 230 River Loop Rd, Belmont, NC 28012 | 2010-04-23 |
| 1376866079 | Metrolina Psychotherapy Associates P.a. | Social Worker | 1212 Spruce St., Suite 315, Belmont, NC 28012 | 2010-03-09 |
| Find all providers in zip 28012 | ||||
| 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 |
|---|---|---|---|---|
| 1902375645 | Supportive Homes Inc. | Community/Behavioral Health | 120 Roper St, Belmont, NC 28012-2119 | 2018-11-23 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1467699280 | Hope Intervention Services, Inc. | Community/Behavioral Health | 1535 Southpoint Rd, Belmont, NC 28012-8544 | 2009-01-15 |
| 1083822357 | Boston Aba Inc. | Community/Behavioral Health | 464 Common St, #106, Belmont, MA 02478-2704 | 2007-05-19 |
| 1881751568 | Crawford's Caring Hands, Inc. | Community/Behavioral Health | 7204 W Wilkinson Blvd, Suite 4, Belmont, NC 28012-6212 | 2007-01-02 |
| 1356719710 | Serendipity Therapy, Pllc | Community/Behavioral Health | 1165 Mckee Farm Ln, Belmont, NC 28012-8671 | 2015-09-02 |
| 1811317365 | Kathryn A Donnelly, Licsw | Community/Behavioral Health | 115 Mill St, Belmont, MA 02478 | 2014-04-23 |
| 1801147327 | Holy Angels Inc. | Community/Behavioral Health | 6600 W Wilkinson Blvd, Belmont, NC 28012-2796 | 2012-09-24 |
| 1558617597 | Diana C Gomez | Community/Behavioral Health | 400 Harbor Blvd, Suite E, Belmont, CA 94002-4047 | 2012-07-27 |
| 1063655751 | Taylor Touch | Community/Behavioral Health | 505 Woodlawn Ave, Belmont, NC 28012-2196 | 2009-04-11 |
| Find all providers in BELMONT | ||||
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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.