CHEETHAM FAMILY CARE HOME (NPI# 1811011802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811011802 |
| Entity Type | Organization |
| Organization Name | CHEETHAM FAMILY CARE HOME |
| Practice Address |
2726 Newsome St Raleigh NC 27603-2956 |
| Mailing Address |
5309 Falls of Neuse Rd Raleigh NC 27609-4700 |
| Practice Telephone | 9193250671 |
| Practice Fax Number | 9193250671 |
| Mailing Telephone | 9196768062 |
| Mailing Fax Number | 9196768062 |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | RANSFORD NYLANDER THOMPSON (PRESIDENT) |
| Authorized Official Telephone | 9197958338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
MHL-092-538-27G. | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804824 | 05 |
| Street Address |
2726 NEWSOME ST |
| City | RALEIGH |
| State | NC |
| Zip Code | 27603-2956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043525017 | Eagle Home #8 | Custodial Care Facility | 2726 Newsome St, Raleigh, NC 27603-2956 | 2010-08-13 |
| 1194963371 | Phoenix Home #1 | Community Based Residential Treatment Facility, Mental Illness | 2726 Newsome St, Raleigh, NC 27603-2956 | 2009-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854736 | Rdu Medical Transportation Group | Non-emergency Medical Transport (VAN) | 3751 Junction Blvd Suite C Raleigh Nc 27603, C, Raleigh, NC 27603 | 2020-06-01 |
| 1275997595 | Run Raleigh Pt, LLC | Physical Therapist | 401 N West Street, Suite 121, Raleigh, NC 27603 | 2016-04-12 |
| 1508256496 | Nneka Ifeoma Hay | Nurse Practitioner | 1390 Capital Boulevard, Raleigh, NC 27603 | 2015-01-29 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1578979548 | Grishma Ajmera | Pharmacist | 1531 Dormitory Rd, Raleigh, NC 27603 | 2014-07-10 |
| 1699036467 | Brian Ellison | Pharmacist | 401 Glenwood Ave # 101, Raleigh, NC 27603 | 2012-06-07 |
| 1255607610 | Brian Nichols | Specialist/Technologist | 605 Trunecek Circle, Raleigh, NC 27603 | 2012-03-29 |
| 1548532120 | Living With Autism Inc | Home Health | 7401 Denlee Rd, Raleigh, NC 27603 | 2012-01-30 |
| 1417238189 | Crystal Shawnette Yarborough | Counselor | 3040 Hammond Business Pl Suite 105, Va Raleigh II Clinic, Raleigh, NC 27603 | 2011-09-07 |
| 1982906673 | Annie & Khamorah's Place | Home Health | 2917 Fairway Drive, Raleigh, NC 27603 | 2010-12-01 |
| Find all providers in zip 27603 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861796468 | His Will Worldwide, LLC | Assisted Living Facility | 4114 James Rd, Raleigh, NC 27604-4903 | 2010-12-23 |
| 1700115284 | Vagap Health | Assisted Living Facility | 6004 Ricker Rd, Raleigh, NC 27610-4281 | 2009-12-14 |
| 1972760601 | Helms Adult Care Home 2 | Assisted Living Facility | 502 Carolina Ave, Raleigh, NC 27606-1604 | 2008-05-20 |
| 1780706556 | Agape Family Care Homes, LLC | Assisted Living Facility | 7320 Bentley Wood Ln, Raleigh, NC 27616-6459 | 2007-04-04 |
| 1699895540 | Agape Family Care Homes, LLC | Assisted Living Facility | 2336 Ravenhill Dr, Raleigh, NC 27615-7531 | 2007-04-01 |
| 1881714731 | Agape Family Care Homes, LLC | Assisted Living Facility | 3905 Marsh Creek Rd, Raleigh, NC 27604-4108 | 2007-04-01 |
| 1992263644 | Padroy Inc | Assisted Living Facility | 2917 Fairway Dr, Raleigh, NC 27603-3124 | 2019-03-12 |
| 1912352881 | O'neal's Caring Home | Assisted Living Facility | 3206 Dove Tree Ln, Raleigh, NC 27610-6693 | 2016-04-28 |
| 1407178205 | Gibson Homes LLC | Assisted Living Facility | 101 N Peartree Ln, Raleigh, NC 27610-1823 | 2010-02-20 |
| 1215050844 | Agape Family Care Homes, LLC | Assisted Living Facility | 7320 Bentley Wood Ln, Raleigh, NC 27616-6459 | 2007-04-09 |
| Find all providers in RALEIGH | ||||
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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.