FALCON CREST RESIDENTIAL (NPI# 1851739643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851739643 |
| Entity Type | Organization |
| Organization Name | FALCON CREST RESIDENTIAL |
| Practice Address |
3309a N Nc Highway 49 Burlington NC 27217 |
| Mailing Address |
1101 S Fifth St Po Box 1670 Mebane NC 27302-9182 |
| Practice Telephone | 3362262575 |
| Practice Fax Number | 3362262474 |
| Mailing Telephone | 3362262575 |
| Mailing Fax Number | 3362262474 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2018-05-14 |
| Authorized Official Name | WENDY K BRADSHER (ADMINISRTATOR MANAGER) |
| Authorized Official Telephone | 3362262575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | MHL-001-103 | NC | Agencies |
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6603415 | NC | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-001-103 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603415 | 05 |
| Street Address |
3309A N NC HIGHWAY 49 |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1003319302 | Universal Mental Health Services, Inc. | In Home Supportive Care | 2539 Hyde Street, Burlington, NC 27217 | 2018-03-13 |
| 1992229827 | Seth Isaac Barry | Pharmacist | 1009 W Main St., Burlington, NC 27217 | 2017-08-02 |
| 1639626153 | Nicole Spencer | Registered Nurse | 5270 Union Ridge Road, Burlington, NC 27217 | 2016-09-01 |
| 1649623869 | Deinyell Chelley | Community Health Worker | 2536 Mckinney Street, Burlington, NC 27217 | 2016-07-22 |
| 1093157240 | Alamance Academy, LLC | Community/Behavioral Health | 530 Rosenwald St, Burlington, NC 27217 | 2013-07-29 |
| 1063851897 | Talley Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2266 Fitch Road, Burlington, NC 27217 | 2013-06-14 |
| 1033554878 | Janice Putnam | Dietitian, Registered | 319 N Graham - Hopedale Road, Burlington, NC 27217 | 2013-05-07 |
| 1811226723 | Moving Forward | Community/Behavioral Health | 1146 N. Church St., Ste. A, Burlington, NC 27217 | 2009-12-24 |
| 1497926133 | D & M Family Care | Assisted Living Facility | 4327 Burch Bridge Rd., Burlington, NC 27217 | 2008-03-21 |
| Find all providers in zip 27217 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262010 | Falcon Crest Residential Care | Community Based Residential Treatment Facility, Mental Illness | 1433 Morningside Dr, Burlington, NC 27217-1718 | 2018-10-25 |
| 1447789243 | A Place Like Home LLC | Community Based Residential Treatment Facility, Mental Illness | 707 Kidd Dr, Burlington, NC 27217-1850 | 2017-06-06 |
| 1225428634 | Fokus Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 411 Tillman St, Burlington, NC 27217-2358 | 2015-01-23 |
| 1285057166 | Sunrise Pointe, LLC | Community Based Residential Treatment Facility, Mental Illness | 203 Overbrook Ter, Burlington, NC 27215-5609 | 2014-01-28 |
| 1841513652 | At&b Residential Adult Group Services | Community Based Residential Treatment Facility, Mental Illness | 215 W Ruffin St, Burlington, NC 27217-2643 | 2010-03-08 |
| 1801125570 | Ceesons of Change | Community Based Residential Treatment Facility, Mental Illness | 614 Oakdale Ct, Burlington, NC 27217-1724 | 2009-12-09 |
| 1841429933 | At&b Residential Youth Group Services | Community Based Residential Treatment Facility, Mental Illness | 215 W. Ruffin St., Burlington, NC 27216-2274 | 2009-07-09 |
| 1629206966 | Sunrise Pointe,llc | Community Based Residential Treatment Facility, Mental Illness | 1409 Jackson St, Burlington, NC 27217-1423 | 2009-06-25 |
| 1891972741 | New Possibilities Home for Children, LLC | Community Based Residential Treatment Facility, Mental Illness | 813 Trail One, Burlington, NC 27215-6243 | 2008-01-23 |
| 1528247095 | Sunrise Point | Community Based Residential Treatment Facility, Mental Illness | 631 Spence St, Burlington, NC 27217-1271 | 2007-10-31 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27217 |
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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.