G & D RESIDENTIAL SERVICES, LLC (NPI# 1912103664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912103664 |
| Entity Type | Organization |
| Organization Name | G & D RESIDENTIAL SERVICES, LLC |
| Practice Address |
1208 Sloan St Greensboro NC 27401-3442 |
| Mailing Address |
800 Spruill Ct Suite E Greensboro NC 27409-3042 |
| Practice Telephone | 3362546770 |
| Practice Fax Number | 3362728083 |
| Mailing Telephone | 3362546770 |
| Mailing Fax Number | 3362728083 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | MR. GEOVON KENANE MARTIN (CEO DIRECTOR) |
| Authorized Official Telephone | 3362546770 |
| Authorized Official Credential | B. A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-041-764 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300792G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962631622 | G & D Residential Services, LLC | Case Management | 620 Guilford College Rd Ste G, Greensboro, NC 27409-2027 | 2009-07-02 |
| 1003012758 | G & D Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 620 Guilford College Rd Ste G, Greensboro, NC 27409-2027 | 2007-06-21 |
| Street Address |
1208 SLOAN ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720419641 | Covenant Care Services LLC | Assisted Living Facility | 1208 Sloan St, Greensboro, NC 27401-3442 | 2013-12-02 |
| 1821294570 | G & D Residential Services | Community Based Residential Treatment Facility, Mental Illness | 1208 Sloan St, Greensboro, NC 27401-3442 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| 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 |
|---|---|---|---|---|
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1760982888 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 300 Bingham St, Greensboro, NC 27401 | 2018-02-15 |
| 1659757110 | Crestbrook Rehabilitation | Community Based Residential Treatment Facility, Mental Illness | 2814 Liberty Oaks Dr Apt A, Greensboro, NC 27406-9754 | 2015-08-07 |
| 1811373624 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 5221 Fox Hunt Dr, B, Greensboro, NC 27407-7143 | 2015-08-04 |
| 1598141582 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 318 E Vandalia Rd, Greensboro, NC 27406-5906 | 2015-08-03 |
| 1396133203 | Youth Enrichment Group Home Inc | Community Based Residential Treatment Facility, Mental Illness | 321 E Montcastle Dr Unit F, Greensboro, NC 27406-5344 | 2014-12-30 |
| 1346511748 | Blessed New Beginnings, LLC | Community Based Residential Treatment Facility, Mental Illness | 515 Guilford College Rd, Greensboro, NC 27409-2015 | 2012-01-18 |
| 1851673875 | Warm Hearts Family Care | Community Based Residential Treatment Facility, Mental Illness | 4113 Summerglen Dr, Greensboro, NC 27406-6425 | 2011-09-15 |
| 1972882868 | Griffin Supervised Living | Community Based Residential Treatment Facility, Mental Illness | 2 Partnership Ct, Greensboro, NC 27405-5200 | 2011-08-09 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
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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.