WORD OF LIFE OURTREACH OF CAPE FEAR, INC. (NPI# 1912141219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912141219 |
| Entity Type | Organization |
| Organization Name | WORD OF LIFE OURTREACH OF CAPE FEAR, INC. |
| Other Organization Name | ATLAS AT TRINITY |
| Practice Address |
10241 Blackwell Rd Se Leland NC 28451-8515 |
| Mailing Address |
Po Box 717 Leland NC 28451-0717 |
| Practice Telephone | 9103715300 |
| Practice Fax Number | 9103715302 |
| Mailing Telephone | 9103715300 |
| Mailing Fax Number | 9103715302 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |
| Authorized Official Name | MR. JEFFERY JOHNSON (ADMINISTRATOR) |
| Authorized Official Telephone | 9103715300 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL 010-061 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301346G | 05 | |
| NC | 8302371R | 05 | |
| NC | 8302371S | 05 |
| Other Name | Type Code |
|---|---|
| ATLAS at Trinity | Other Name - Individual/Organization |
| Street Address |
10241 BLACKWELL RD SE |
| City | LELAND |
| State | NC |
| Zip Code | 28451-8515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063762078 | Kathy Painter Johnson | Social Worker | 10241 Blackwell Rd Se, Leland, NC 28451-8515 | 2012-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811427156 | Town of Leland | Ambulance | 1004 Village Rd, Leland, NC 28451 | 2017-06-19 |
| 1205389517 | Total Renal Care of North Carolina LLC | Clinic/Center | 1220 Magnolia Village Way, Leland, NC 28451 | 2016-08-03 |
| 1043696800 | William Sanders Sr. | Respite Care | 3043 Ramble Dr, Leland, NC 28451 | 2015-08-04 |
| 1457730707 | Devinn L Geeson | Dentist | 1215 Westgate Drive, Suite 180, Leland, NC 28451 | 2015-05-20 |
| 1740611706 | Mark C. Austin Omfs, Pllc | Oral & Maxillofacial Surgery | 2001 South Baxter Drive, Leland, NC 28451 | 2013-12-02 |
| 1750711123 | Donna Rose Hodnicki | Nurse Practitioner | 1132 East Cutler Crossing, Leland, NC 28451 | 2013-11-20 |
| 1992137996 | Abbey Jones Mcclanahan | Physical Therapist | 1003 Olde Waterford Way # B, Leland, NC 28451 | 2013-08-01 |
| 1306010780 | Walter B. Futch, Jr. Dds Pa | Dentist | 1006 Northgate Drive, Leland, NC 28451 | 2008-04-17 |
| 1639357429 | Sbh- Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Drive, Leland, NC 28451 | 2008-02-05 |
| 1396930137 | F.a.c. Group Homes, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 9485 Huckabee Ct, Leland, NC 28451 | 2007-09-13 |
| Find all providers in zip 28451 | ||||
| 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 |
|---|---|---|---|---|
| 1023524345 | Life, Inc. | Community/Behavioral Health | 117j Village Rd Ne, Leland, NC 28451-7413 | 2017-12-22 |
| 1871728196 | Access Nc | Community/Behavioral Health | 171 Old Fayetteville Rd, Leland, NC 28451-8275 | 2009-05-17 |
| 1932363702 | Arise Community Services, LLC | Community/Behavioral Health | 1102 Cloverfield Ct, Leland, NC 28451-7012 | 2008-07-10 |
| 1275926008 | Sea Hope Education & Wellness Centers Inc | Community/Behavioral Health | 509 Olde Waterford Way, Suite 305, Leland, NC 28451-4125 | 2015-03-18 |
| 1184928152 | Word of Life Outreach of Cape Fear, Inc | Community/Behavioral Health | 10225 Blackwell Rd Se, Leland, NC 28451-8515 | 2011-01-05 |
| 1003042904 | Word of Life Outreach of Cape Fear, Inc. | Community/Behavioral Health | 10225 Blackwell Rd Se, Leland, NC 28451-8515 | 2009-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.