MCNEIL HOME - SOUTHERLUND (NPI# 1922447424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922447424 |
| Entity Type | Organization |
| Organization Name | MCNEIL HOME - SOUTHERLUND |
| Practice Address |
1014 Southerland Road Garner NC 27529 |
| Mailing Address |
2331 Crown Point Executive Drive Suite J Charlotte NC 28227-7749 |
| Practice Telephone | 7048413544 |
| Practice Fax Number | 7048413545 |
| Mailing Telephone | 7048413544 |
| Mailing Fax Number | 7048413545 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2017-05-29 |
| Authorized Official Name | MRS. KIERAN M DEAN (PRESIDENT CFO) |
| Authorized Official Telephone | 7048413544 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNITED SUPPORT SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 092-279 | NC | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409493 | 05 |
| Street Address |
1014 SOUTHERLAND ROAD |
| City | GARNER |
| State | NC |
| Zip Code | 27529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578112579 | Ascend Rehab Therapy | Speech-Language Pathologist | 45 Waterpine Drive, Garner, NC 27529 | 2019-09-11 |
| 1760039937 | Direct Realistic Counseling Sevices | Counselor | 503 Highway 70, Suite R, Garner, NC 27529 | 2019-08-22 |
| 1285281402 | Direct Solutions Counseling Services | Counselor | 503 R Highway 70, Garner, NC 27529 | 2019-08-22 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1154888485 | First Step Services, LLC | Social Worker | 1418 Aversboro Road, Suite 201, Garner, NC 27529 | 2019-02-22 |
| 1528533387 | Pratibha Verma | Physical Therapist | 200 Bellarose Nursing and Rehab, Garner, NC 27529 | 2018-10-09 |
| 1073037271 | Kim Robert Rogers | Marriage & Family Therapist | 1140 Holly Springs Road #207, Holly Springs, NC 27529 | 2017-07-29 |
| 1790214062 | Diversified Services of Nc LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 255 Adams Point Dr, Garner, NC 27529 | 2017-06-08 |
| 1972049369 | Michelle Stephens | Case Manager/Care Coordinator | 7017 Scarlett Ln, Garner, NC 27529 | 2017-01-10 |
| 1962854877 | Brittany H Mccrann | Social Worker | 310 New Fidelity Ct, Garner, NC 27529 | 2016-07-05 |
| Find all providers in zip 27529 | ||||
| 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 |
|---|---|---|---|---|
| 1083234256 | Child's Play Developmental Services LLC | Community/Behavioral Health | 104 Heatherwood Dr, Garner, NC 27529-4529 | 2020-04-17 |
| 1750805230 | Aci Support Specialists, LLC | Community/Behavioral Health | 548 Hay River St, Garner, NC 27529-7264 | 2017-07-27 |
| 1205375813 | Aci Support Specialists | Community/Behavioral Health | 2215 Sumter Dr, Garner, NC 27529-8998 | 2017-02-15 |
| 1275907347 | Joy W Casey Inc | Community/Behavioral Health | 141 Technology Dr, Suite K, Garner, NC 27529-7951 | 2015-11-30 |
| 1124494497 | True Impact Counseling Services | Community/Behavioral Health | 110 Linden Ct, Garner, NC 27529-8108 | 2015-08-20 |
| 1770998122 | Crandell's Enterprises Inc | Community/Behavioral Health | 105 Avery St, Garner, NC 27529-3133 | 2014-06-24 |
| 1164842647 | Tambryme Hamilton | Community/Behavioral Health | 1027 Us Highway 70, Garner, NC 27529 | 2014-04-23 |
| 1316370885 | Q1 Clinical Consultants,llc | Community/Behavioral Health | 210 Susan Dr, Garner, NC 27529-9212 | 2013-08-19 |
| 1942633599 | Q1consultants,llc | Community/Behavioral Health | 5508 Simmons Dr, Garner, NC 27529-7462 | 2013-08-19 |
| 1225461460 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 309 Westonridge Run, Garner, NC 27529-5327 | 2013-08-12 |
| Find all providers in GARNER | ||||
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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.