UPSCALE RESIDENTIAL CARE, INC (NPI# 1942497086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942497086 |
| Entity Type | Organization |
| Organization Name | UPSCALE RESIDENTIAL CARE, INC |
| Practice Address |
614 North Maple Place Roseboro NC 28382 |
| Mailing Address |
Po Box 1051 Roseboro NC 28382-1051 |
| Practice Telephone | 9197891154 |
| Practice Fax Number | 8667863576 |
| Mailing Telephone | 9197891154 |
| Mailing Fax Number | 8667863576 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | VENDIA CURRIE (CEO) |
| Authorized Official Telephone | 9197891154 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | NC | Residential Treatment Facilities | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2565 | SC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
5467 | SC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
9145 | SC | Behavioral Health & Social Service Providers |
| N | 207Q00000X | Family Medicine | 32077 | SC | Allopathic & Osteopathic Physicians |
| Y | 251S00000X | Community/Behavioral Health | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408037 | 05 | |
| SC | 154BHS | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629232996 | Upscale Residential Care, Inc | Day Training, Developmentally Disabled Services | 302 Limestone Street, Kenansville, NC 28349-0000 | 2008-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Upscale Residential Care, Inc. | 614 N. Maple Place , Roseboro, NC 28382 |
| Virginia Business Entity | Upscale Residential Care, INC. | 12520 CAPITAL BOULEVARD 401-#130 , WAKE FOREST, NC 27587 |
| Street Address |
614 NORTH MAPLE PLACE |
| City | ROSEBORO |
| State | NC |
| Zip Code | 28382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922373174 | Lisa Smith | Pharmacist | 218 Martin Luther King Jr. Hwy, Roseboro, NC 28382 | 2012-03-20 |
| 1023321874 | Thomas Latham West | Pharmacist | 218 Mlk Jr Hwy, Roseboro, NC 28382 | 2010-07-22 |
| 1033243761 | Lewis Treatment Facility | Residential Treatment Facility, Emotionally Disturbed Children | 116 Marion-amos Road, Roseboro, NC 28382 | 2007-03-15 |
| 1952470999 | Atlantic Radiology Associates | Radiology | 105 West Street, Roseboro, NC 28382 | 2006-11-06 |
| 1922184779 | Mathew John Schmitt | Dentist | 401 Hwy 24 West, Roseboro, NC 28382 | 2006-10-27 |
| 1356451058 | Kerr Drug Inc | Pharmacy | 218 W Martin Luther King Blvd, Roseboro, NC 28382 | 2006-08-30 |
| 1285740142 | Powells Medical Facility | Medical Genetics, Ph.D. Medical Genetics | 201 W Clinton St, Roseboro, NC 28382 | 2006-08-22 |
| 1053326686 | Tart and West Druggists | Pharmacy | 110 Roseboro St, Roseboro, NC 28382 | 2006-07-30 |
| 1467888313 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 218 W Martin Luther King Blvd, Roseboro, NC 28382 | 2013-09-24 |
| 1518043355 | Sninski and Schmitt Dmd Pa | Dentist | 401 Hwy 24 West, Roseboro, NC 28382 | 2006-10-27 |
| Find all providers in zip 28382 | ||||
| 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 |
|---|---|---|---|---|
| 1730618117 | Aci Support Specialists, LLC | Community/Behavioral Health | 607 Cypress St, Roseboro, NC 28382-5530 | 2017-06-08 |
| 1134422579 | Restart, Inc. | Community/Behavioral Health | 206 North East Street, Roseboro, NC 28382-1576 | 2010-12-07 |
| 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.