THE SHEPHERD'S RANCH, INC. (NPI# 1972651651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972651651 |
| Entity Type | Organization |
| Organization Name | THE SHEPHERD'S RANCH, INC. |
| Other Organization Name | HIDDEN MEADOWS CHRISTIAN YOUTH RANCH, INC. |
| Practice Address |
209 Hidden Meadows Trl Mocksville NC 27028-4976 |
| Practice Telephone | 3364922308 |
| Practice Fax Number | 3364922308 |
| Mailing Telephone | 3364922308 |
| Mailing Fax Number | 3364922308 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. VICKI LEE ROBINSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3364922308 |
| Authorized Official Credential | EAP II, CHA II, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300982 | 05 |
| Other Name | Type Code |
|---|---|
| Hidden Meadows Christian Youth Ranch, Inc. | Former Legal Business Name - Organization |
| Street Address |
209 HIDDEN MEADOWS TRL |
| City | MOCKSVILLE |
| State | NC |
| Zip Code | 27028-4976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1730649633 | Dawn Michelle Whitsel | Occupational Therapy Assistant | 498 Madison Rd., Mocksville, NC 27028 | 2019-03-25 |
| 1912476391 | Warren Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 189 Gaither St, Mocksville, NC 27028 | 2018-11-15 |
| 1548711385 | Tyler Crane | Nurse Practitioner | 375 Hospital St Ste 200, Mocksville, NC 27028 | 2016-10-17 |
| 1679926042 | Nicholas Martyak | Physical Therapist | 161 Nikkis Way, Mocksville, NC 27028 | 2016-07-20 |
| 1386987790 | Elizabeth Hemmings | Speech-Language Pathologist | 498 Madison Road, Mocksville, NC 27028 | 2013-04-03 |
| 1932421427 | Davie Kidney Center of Wake Forest University | Clinic/Center | 190 Interstate Drive, Mocksville, NC 27028 | 2010-02-24 |
| 1568455707 | Wake Forest University Baptist Medical Center Community Physicians | Pediatrics | 113 Marketplace Drive, Mocksville, NC 27028 | 2005-08-23 |
| 1912485517 | Davie Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 498 Madison Road, Mocksville, NC 27028 | 2018-08-06 |
| 1245747062 | Emma Beneke | Social Worker | 172 S Clement St, Mocksville, NC 27028 | 2018-01-02 |
| Find all providers in zip 27028 | ||||
| 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 |
|---|---|---|---|---|
| 1720527849 | County of Davie Office of Finance Agent | Community/Behavioral Health | 172 S Clement St, Mocksville, NC 27028-2336 | 2017-02-22 |
| 1417395898 | Monarch | Community/Behavioral Health | 161 Funder Dr, Mocksville, NC 27028-2885 | 2013-06-07 |
| 1134245293 | Milling Manor, Inc. | Community/Behavioral Health | 253 Milling Rd, Mocksville, NC 27028-2704 | 2007-03-21 |
| 1184967390 | Rha Health Services Inc | Community/Behavioral Health | 119 W Depot St, Mocksville, NC 27028-2327 | 2013-04-05 |
| 1407042658 | Daymark Recovery Services Inc | Community/Behavioral Health | 301 Hospital St, Mocksville, NC 27028-2060 | 2007-09-21 |
| 1477745628 | Daymark Recovery Services Inc | Community/Behavioral Health | 301 Hospital St, Mocksville, NC 27028-2060 | 2007-08-13 |
| 1356547772 | Daymark Recovery Services Inc | Community/Behavioral Health | 301 Hospital St, Mocksville, NC 27028-2060 | 2007-06-22 |
| 1174729594 | Daymark Recovery Services Inc | Community/Behavioral Health | 301 Hospital St, Mocksville, NC 27028-2060 | 2007-06-22 |
| 1083810402 | Daymark Recovery Services Inc | Community/Behavioral Health | 301 Hospital St, Mocksville, NC 27028-2060 | 2007-06-22 |
| 1649315458 | Daymark Recovery Services Inc | Community/Behavioral Health | 301 Hospital St, Mocksville, NC 27028-2060 | 2007-02-20 |
| Find all providers in MOCKSVILLE | ||||
| City | MOCKSVILLE |
| Zip Code | 27028 |
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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.