PROFESSIONAL GROUP LIVING,LLC (NPI# 1982844635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982844635 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL GROUP LIVING,LLC |
| Practice Address |
4084 Barrett Dr Raleigh NC 27609-6604 |
| Mailing Address |
715 Southwest Blvd B Clinton NC 28328-4636 |
| Practice Telephone | 9197859660 |
| Mailing Telephone | 9195922338 |
| Mailing Fax Number | 9105925508 |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |
| Authorized Official Name | MR. LLEWELLYN HICKS (OWNER) |
| Authorized Official Telephone | 9105922338 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | MHL082075 | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
| Street Address |
4084 BARRETT DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-6604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508020892 | Professional Group Living, LLC | Community/Behavioral Health | 4084 Barrett Dr, Raleigh, NC 27609-6604 | 2008-07-15 |
| 1063740652 | Soul of A Woman Support Services | Community/Behavioral Health | 4084 Barrett Dr, Raleigh, NC 27609-6604 | 2009-11-19 |
| 1245461029 | Crossroads Counseling & Mental Health Agency Inc | Community/Behavioral Health | 4084 Barrett Dr, Suite B, Raleigh, NC 27609-6604 | 2009-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902346067 | Nc Community Care Services Inc | Day Training, Developmentally Disabled Services | 555 Fayetteville Street, Ste. 201, Raleigh, NC 27601 | 2017-03-08 |
| 1962888396 | A Gentle Touch Home Care | Day Training, Developmentally Disabled Services | 8426 Berkshire Village Ct, Raleigh, NC 27616-7714 | 2015-08-07 |
| 1619374576 | Your Choice Services, Inc. | Day Training, Developmentally Disabled Services | 6737 Six Forks Rd, B2, Raleigh, NC 27615-6423 | 2014-11-20 |
| 1346644143 | Your Choice Services, Inc. | Day Training, Developmentally Disabled Services | 3640 Castlegate Dr, Raleigh, NC 27616-9551 | 2014-10-22 |
| 1639571318 | Your Choice Services, Inc. | Day Training, Developmentally Disabled Services | 6749 B4 Six Forks Rd, Raleigh, NC 27615-6424 | 2014-09-24 |
| 1730581596 | Hudson Home | Day Training, Developmentally Disabled Services | 4313 Emmit Dr, Raleigh, NC 27604-4788 | 2014-09-23 |
| 1821497058 | New Beginnings of Nc, LLC | Day Training, Developmentally Disabled Services | 4280 Saubranch Hill St, Raleigh, NC 27616-5999 | 2014-08-13 |
| 1346668738 | Brighthaven Homes | Day Training, Developmentally Disabled Services | 2705 Brighthaven Dr, Raleigh, NC 27614-6745 | 2014-04-02 |
| 1710303151 | Tlc Operations, Inc. | Day Training, Developmentally Disabled Services | 747 Chappell Drive, Raleigh, NC 27606-3215 | 2014-03-10 |
| 1720415532 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 5127 Wetlands Drive, Raleigh, NC 27610 | 2013-10-11 |
| Find all providers in RALEIGH | ||||
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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.