PASSIONATE CARE COMMUNITY SUPPORT SERVICES (NPI# 1992829584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992829584 |
| Entity Type | Organization |
| Organization Name | PASSIONATE CARE COMMUNITY SUPPORT SERVICES |
| Practice Address |
200 W Ash St Suite 107 Goldsboro NC 27530-3662 |
| Practice Telephone | 9195819002 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-09-26 |
| Authorized Official Name | LETHA MILLER (MANAGER) |
| Authorized Official Telephone | 9195819002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PROVIDER NUMBER | 8301661 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487885570 | Passionate Care Community Support Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 W Ash St, Goldsboro, NC 27530-3662 | 2009-08-06 |
| Street Address |
200 W ASH ST SUITE 107 |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27530-3662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013945419 | Bruce W. Rogers | Family Medicine | 200 W Ash St, Ste 202, Goldsboro, NC 27530-3662 | 2006-06-28 |
| 1346647336 | Jolona Newsome | Counselor | 200 W Ash St, 108, Goldsboro, NC 27530-3662 | 2014-11-19 |
| 1629499223 | Marlena Cox | Counselor | 200 W Ash St, Ste 109, Goldsboro, NC 27530-3662 | 2013-12-27 |
| 1891116562 | My Brother's Keeper of Wayne County, LLC | Case Management | 200 W Ash St, Ste 109, Goldsboro, NC 27530-3662 | 2013-12-26 |
| 1487885570 | Passionate Care Community Support Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 W Ash St, Goldsboro, NC 27530-3662 | 2009-08-06 |
| 1467553115 | Millicent Murray Simmons | Dietitian, Registered | 200 W Ash St, Goldsboro, NC 27530-3662 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689777 | A Fathers' Love Family Care Inc | Home Health | 213 N. Carolina St., Goldsboro, NC 27530 | 2018-05-16 |
| 1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
| 1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
| 1831408996 | At Home Senior Services, Inc. | Home Health | 203 N. Jackson Street Office C, Goldsboro, NC 27530 | 2010-10-06 |
| 1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
| 1225250814 | Asa Living, Inc | Clinic/Center | 1308 Ben Brewington Court, Goldsboro, NC 27530 | 2007-05-03 |
| 1790907368 | Tammy Jo Hood | Licensed Practical Nurse | 1700 East Ash Street St. 200, Goldsboro, NC 27530 | 2007-05-03 |
| 1558487421 | Alternative Care Treatments Systems, Inc | Community/Behavioral Health | 139-b Center Street, Goldsboro, NC 27530 | 2007-03-22 |
| 1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
| 1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
| Find all providers in zip 27530 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245465012 | Sunny Point, LLC | Community Based Residential Treatment Facility, Mental Illness | 2108 Koonce St, Goldsboro, NC 27530-7266 | 2009-05-22 |
| 1235395294 | Houseofprosperity | Community Based Residential Treatment Facility, Mental Illness | 118 Ellis Dr, Goldsboro, NC 27534-9500 | 2008-07-30 |
| 1447411939 | William E Vaughn | Community Based Residential Treatment Facility, Mental Illness | 900 E Elm St, Goldsboro, NC 27530-5914 | 2008-06-18 |
| 1528242484 | Harbor House # V | Community Based Residential Treatment Facility, Mental Illness | 1205 S Best St, Goldsboro, NC 27530-6703 | 2007-12-27 |
| 1851573661 | Turning Pointe Group Home Inc. | Community Based Residential Treatment Facility, Mental Illness | 2513 E Elm St, Goldsboro, NC 27534-5626 | 2007-12-04 |
| 1033318969 | J-lo Homes, LLC | Community Based Residential Treatment Facility, Mental Illness | 208 Randall Ln, Goldsboro, NC 27534-8837 | 2007-07-11 |
| 1427271428 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 404 S Claiborne St, Goldsboro, NC 27530-5310 | 2007-04-10 |
| 1215068341 | Harbor House Inc | Community Based Residential Treatment Facility, Mental Illness | 203 N Jackson St, Goldsboro, NC 27530-3857 | 2007-03-08 |
| 1023143112 | Golden Gate Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 519 W Pine St, Goldsboro, NC 27530-4733 | 2007-02-22 |
| 1063567188 | Cedar Grove Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 140 Country Run Ln, Goldsboro, NC 27530-8901 | 2007-01-25 |
| Find all providers in GOLDSBORO | ||||
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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.