Select Care Home Services LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

SELECT CARE HOME SERVICES LLC

Practice address

233 Gholson Ave
Henderson, NC 27536-4547

Phone

(314) 283-2476

NPI assigned

Mar 17, 2009

Last updated

Jun 18, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joy E Chidi, QPMH/MR/DDNPI 1477044337

Title

Program Director

Phone

(314) 283-2476

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joy Ego Chidi, LCASA

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
  • NPI 1477044337
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1619118809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 SOSA RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104097",
            "telephone_number": "314-283-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 GHOLSON AVE",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364547",
            "telephone_number": "314-283-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT CARE HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "CHIDI",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "314-283-2476",
        "authorized_official_credential": "QPMH/MR/DD"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry J Schmitt, DDS, MS, PA
• Nadine Scott Luaces Rodriguez
• Jacqueline Scott, LCAS-A
• Terry Scott, NCCPSS, LIFE COACH
• Select Care Home Incorporated
• Walter Jackson Sellers, MA
• Senior Citizens Home Inc
• Senior Citizens Medical Supply
• Serafin Plastic Surgery PLLC
• Donald Serafin, M.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Henderson, NC
• Providers in Henderson, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.