PEER SUPPORT NC - NPI 1497473086 - Community/Behavioral Health in Charlotte, NC

Q: What is Cedric Dean Holdings Inc.'s NPI number?

The NPI number for Cedric Dean Holdings Inc. is 1497473086. It was assigned to this organization in the NPPES registry on August 18, 2022. The provider is doing business as Peer Support Nc and Cedric Dean Homes.

Q: What is Cedric Dean Holdings Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Peer Support Nc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEER SUPPORT NC (NPI 1497473086) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since August 2022. The organization maintains a secondary practice location in Shelby and lists Cedric Dean, Behavioral Health Practitioner, as its authorized official.

NPPES Registry Identity

NPI1497473086

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCEDRIC DEAN HOLDINGS INC.

Location Address2001 CATHERINE SIMMONS AVECharlotte, NC 28216-4677

Mailing Address5502 Mcchesney DrCharlotte, NC 28269-7188 · (704) 492-5509

Phone(704) 492-1533

Organization SubpartNo

Authorized OfficialCedric DeanBehavioral Health Practitioner · (704) 492-5509

Enumeration DateAugust 18, 2022

Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1497473086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedPublic Health or WelfareTaxonomy 251K00000X

Also ListedPreferred Provider OrganizationTaxonomy 305R00000X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

2001 CATHERINE SIMMONS AVE, Charlotte, NC 28216

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Other Names 2

Doing Business AsPeer Support Nc

Doing Business AsCedric Dean Homes

Secondary Practice Location 1

Location 11712 S Lafayette StShelby, NC 28152-7151 · Phone (704) 492-5099

Other Identifiers 2

Medicaid1497473086NC

Other40411529NC · Atypical Provider

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIAWANA DELING BROWN

Peer Specialist