Provider Demographics
NPI:1225075674
Name:NEW DIRECTIONS GROUP CARE MANAGEMENT
Entity Type:Organization
Organization Name:NEW DIRECTIONS GROUP CARE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MGR./ CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:JERNIGAN
Authorized Official - Last Name:SPIVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-640-1737
Mailing Address - Street 1:116 MEMORY PLZ
Mailing Address - Street 2:PO BOX 1442
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-2640
Mailing Address - Country:US
Mailing Address - Phone:910-640-1737
Mailing Address - Fax:910-640-1703
Practice Address - Street 1:116 MEMORY PLZ
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-2640
Practice Address - Country:US
Practice Address - Phone:910-640-1737
Practice Address - Fax:910-640-1703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2950251E00000X
NC3408208251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408208Medicaid
NC7805050Medicaid
NC6601258Medicaid