fid licenseno licensee origdate effective expires sanctype begindate enddate beds progcode services agecode disablecat factype rpttype facility mailaddr mailcity mailstate mailzip siteaddr sitecity sitestate sitezip county facphone incareof 090131 MHL-088-023 "Appalachian Outpatient Services, LLC" 27-Aug-09 01-Jan-19 31-Dec-19 Suspension of Admission 27-Aug-18 - - 0 27G.1100 Partial Hospitalization A MD DAY Tapestry Eating Disorder Program 11 North Country Club Rd. Brevard NC 28712 11 North Country Club Road Brevard NC 28712 Transylvania (828)884-2475 "Appalachian Outpatient Services, LLC" 150370 MHL-045-121 "Appalachian Outpatient Services, LLC" 07-Jan-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization C&ADOL MI DAY Tapestry Adolescent Eating Disorder Program 11 N. Country Club Rd. Brevard NC 28712 5010 Hendersonville Road Fletcher NC 28732 Henderson (828)884-2475 "Appalachian Outpatient Services, LLC" 180051 MHL-011-415 "Appalachian Outpatient Services, LLC" 19-Feb-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Tapestry-Asheville PO Box 1037 Brevard NC 28712 "119 Tunnel Road, Suite G" Asheville NC 28805 Buncombe (828)350-0803 "Appalachian Outpatient Services, LLC" 060672 MHL-019-041 "CRC ED Treatment, LLC" 30-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Carolina House 176 Lassiter Homestead Road Durham NC 27713 176 Lassiter Homestead Road Durham NC 27713 Chatham (919)594-6690 "CRC ED Treatment, LLC" 120331 MHL-092-847 "CRC ED Treatment, LLC" 02-Jul-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Carolina House - Raleigh 176 Lassiter Homestead Durham NC 27713 1340 Sunday Drive #105 Raleigh NC 27607 Wake (919)233-5246 "CRC ED Treatment, LLC" 922213 MHL-060-009 Charlotte Mecklenburg Hospital Authority 01-Jan-86 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY CHS Behavioral Health-Partial Hospitalization 501 Billingsley Road Charlotte NC 28211 441 Billingsley Road-Cottage E Charlotte NC 28211 Mecklenburg (704)358-2700 CMC Randolph 170308 MHL-065-261 Chrysalis Center for Counseling & Eating Disorder Trmt 02-Oct-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY Chrysalis Center for Counseling & Eating Disorder Trmt "3240 Burnt Mill Drive, Suite 1" Wilmington NC 28403 "3240 Burnt Mill Drive, Suite 1" Wilmington NC 28403 New Hanover (910)790-9500 Chrysalis Center for Counseling & Eating Disorder 070448 MHL-058-024 "Comprehensive Interventions, Inc." 26-Jun-07 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization C&ADOL MI DAY "Comprehensive Interventions, Inc." P.O. Box 1216 Williamston NC 27892 607 Washington Street Williamston NC 27892 Martin (252)792-8035 090664 MHL-040-045 "Corine's Care Management, Inc." 23-Oct-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY "Corine's Care Management, Inc." 55 Patrick Drive Snow Hill NC 28580 369 B Highway 13 South Snow Hill NC 28580 Greene (252)747-5705 "Corine's Care Management, Inc." 140418 MHL-092-777 "Cottage Health Care Services, Inc." 24-May-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY "Cottage Health Care Services, Inc." 3826 Bland Road Raleigh NC 27609 3826 Bland Road Raleigh NC 27609 Wake (919)872-1441 110402 MHL-065-192 "Delta Behavioral Health, PLLC" 14-Dec-07 01-Jan-20 31-Dec-20 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY "Delta Behavioral Health, PLLC" "1606 Physicians Dr., Unit 104" Wilmington NC 28401 "1606 Physicians Drive, Suite 103 & 104" Wilmington NC 28401 New Hanover (910)343-6890 160083 MHL-092-970 Gupta Wellness Inc. 18-Mar-19 18-Mar-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Gupta Wellness Inc. 8304 Creedmoor Road Raleigh NC 27613 8304 Creedmoor Road Raleigh NC 27613 Wake (919)870-8409 Gupta Wellness Inc. 100001 MHL-092-682 "Hope Services, LLC" 18-May-07 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization C&A MI DAY Ray of Hope PO Box 808 Kure Beach NC 28449 2900 Kidd Road Raleigh NC 27610 Wake (919)532-7599 "Hope Services, Inc." 061284 MHL-051-221 "Hope Services, LLC" 16-Aug-19 16-Aug-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization C&ADOL MI DAY Light of Hope "3000 Highwoods Blvd, Ste 210" Raleigh NC 27604 1329 N. Brightleaf Blvd. Suite D Smithfield NC 27577 Johnston (919)646-9560 "Hope Services, LLC" 020813 MHL-060-1328 HopeWay Foundation 18-Nov-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY&RESL HopeWay 1717 Sharon Road West Charlotte NC 28210 1717 Sharon Road West Charlotte NC 28210 Mecklenburg (980)859-2106 HopeWay Foundation 150366 MHL-026-969 "Integrated Behavioral Healthcare Services, Inc. #3" 15-Aug-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY "Integrated Behavioral Healthcare Services, Inc. #3" 2577 Ravenhill Drive Fayetteville NC 28303 2577 Ravenhill Drive Fayetteville NC 28303 Cumberland (910)438-0947 "Integrated Behavioral Healthcare Services, Inc." 160081 MHL-011-390 "Intentional Longevity, Inc." 24-Mar-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY The Center for Spiritual Emergence & Katharos Sanctuary "370 N. Louisiana Ave., Ste. D3" Asheville NC 28806 "370 North Louisiana Avenue, Suite D3 & D4" Asheville NC 28806 Buncombe (828)412-3688 "Intentional Longevity, Inc." 170464 MHL-045-135 Michael A. Hawkins 09-Aug-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Fletcher Healthcare Facility 170-B Old Naples Road Fletcher NC 28732 170-B Old Naples Road Fletcher NC 28732 Henderson (828)684-2445 Michael A. Hawkins 941859 MHL-012-117 Michael Walker 29-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Walkers Day Program 18869 John Connor Road Cornelius NC 28031 2130 Highway 18/US 64 Morganton NC 28655 Burke (828)639-3576 Miachael and Helen Walker 922863 MHL-031-071 "New Dimension Group, LLC" 25-Mar-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY New Dimension Group PO Box 880 Rose Hill NC 28458 416 West Ridge Street Rose Hill NC 28458 Duplin (910)289-2610 "New Dimension Group, LLC" 050640 MHL-036-270 "Outreach Management Services, LLC" 15-Jun-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Outreach Management Services-PH Program "1723 Armstrong Park Drive, Suite D" Gastonia NC 28054 "1723 Armstrong Park Drive, Ste. A, B and C" Gastonia NC 28056 Gaston (704)854-9828 Outreach Management Services 160051 MHL-036-317 "Outreach Management Services, LLC" 30-Mar-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization C&ADOL MI DAY Outreach Management Services 2 830 Summit Crossing Place Gastonia NC 28054 830 Summit Crossing Place Gastonia NC 28052 Gaston (704)917-7610 "Outreach Management Services, LLC" 050604 MHL-046-037 PORT Health Services 10-May-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY PORT Health Services - Ahoskie 4300-110 Sapphire Court Greenville NC 27834 144-B Community College Road Ahoskie NC 27910 Hertford (252)332-5086 PORT Health Services 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-19 31-Dec-19 Type B 23-Aug-13 - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY Phoenix Counseling Center-Residential Wing 2505 Court Drive Gastonia NC 28054 "2505 Court Drive, Residential Wing" Gastonia NC 28054 Gaston (704)854-4196 Phoenix Counseling Center 100472 MHL-023-171 Phoenix Counseling Center 24-Jun-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Cleveland Crisis and Recovery Center 631-407(PMB 207) Brawley School Rd Mooresville NC 28117 609 North Washington Street Shelby NC 28150 Cleveland (704)751-3693 Phoenix Counseling Center 140105 MHL-036-306 Phoenix Counseling Center 15-Apr-14 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Phoenix Counseling Center-Outpatient Wing 2505 Court Drive Gastonia NC 28054 2505 Court Drive-Outpatient Wing & Classrooms A & B Gastonia NC 28054 Gaston (704)842-6359 Phoenix Counseling Center 160541 MHL-064-100 "Progressive Care Services, Inc." 08-May-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY "Progressive Care Services, Inc." "2747 Sunset Ave., Ste 109" Rocky Mount NC 27804 "2747 Sunset Avenue, Suite 109" Rocky Mount NC 27804 Nash (252)985-3216 "Progressive Care Services, Inc." 170290 MHL-092-952 "Renaissance Healthcare Group, Raleigh, LLC" 13-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Pasadena Villa Outpatient Center - Raleigh "206 High House Road, Suite 200" Cary NC 27513 "206 High House Road, Suite 200" Cary NC 27513 Wake (919)678-0124 "Renaissance Healthcare Group, Raleigh, LLC" 080065 MHL-078-204 "Southeastern Behavioral Healthcare Services, Inc." 07-Mar-08 01-Jan-19 31-Dec-19 Type B 12-Feb-14 - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY "Southeastern Behavioral Healthcare Services, LLC" PO Box 1004 Lumberton NC 28359-1004 3575 Lackey Street Lumberton NC 28359 Robeson (910)738-7858 Virgil L. Hutchinson 080571 MHL-078-302 "Southeastern Behavioral Healthcare Services, LLC" 16-Nov-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization ADOL&A MI DAY "Southeastern Behavioral Healthcare Services, LLC" PO Box 1004 Lumberton NC 28359-1004 109 West Central Street Maxton NC 28364 Robeson (910)844-2267 050501 MHL-047-162 "Southeastern Behavioral Healthcare Services, LLC" 09-Feb-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY "Southeastern Behavioral Healthcare Services, LLC" PO Box 1004 Lumberton NC 28359-1004 310 Harris Avenue Raeford NC 28376 Hoke (910)848-2267 150512 MHL-060-1316 The Charlotte Mecklenburg Hospital Authority 01-Aug-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization C&ADOL MI DAY CHS Behavioral Health - Partial Hospitalization (C&A) "330 Billingsley Rd., Ste 109" Charlotte NC 28211 "330 Billingsley Road, Suite 109" Charlotte NC 28211 Mecklenburg (704)444-2444 The Charlotte Mecklenburg Hospital Authority 070361 MHL-060-1021 "The Renfrew Centers, Inc." 07-Jun-07 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization A MI DAY The Renfrew Center of North Carolina 6633 Fairview Road Charlotte NC 28210 6633 Fairview Road Charlotte NC 28210 Mecklenburg (704)366-1264 130474 MHL-060-1274 "Transformative Life Center, LLC" 04-Nov-13 01-Jan-20 31-Dec-20 - - - - 0 27G.1100 Partial Hospitalization ADOL&A MI DAY Transcend E.D. 200 W. Matthews St Matthews NC 28105 134 West Matthews Street Matthews NC 28105 Mecklenburg (704)708-4605 "Transformative Life Center, LLC" 190229 MHL-060-1403 "Veritas Collaborative, LLC" 17-Jun-19 17-Jun-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization C&ADOL MI DAY Veritas Collaborative - Charlotte 4024 Stirrup Creek Drive Durham NC 27703 "1900 Scott Avenue, Suite 100" Charlotte NC 28203 Mecklenburg (704)680-3140 "Veritas Collaborative, LLC" 130250 MHL-004-044 Veronica D. Kennedy 25-Jan-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization ADOL&A MI DAY Kennedy PSR & Day Treatment & Partial Hospitalzation 121 N. Greene St. Wadesboro NC 28170 121 N. Greene Street Wadesboro NC 28170 Anson (704)695-0676 Veronica D. Kennedy 170355 MHL-021-021 "Visions In View, Inc." 12-Mar-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY "Visions In View, Inc." PO Box 423 Edenton NC 27932 709 N. Broad Street Edenton NC 27932 Chowan (252)482-2186 "Visions in View, Inc." 150353 MHL-011-366 "Willow Place II, Inc." 23-Sep-13 01-Jan-20 31-Dec-20 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Willow Place "30 Garfield St., Ste. A" Asheville NC 28803 "30 Garfield Street, Suite A" Asheville NC 28803 Buncombe (828)254-3484 "Willow Place II, Inc." 160392 MHL-092-924 "Yelverton's Enrichment Services, Inc." 01-Aug-15 01-Jan-19 31-Dec-19 - - - - 0 27G.1100 Partial Hospitalization C&ADOL MI DAY YES Program Services "5809 Departure Dr., Ste 106" Raleigh NC 27616 "5809 Departure Drive, Suite 106" Raleigh NC 27616 Wake (919)872-6220 "Yelverton's Enrichment Services, Inc." 110331 MHL-094-011 "A Plus Results Independent Living, Inc." 20-May-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "A Plus Results Independent Living, Inc." PO Box 685 Plymouth NC 27962 123 East Water Street Plymouth NC 27962 Washington (252)793-6500 160096 MHL-060-1141 "ARJ, LLC" 27-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "ARJ, LLC" 2311 Village Lake Dr Charlotte NC 28212 "3719 Latrobe Drive, Suite 850" Charlotte NC 28205 Mecklenburg (704)910-5395 "ARJ, LLC" 921419 MHL-018-019 "Adult Life Programs, Inc." 08-Feb-90 01-Jan-20 31-Dec-20 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI RESIDENTL "Adult Life Programs, Inc." PO Box 807 Hickory NC 28603 211 2nd Avenue Pl./PO Box 275 Conover NC 28613 Catawba (828)464-0078 100844 MHL-053-077 "Advance Behavioral Center, Inc." 16-Mar-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Advance Behavioral Center, Inc." 317 Chatham Street Sanford NC 27330 2505 / 2503 Fayetteville Street Sanford NC 27332 Lee (919)777-0214 100400 MHL-078-294 "Advantage Behavioral Healthcare, Inc." 07-Dec-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Advantage Behavioral Healthcare 732 Davis Avenue Whiteville NC 28472 609 Harry West Lane Ext. Pembroke NC 28372 Robeson (910)852-9811 Advantage Behavioral Healthcare 170262 MHL-026-874 "Agape Unit Care Services, Inc." 12-Jun-09 01-Jan-20 31-Dec-20 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Agape Unit Care Services, Inc." 2801 Ramsey Street Fayetteville NC 28301 2801 Ramsey Street Fayetteville NC 28301 Cumberland (910)822-1700 "Agape Unite Care Services, Inc." 100624 MHL-041-1167 "Akachi Solution, LLC" 16-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Akachi Solution, LLC" "3816 N. Elm Street, Suite C" Greensboro NC 27455 "3816 North Elm Street, Suite C" Greensboro NC 27455 Guilford (336)545-5995 "Akachi Solution, LLC" 040840 MHL-091-006 "Alliance Rehabilitative Care, Inc." 01-Dec-04 01-Jan-20 31-Dec-20 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY A.D.P. Center PO Box 748 Henderson NC 27536 630 South Garnett Street Henderson NC 27536 Vance (252)492-0328 "Alliance Rehabilitation Care, Inc." 110186 MHL-043-085 "Aspirations and Miracles Community Support, LLC" 28-Mar-11 01-Jan-20 31-Dec-20 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Aspirations and Miracles Community Support, LLC" PO Box 765 Dunn NC 28335 "701 East Broad Street, Suite E" Dunn NC 28334 Harnett (910)892-0000 160268 MHL-092-841 "Aspire Supportive & Counseling Services, LLC" 16-Apr-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Aspire Supportive & Counseling Services, LLC" 130 E. Morgan St. Raleigh NC 27601 130 East Morgan Street Raleigh NC 27601 Wake (919)835-1888 Krystal Tucker 120606 MHL-026-905 "C & C Outreach Services, LLC" 31-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "C & C Outreach Services, LLC" PO Box 1127 Elizabethtown NC 28337 916 Hope Mills Road Fayetteville NC 28304 Cumberland (910)826-3506 Cynthia Lewis 120230 MHL-041-1047 "CareLink Solutions, Inc." 26-Jun-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "CareLink Solutions, Inc." PO Box 1916 Greensboro NC 27402 1214 Grove Street Greensboro NC 27403 Guilford (336)285-6887 110777 MHL-078-262 "Caring Touch Home & Behavioral Health Care, LLC" 10-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Caring Touch Empowerment Center 799 James Lynn Drive Pembroke NC 28372 "1384 Linkhaw Road, Suite B" Lumberton NC 28358 Robeson (910)521-9175 "Caring Touch Home & Behavioral Health Care, LLC" 922384 MHL-036-282 "Carolina Center for Counseling & Clinical Services, In" 18-Jun-10 01-Jan-20 31-Dec-20 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Carolina Center PSR P.O. Box 550178 Gastonia NC 28055 910 Roberts Drive Gastonia NC 28054 Gaston (704)864-7911 180534 MHL-083-047 "Carolina Community Support Services, Inc." 03-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Carolina Outreach Services, LLC" "411 Andrews Road, Ste. 130" Durham NC 27705 "416 Fairley Street, Ste D" Laurinburg NC 28352 Scotland (910)291-0090 "Carolina Community Support Services, Inc." 170027 MHL-060-1177 "Carolina Family Alliance, Inc." 31-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Carolina Family Alliance "1235 East Boulevard, Ste 242" Charlotte NC 28203 "2331 Crown Point Executive Drive, Suite H" Charlotte NC 28227 Mecklenburg (704)536-9378 "Carolina Family Alliance, Inc." 922288 MHL-014-009 "Carolina Residential Services, Inc." 01-Jul-89 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "New Horizons, P.S.R." P.O. Box 286 Rutherford College NC 28671 247 Commercial Court NE Lenoir NC 28645 Caldwell (828)757-5710 924812 MHL-002-008 "Carolina Residential Services, Inc." 01-Jun-94 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Alexander PSR P.O. Box 286 Rutherford NC 28671 933 W. Main Street Taylorsville NC 28681 Alexander (828)632-0790 Carolina Residential Services 922170 MHL-026-837 "Carolina Residential Services, Inc." 01-May-07 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Sunflower Enrichment Center P.O. Box 286 Rutherford College NC 28671 1014 Hay Street Fayetteville NC 28301 Cumberland (910)920-2891 "Carolina Residential Services, Inc." 080593 MHL-012-010 "Carolina Residential Services, Inc." 05-Feb-87 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY C.H.A.N.G.E. Center P.O. Box 286 Rutherford College NC 28671 310 Burke Drive Morganton NC 28655 Burke (828)438-6284 "Carolina Residential Services, Inc." 160318 MHL-096-005 "Carolina Residential Services, Inc." 01-Oct-85 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&A MI DAY The Stepping Stone PO Box 286 Rutherford College NC 28671 "1201 A, B & C Wayne Memorial Drive" Goldsboro NC 27530 Wayne (919)580-0020 "Carolina Residential Services, inc." 180363 MHL-047-134 "Carolina Solution, Inc." 01-Sep-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Carolina Solution, Inc." PO Box 1293 Raeford NC 28376 2154 Highway 401 Business Raeford NC 28376 Hoke (910)875-6042 mellerbe@csraeford.com 921689 MHL-018-020 Catawba Valley Behavioral Healthcare 01-Apr-90 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Connections PO Box 1256 Newton NC 28658 1679 US Highway 321 South Newton NC 28658 Catawba (828)466-0030 Connections 090933 MHL-035-055 "Central Community Services, LLC" 29-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Independence House PO Box 2113 Oxford NC 27565 101 Industrial Drive Louisburg NC 27549 Franklin (919)496-3958 "Central Community Services, LLC" 110971 MHL-039-052 "Central Community Services, LLC" 14-Dec-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Independence House #2 PO Box 2113 Oxford NC 27565 209 E. McClanahan Street Oxford NC 27565 Granville (919)692-1248 "Central Community Services, LLC" 100467 MHL-082-083 "Christian's House of Hope, Inc." 28-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Christian's House of Hope, Inc." 25575 US Highway 421 Willard NC 28478 3101 Wilmington Highway Willard NC 28478 Sampson (910)532-6366 "Christian's House of Hope, Inc." 921420 MHL-023-004 "Cleveland Psychosocial Services, Inc." 25-Aug-86 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Adventure House 924 N. Lafayette Street Shelby NC 28150 924 N. Lafayette Street Shelby NC 28150 Cleveland (704)482-3370 Adventure House 921665 MHL-068-017 "Club Nova Community, Inc." 01-Jan-88 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Club Nova P.O. Box 1346 Carrboro NC 27510 103-D West Main Street Carrboro NC 27510 Orange (919)968-6682 100289 MHL-024-088 "Community Support Agency, LLC" 05-May-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Community Support Agency, LLC" PO Box 465 Delco NC 28436 44 Dream Avenue Delco NC 28436 Columbus (910)655-0698 120046 MHL-077-080 "Compassionate Counseling Services, LLC" 26-Feb-18 01-Jan-20 31-Dec-20 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Compassionate Counseling Services, LLC" "1219 Rockingham Rd., Ste 12" Rockingham NC 28379 "1219 Rockingham Road, Suite 12" Rockingham NC 28379 Richmond (910)817-9927 "Compassionate Counseling Services, LLC" 150185 MHL-041-1036 "Continuum Care Services, Inc." 16-Dec-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Continuum Care Services, Inc." P.O. Box 6331 Concord NC 28027 "409 East Fairfield Road, Suites C, D & E" High Point NC 27263 Guilford (336)854-2560 "Continuum Care Services, Inc." 130121 MHL-041-1090 "Creative Management Source, Inc." 15-Nov-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Creative Management Source, Inc." PO Box 16851 Greensboro NC 27415 3407-G West Wendover Avenue Greensboro NC 27407 Guilford (336)292-5478 "Creative Management Source, Inc." 170260 MHL-033-087 "D-POM, LLC" 13-Sep-10 01-Jan-19 31-Dec-19 Type A 29-Aug-14 - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "D-POM, LLC" PO Box 1634 Tarboro NC 27886 "2109 Saint Andrew Street, Suite 15A & 16" Tarboro NC 27886 Edgecombe (252)641-5452 "D-POM, LLC" 100791 MHL-079-100 "Daymark Recovery Services, Inc." 28-May-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY New Life Club House 2129 Statesville Blvd Salisbury NC 28147 179 Communications Lane Reidsville NC 27320 Rockingham (336)342-1611 "Daymark Recovery Services, Inc." 921398 MHL-003-014 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Daymark PSR 2129 Statesville Blvd. Salisbury NC 28147 102 Health Service Road Sparta NC 28675 Alleghany (336)372-4095 "Daymark Recovery Services, Inc." 922676 MHL-097-066 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Daymark Recovery Services - Wilkes 2129 Statesville Blvd. Salisbury NC 28147 1400 Willow Lane North Wilkesboro NC 28659 Wilkes (336)667-5151 "Daymark Recovery Services, Inc." 080640 MHL-034-345 "Daymark Recovery Services, Inc." 01-Sep-15 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Friendship House 2129 Statesville Blvd. Salsbury NC 28147 1010 West Northwest Boulevard Winston-Salem NC 27101 Forsyth (336)722-4000 "Daymark Recovery Services, Inc." 990764 MHL-019-072 "Daymark Recovery Services, Inc." 16-Jul-19 16-Jul-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Club Insight 2129 Statesville Blvd. Salisbury NC 28147 815 Sanford Road Pittsboro NC 27312 Chatham (919)542-0107 "Daymark Recovery Services, Inc." 990877 MHL-073-071 "Daymark Recovery Services, Inc." 30-Jul-19 30-Jul-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Club Creative 2129 Statesville Blvd. Salisbury NC 28147 211 Webb Street Roxboro NC 27573 Person (336)495-2700 Daymark Recovery Services 180303 MHL-074-233 "Divine Care Services, LLC" 28-Jun-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Divine Care Services, LLC" 3836 Abby Lynn Drive Greenville NC 28758 609 C Country Club Drive Greenville NC 27834 Pitt (252)756-6441 "Divine Care Services, LLC" 100825 MHL-077-064 "Divine Koncepts, Inc." 27-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Divine Koncepts, II" 502 E. Broad Ave. Rockingham NC 28379 807 East Washington Street Rockingham NC 28379 Richmond (910)997-5182 "Divine Koncepts, Inc." 170182 MHL-054-165 "Dixon Social Interactive Services, Inc." 07-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Dixon Social Interactive Services PO Box 30166 Greenville NC 27833 "301 North Secrest St., classrooms 1-5" Kinston NC 28501 Lenoir (252)353-0100 "Dixon Social Interactive Services, Inc." 160100 MHL-012-139 "Dream Connections, Inc." 08-Apr-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Journey PO Box 585 Valdese NC 28690 227 Avery Avenue Morganton NC 28655 Burke (828)544-5676 "Dream Connections, Inc." 120116 MHL-092-826 "Eagle Healthcare Services, Inc." 06-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Eagle PSR 1708 Trawick Rd. Ste 115 Raleigh NC 27604 "1708 Trawick Road, Suites 101 - 105" Raleigh NC 27604 Wake (919)896-6938 "Eagle Healthcare Services, Inc." 180256 MHL-042-058 Easter Seals UCP North Carolina & Virginia Inc. 01-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Halifax PSR "5171 Glenwood Ave., Ste 211" Raleigh NC 27612 1070 E 10th Street Roanoke Rapids NC 27870 Halifax (252)308-0443 Easter Seals UCP of North Carolina & Virginia Inc 100223 MHL-033-078 Elite Care Inc. 16-Apr-10 01-Jan-18 31-Dec-18 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Elite Care, Inc." 3836 Abby Lynn Drive Greenville NC 27858 410 Main Street Tarboro NC 27886 Edgecombe (252)824-3007 Elite Care Inc. 180296 MHL-060-1176 "Empowerment Quality Care Services, LLC" 30-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Empowerment Quality Care Services "8535 Cliff Cameron Dr., Ste 100" Charlotte NC 28269 "8535 Cliff Cameron Drive, Suites 100 & 112" Charlotte NC 28269 Mecklenburg (704)717-7477 "Empowerment Quality Care Services, LLC" 050871 MHL-011-317 "Family Preservation Services of North Carolina, LLC" 01-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Mountain House "2300 Sardis Rd.,N.STE M" Charlotte NC 28227 1314-F Patton Avenue Asheville NC 28806 Buncombe (828)225-3100 "Family Preservation Services of North Carolina,LLC" 180252 MHL-081-068 "Family Preservation Services of North Carolina, LLC" 01-Nov-06 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Magnolia House "2300 Sardis Rd N., Ste M" Charlotte NC 28227 139 East Trade Street Forest City NC 28043 Rutherford (828)288-2707 "Family Preservation Services of North Carolina,LLC" 180572 MHL-060-1247 "Family Preservation Services of North Carolina, LLC" 01-Sep-12 14-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Family Preservation Services of NC-Carolina House "2300 Sardis Rd. N, Ste M" Charlotte NC 28227 "2300 Sardis Road N, Suite M" Charlotte NC 28227 Mecklenburg (704)344-2600 "Family Preservation Services of NC, Inc." 080514 MHL-092-684 "Fellowship Health Resources, Inc." 29-May-07 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Cary Satellite House 5509 Creedmoor Road Raleigh NC 27612 222 East Chatham Street Cary NC 27511 Wake (919)469-4980 "Fellowship Health Resources, Inc." 110200 MHL-092-683 "Fellowship Health Resources, Inc." 29-May-07 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Building Foundations 24 Albion Rd Lincoln RI 02865 5509 Creedmoor Road Raleigh NC 27612 Wake (919)573-6520 "Fellowship Health Resources, Inc." 060794 MHL-059-031 Foothills Industries of McDowell County Inc. 22-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Foothills Industries 300 Rockwell Drive Marion NC 28752 300 Rockwell Drive Marion NC 28752 McDowell (828)652-4088 180475 MHL-091-110 "Guardian Angel Healthcare, LLC" 28-Feb-19 28-Feb-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY The Alliance Center PO Box 2002 Henderson NC 27536 121 Young Street Henderson NC 27536 Vance (252)430-8748 "Guardian Angel Healthcare, LLC" 170134 MHL-092-781 "Healing Interventions, Inc." 16-Jul-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Healing Interventions, Inc" "1001 Navaho Drive, GL 100" Raleigh NC 27609 "1001 Navaho Drive, GL 100" Raleigh NC 27609 Wake (919)896-7055 "Healing Interventions, Inc." 170134 MHL-092-781 "Healing Interventions, Inc." 16-Jul-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Healing Interventions, Inc" "1001 Navaho Drive, GL 100" Raleigh NC 27609 "1001 Navaho Drive, GL 100" Raleigh NC 27609 Wake (919)896-7055 "Healing Interventions, Inc." 150400 MHL-032-502 "House of Care, Inc." 10-Sep-09 01-Jan-19 31-Dec-19 Type B 21-Jun-16 - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "House of Care, Inc." "3500 Westgate Dr., Ste. 103" Durham NC 27707 "3500 Westgate Drive, Suite 103" Durham NC 27707 Durham (919)493-6871 180035 MHL-053-072 "I Innovations, Inc." 19-Jun-12 01-Jan-19 31-Dec-19 Intent to Revoke 04-Apr-19 - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "I Innovations, Inc." PO Box 1553 Sanford NC 27331 1952 S. Horner Boulevard Sanford NC 27330 Lee (919)776-8972 "I Innovations, Inc." 180175 MHL-004-047 "I Innovations, Inc." 03-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "I Innovations, Inc. - Wadesboro" PO Box 1553 Sanford NC 27331 1221 E Caswell Street Wadesboro NC 28170 Anson (919)895-0035 "I innovations, Inc." 150294 MHL-055-123 "Infinite Beginnings, LLC" 13-Jul-15 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Infinite Beginnings II 201 W. 2nd Ave Ste E Gastonia NC 28052 526 E. Main Street Lincolnton NC 28092 Lincoln (704)748-4844 "Inifinte Beginnings, LLC" 160265 MHL-036-293 "Infinite Beginnings, LLC" 26-Aug-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Infinite Beginnings "201 West 2nd Ave., Ste E" Gastonia NC 28052 "201 West 2nd Avenue, Suites A, E,& F" Gastonia NC 28052 Gaston (704)671-4047 "Infinite Beginnings, LLC" 110192 MHL-060-003 "Inner Vision, Inc." 01-Jan-86 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Inner Vision PO Box 31083 Charlotte NC 28231 415 E. 4th Street Charlotte NC 28202 Mecklenburg (704)377-5047 "Inner Vision, Inc." 120167 MHL-060-1242 "InnerVision, Inc." 16-May-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY InnerVision II PO Box 31083 Charlotte NC 28231 1000 Baxter Street Charlotte NC 28204 Mecklenburg (704)377-5042 "InnerVision, Inc." 090091 MHL-064-154 Joe Earl Lewis/Luciana Lewis 25-Apr-17 01-Jan-18 31-Dec-18 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY HopeWell Supervised Living Group 3216 Zebulon Road Rocky Mount NC 27804 3216 Zebulon Road Rocky Mount NC 27804 Nash (252)446-0966 Joe Earl Lewis/Luciana Lewis 922788 MHL-051-162 "Johnston County Industries, Inc." 15-Jun-07 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY JCI Behavioral Health Services 1100 E Preston Street Selma NC 27576 112 Richardson Street Selma NC 27577 Johnston (919)965-6892 "Johnston County Industries, Inc." 100314 MHL-054-147 "Joseph's Community Support Services, Inc" 17-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Joseph's Empowerment Center PO Box 1444 Kinston NC 28503 2005 N Queen Street (East side) Kinston NC 28501 Lenoir (252)208-2005 061288 MHL-064-074 "Le'Chris Adult Daycare of Rocky Mount, Inc." 13-Jun-05 01-Jan-19 31-Dec-19 Type B 24-Aug-09 - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Carolina Blue Waters 1822 S. Glenburnie Rd Ste 352 New Bern NC 28862 130 Jones Road Rocky Mount NC 27804 Nash (252)443-0480 "Le'Chris Adult Daycare, Inc." 101217 MHL-016-036 "Le'Chris Counseling Services, Inc." 12-Feb-08 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY The Beach House "1822 South Glenburnie Rd., Ste. 352" New Bern NC 28562 301 Maple Lane Morehead City NC 28557 Carteret (252)726-9732 "LeChris Counseling Services, Inc." 140319 MHL-074-197 "Le'Chris Health Systems of Greenville, Inc." 14-Nov-08 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Le'Chris Health Sys. of Greenville/dba The Pirate House "1822 S. Glenburnie Rd., Ste. 352" New Bern NC 28562 "2050 Eastgate Drive, Suite E1" Greenville NC 27858 Pitt (252)413-0394 "Le'Chris Health Systems of Greenville, Inc." 080577 MHL-054-152 "Life Touch, LLC" 13-May-11 15-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Life Touch, LLC" 400 Glenwood Avenue Kinston NC 28501 "400 Glenwood Avenue, Suite 2" Kinston NC 28501 Lenoir (252)208-7252 "Life Touch, LLC" 070690 MHL-007-038 "Lifequest, Inc." 14-Jan-04 01-Jan-20 31-Dec-20 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Lifequest, Inc." 230 East 8th Street Washington NC 27889 230 East 8th Street Washington NC 27889 Beaufort (252)975-8080 Angela Hardison 061446 MHL-054-162 "Living Your Dream, LLC" 30-Dec-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Living Your Dream, LLC" PO Box 350 Greenville NC 27835 664 Stratford Boulevard Kinston NC 28504 Lenoir (252)686-5192 "Living Your Dream, LLC" 110332 MHL-040-043 "Lucille's Behavioral, Inc." 16-Apr-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Lucille's Behavioral, Inc." One Professional Drive Snow Hill NC 28580 414-F Kingold Blvd. Snow Hill NC 28580 Greene (252)747-3450 091015 MHL-064-129 "MACTA, LLC" 10-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "MACTA, LLC" PO Box 4532 Rocky Mount NC 27803 209 North Pearl Street Rocky Mount NC 27804 Nash (252)937-3016 922186 MHL-058-002 "Martin County Residential Services, Inc." 01-Jul-85 01-Jan-20 31-Dec-20 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Martin Enterprises PO Box 1042 Williamston NC 27892 6003 West Main Street EXT. HWY 64 W Williamston NC 27892 Martin (252)792-8251 Martin Enterprises 090981 MHL-074-221 "McCloud & Associates, Inc." 20-May-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "McCloud & Assoc., Inc. dba True Divine Health Care Svs." PO Box 30765 Greenville NC 27833 2423 Mill Street Suite C Winterville NC 28590 Pitt (252)355-6272 "McCloud & Associates, Inc." 020006 MHL-041-012 Mental Health Associates of the Triad 01-Sep-86 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Destiny House (PSR) / The Journey (DA) PO Box 5693 High Point NC 27262 910 Mill Avenue High Point NC 27260 Guilford (336)883-7480 Mental Health Associates of the Triad 120618 MHL-041-937 "Mercy Home Services, Inc." 28-Jan-10 01-Jan-19 31-Dec-19 Type A 31-Dec-14 - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Merciful Hands Day Program 2 Ridge Grove Court Greensboro NC 27455 "1203 Brandt Street, Suite E" Greensboro NC 27407 Guilford (336)617-7947 "Mercy Home Services, Inc." 921643 MHL-020-001 "Meridian Behavioral Health Services, Inc." 12-Apr-85 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY Meridian Behavioral Health-Cherokee PO Box 2187 Sylva NC 28779 27 Bona Vista Lane Marble NC 28905 Cherokee (828)837-7466 Meridian Behavioral Health Svcs. 922610 MHL-044-002 "Meridian Behavioral Health Services, Inc." 01-Mar-87 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Smoky Mountain House PO Box 2187 Sylva NC 28779 307 Broadview Street Waynesville NC 28786 Haywood (828)456-9258 Meridian Behavioral Health Services 170215 MHL-041-1147 Michael A. Walker 19-Mar-14 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Walkers Day Program 18869 John Connor Road Cornelius NC 28031 "107 Wade Street, Suite A" Jamestown NC 27282 Guilford (336)410-4850 Michael A. Walker 941859 MHL-012-117 Michael Walker 29-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Walkers Day Program 18869 John Connor Road Cornelius NC 28031 2130 Highway 18/US 64 Morganton NC 28655 Burke (828)639-3576 Miachael and Helen Walker 180344 MHL-004-037 Michael Walker 18-Dec-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Walkers Day Program 18869 John Connor Rd Cornelius NC 28031 117 Wortham Street Wadesboro NC 28170 Anson (704)984-3010 Michael Walker 921721 MHL-077-057 Monarch 01-Feb-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Richmond PSR "350 Pee Dee Avenue, Ste.101" Albemarle NC 28001 1385 Cauthen Drive Rockingham NC 28379 Richmond (910)986-1500 Monarch 970970 MHL-043-078 Monarch 01-Feb-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Harnett PSR 350 Pee Dee Ave. Ste 101 Albemarle NC 28001 421 Paul Green Highway Buies Creek NC 27506 Harnett (919)814-0820 Monarch 110150 MHL-053-060 Monarch 01-Feb-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Lee PSR "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 214 McIver Street Sanford NC 27330 Lee (919)774-1485 Monarch 110900 MHL-034-325 Monarch 06-Aug-14 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY The Unity Center "350 Pee Dee Ave., Ste. 101" Albemarle NC 28001 1100 West First Street Winson-Salem NC 27101 Forsyth (336)724-9768 Monarch 041110 MHL-092-904 Monarch 31-Oct-14 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL MI DAY Club Horizon "350 Pee Dee Ave., Suite 101" Albemarle NC 28001 101-B Forest Drive Knightdale NC 27545 Wake (919)266-2202 Monarch 070351 MHL-026-834 Monica Strange 06-Mar-07 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Great Expectations Day Facility and Enrichment Program 3642 Thornsby Lane Fayetteville NC 28306 1329 Robeson Street Fayetteville NC 28305 Cumberland (910)488-3107 Monica Strange 941974 MHL-038-022 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Skill Foundations PO Box 11247 Richmond VA 23230-1247 217 South Main Street Robbinsville NC 28771 Graham (828)479-6466 "NCG Acquisition, LLC" 922271 MHL-054-003 "Neuse Enterprises, Inc." 01-May-85 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MR/DD DAY Neuse Enterprises Inc. PO Box 1715 Kinston NC 28503 3800 Commerce Drive Kinston NC 28503 Lenoir (252)523-0817 030827 MHL-059-046 "New Destinations, Inc." 01-Feb-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY McDowell Psychosocial Rehabilitation Services PO Box 1239 Fuquay-Varina NC 27526 75 Crawford Street Marion NC 28752 McDowell (828)659-6480 McDowell PSR 922863 MHL-031-071 "New Dimension Group, LLC" 25-Mar-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY New Dimension Group PO Box 880 Rose Hill NC 28458 416 West Ridge Street Rose Hill NC 28458 Duplin (910)289-2610 "New Dimension Group, LLC" 130344 MHL-031-072 "New Dimension Group, LLC" 25-Mar-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Common Ground - Rose Hill PO Box 880 Rose Hill NC 28454 123 Main Street Rose Hill NC 28458 Duplin (910)447-1400 "New Dimension Group, LLC" 160588 MHL-076-110 "New Horizons Treatment Center, Inc." 22-May-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "New Horizons Treatment Center, Inc." PO Box 33 Climax NC 27233 215 Friendly Road Asheboro NC 27203 Randolph (336)628-4636 "New Horizons Treatment Center, Inc." 100068 MHL-046-030 "NuVizions, LLC" 01-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "NuVizions, LLC" PO Box 804 Ahoskie NC 27910 101 Main Street West Ahoskie NC 27910 Hertford (252)332-2297 "NuVizions, LLC" 180580 MHL-081-126 "Ona's Place, Inc." 24-Aug-10 28-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Onas's Place - PSR 5 Whitson Road Asheville NC 28805 "115 West Court Street, Unit A" Rutherfordton NC 28139 Rutherford (828)225-3606 "Onas's Place, Inc." 080864 MHL-086-052 "PQA Healthcare, Inc." 28-Aug-08 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Alpha Club 2 701 South Main Street Dobson NC 27017 705 South Main Street Dobson NC 27017 Surry (336)356-2600 "PQA Heatlhcare, Inc." 120108 MHL-085-036 "PQA Healthcare, Inc." 05-Mar-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Alpha Club 5 701 South Main Street Dobson NC 27017 741 Spainhour Road King NC 27021 Stokes (336)985-6514 "PQA Healthcare, Inc." 120204 MHL-034-298 "PQA Healthcare, Inc." 19-Apr-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Alpha Club 6 701 South Main Street Dobson NC 27017 300 Northgate Park Drive Winston-Salem NC 27106 Forsyth (336)306-9690 "PQA Healthcare, Inc." 130051 MHL-079-124 "PQA Healthcare, Inc." 27-Feb-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "PQA Healthcare, Inc. Alpha Club 7" 701 South Main Street Dobson NC 27017 105 E. Decatur Street Madison NC 27025 Rockingham (336)949-4037 "PQA Healthcare, Inc." 130120 MHL-086-053 "PQA Healthcare, Inc." 01-Feb-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Alpha Club 3 701 South Main Street Dobson NC 27017 452 Franklin Street Mount Airy NC 27030 Surry (336)786-1751 "PQA Healthcare, Inc." 150170 MHL-086-056 "PQA Healthcare, Inc." 13-Apr-15 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Alpha Club 8 701 South Main St. Dobson NC 27017 122 West Main Street Elkin NC 28621 Surry (336)356-2600 "PQA Healthcare, Inc." 180399 MHL-099-034 "PQA Healthcare, Inc." 04-Oct-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "PQA Healthcare, Inc." 701 South Main St. Dobson NC 27017 "624 West Main Street, Suite 100" Yadkinville NC 27055 Yadkin (336)356-2600 "PQA Healthcare, Inc." 190256 MHL-049-120 "PQA Healthcare, Inc." 01-Feb-10 05-Jul-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Alpha Club 4 701 South Main St. Dobson NC 27017 222 Signal Hill Drive Statesville NC 28677 Iredell (704)872-4077 "PQA Healthcare, Inc." 140263 MHL-074-209 "Paradigm, Inc." 14-Aug-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY J B Center PO Box 31091 Greenville NC 27833 "4054 South Memorial Drive, Suites J & K" Winterville NC 28590 Pitt (252)561-8112 "Paradigm, Inc." 180492 MHL-060-1251 "Person-Centered Partnerships, Inc." 27-Sep-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Recovery Works PO Box 32301 Charlotte NC 28232 5100 Monroe Road Charlotte NC 28205 Mecklenburg (704)567-0790 "Person-Centered Partnerships, Inc." 070550 MHL-065-234 "Physician Alliance for Mental Health, LLC" 01-Aug-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Physician Alliance for Mental Health, LLC/Ocean House" PO Box 15511 Wilmington NC 28408 14 South 16th Street Wilmington NC 28401 New Hanover (910)251-3421 "Rene Kaczynski, Managing Member" 160141 MHL-096-247 "Positive Influences, Inc." 07-Mar-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL MI DAY Positive Influences - Goldsboro PO Box 1332 Greenville NC 27835 "1600 Wayne Memorial Boulevard, Suite E" Goldsboro NC 27530 Wayne (919)988-9198 "Positive Influences, Inc." 100688 MHL-078-267 Positive Progress Services Corp. 12-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Positive Progress Services Adult Center PO Box 12 Red Springs NC 28377 "305 East Third Street, Suite 9" Pembroke NC 28372 Robeson (910)521-7461 Positive Progress Services Corp. 090714 MHL-078-268 Positive Progress Services Corp. 12-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Positive Progress Services Adult Center PO Box 12 Red Springs NC 28377 110 East 2nd Avenue Red Springs NC 28377 Robeson (910)359-0054 Positive Progress Services Corp. 100221 MHL-078-251 "Premier Behavioral Services, Inc." 26-Mar-10 01-Jan-19 31-Dec-19 Type A 14-Aug-19 - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Premier Behavioral Services, Inc." "2003 Godwin Avenue, Suite B" Lumberton NC 28358 "2003 Godwin Avenue, Suite B" Lumberton NC 28358 Robeson (910)671-1111 "Premier Behavioral Services, Inc." 130245 MHL-098-181 "Pride In North Carolina, LLC" 05-Nov-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Pride Within 231 Commerce St Greenville NC 27858 2111 Forest Hills Road Wilson NC 27893 Wilson (252)281-5691 "Pride In North Carolina, LLC" 180529 MHL-067-186 "Pride In North Carolina, LLC" 14-May-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Project Vision 231 Commerce St Greenville NC 27858 201 Parkwood Drive Jacksonville NC 28546 Onslow (910)219-3957 "Pride In North Carolina, LLC" 130495 MHL-026-894 "Professional Family Care Services, Inc." 15-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Professional Family Care Services-Psychosocial Rehab 1012 Pamalee Drive Fayetteville NC 28303 4441 Bragg Blvd Fayetteville NC 28303 Cumberland (910)630-2273 "Professional Family Care Services, Inc." 090634 MHL-092-942 "Prosperous Living Community Center, Inc." 12-Sep-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Prosperous Living Community Center (PLCC) 209 Springmoor Lane Durham NC 27713 3412 Lake Woodard Drive Raleigh NC 27604 Wake (919)231-0025 "Prosperous Living Community Center, Inc." 150383 MHL-001-001 "Psychotherapeutic Services, Inc." 01-Jul-85 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY The Together House "2260 South Church St., Ste 303" Burlington NC 27215 "2260 South Church Street, Suite 304" Burlington NC 27215 Alamance (336)513-4229 "Psychotherapeutic Services, Inc." 120654 MHL-064-149 "Quality Care Solutions, Inc." 02-Oct-15 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY QCS Day Program & PSR "3824 Barrett Dr., Ste. 105" Raleigh NC 27609 "301 S. Church Street, Suite 163" Rocky Mount NC 27804 Nash (888)759-1125 "Quality Care Solutions, Inc." 090458 MHL-083-056 "R & C Consulting Group, Inc." 19-Jul-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "R & C Consulting Group, Inc." PO Box 2153 Laurinburg NC 28352 524 Atkinson Street Laurinburg NC 28352 Scotland (910)361-4653 "R & C Conulting Group, Inc." 070249 MHL-083-051 RHA Behavioral Health NC LLC 01-Jul-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Shining Star Clubhouse 2003 Godwin Avenue Suite A Lumberton NC 28358 113 John Street Laurinburg NC 28352 Scotland (910)291-9934 RHA Behavioral Health NC LLC 100745 MHL-078-307 RHA Behavioral Health NC LLC 01-May-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY RHA Innovations PSR Robeson 2003 Godwin Avenue Suite A Lumberton NC 28358 "2003 Godwin Avenue, Suite A" Lumberton NC 28358 Robeson (910)739-8849 RHA Behavioral Health NC LLC 160266 MHL-024-101 RHA Behavioral Health NC LLC 01-May-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Whiteville-Psychosocial Rehabilitation Program "2003 Godwin Ave., Ste A" Lumberton NC 28358 26 Lee Avenue Whiteville NC 28472 Columbus (910)640-2724 RHA Behavioral Health NC LLC 040181 MHL-080-185 "RHA Behavioral Health NC, LLC" 28-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY The Carter House 219 LePhillip Court Concord NC 28025 600 West Innes Street Salisbury NC 28144 Rowan (704)633-1835 "RHA Behavioral Health NC, LLC" 955470 MHL-090-170 "RHA Behavioral Health NC, LLC" 28-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Union House 219 LePhillip Court Concord NC 28025 316 I B Shive Drive Monroe NC 28110 Union (704)283-5128 "RHA Behavioral Health NC, LLC" 040196 MHL-029-119 "RHA Behavioral Health NC, LLC" 28-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Passageway Psychosocial Rehabilitation Program 219 LePhillip Court Concord NC 28025 220 East First Ave. Ext. Rms 100-123 Lexington NC 27292 Davidson (336)242-2406 "RHA Behavioral Health NC, LLC" 030607 MHL-084-077 "RHA Behavioral Health NC, LLC" 28-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Piedmont House 219 LePhillip Court Concord NC 28025 233 Montgomery Ave Suite 2-A Albemarle NC 28002 Stanly (704)983-4157 "RHA Behavioral Health NC, LLC" 130032 MHL-013-174 "RHA Behavioral Health NC, LLC" 13-May-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Anarrosi Place 219 LePhillip Court Concord NC 28025 "82 Union Street South, Unit B" Concord NC 28025 Cabarrus (704)793-6010 "RHA Behavioral Health NC, LLC" 090134 MHL-008-044 Rachel's House 09-Apr-09 01-Jan-19 31-Dec-19 Type A 27-May-15 - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL MI DAY Rachel's House Day Treatment 1212 Charles Street Windsor NC 27983 1212 Charles Street Windsor NC 27983 Bertie (252)794-8503 101210 MHL-096-219 "ReNu Life, L.L.C." 05-Mar-09 01-Jan-20 31-Dec-20 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY TBI Rehab Center PO Box 1017 Goldsboro NC 27533 106 US Highway 117 Bypass South Goldsboro NC 27530 Wayne (919)736-8505 "ReNu Life,LLC" 150373 MHL-041-1069 "Ready4Change, Inc." 21-Dec-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Ready 4 Change, Inc." "5 Centerview Dr., Ste. 100 & 101" Greensboro NC 27407 "5 Centerview Drive, Suite 100 & 101" Greensboro NC 27407 Guilford (336)907-7819 "Ready4Change, Inc." 160124 MHL-041-1137 Reginald Center of Turn Around/Restoration for Life 28-Jul-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Reginald Center of Turn Around/Restoration for Life 2302 West Meadowview Rd Ste 221 Greensboro NC 27407 "2302 West Meadowview Road, Suite 221" Greensboro NC 27407 Guilford (336)378-7334 Reginald Center of Turn Around 160022 MHL-026-954 "Renew Counseling Center of NC, LLC" 05-May-14 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Renew Counseling Center 2212 Hope Mills Rd Fayetteville NC 28304 2212 Hope Mills Road Fayetteville NC 28304 Cumberland (910)779-0454 "Renew Counseling Center of NC, LLC" 170409 MHL-091-106 "Restoring Bodies and Minds, LLC" 21-Mar-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Restoring Bodies and Minds, LLC" PO Box 101 Townsville NC 27584 900 Dorsey Avenue Henderson NC 27536 Vance (252)598-0430 "Restoring Bodies and Minds, LLC" 922476 MHL-094-002 "Roanoke Developmental Center, Inc." 01-Jul-85 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Roanoke Developmental Center, Inc." PO Box 967 Plymouth NC 27962 609 Adams Street Plymouth NC 27962 Washington (252)793-5077 011324 MHL-041-632 Sanctuary House 28-Feb-02 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Sanctuary House PO Box 21141 Greensboro NC 27420-1141 518 North Elm Street Greensboro NC 27401 Guilford (336)275-7896 110234 MHL-047-165 "Saving Grace Outreach, LLC" 01-Jan-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Saving Grace Outreach 318 Harris Avenue Raeford NC 28376 318 Harris Avenue Raeford NC 28376 Hoke (910)964-8051 "Saving Grace Outreach, LLC" 190199 MHL-032-428 "Securing Resources for Consumers, Inc." 18-Feb-08 03-Jun-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Reaching Our Potential Everyday 3711-C University Dr. Durham NC 27707 "1408 Christian Avenue, Suite 4" Durham NC 27705 Durham (984)439-2737 "Securing Resources for Consumers, Inc." 120022 MHL-045-070 "Sixth Avenue Psychiatric Rehabilitation Partners, Inc." 01-Nov-06 01-Jan-20 31-Dec-20 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Sixth Avenue West 110-C Chadwick Square Court Hendersonville NC 28739 2110 Woodridge Drive Hendersonville NC 28739 Henderson (828)697-1581 "Sixth Avenue Psychiatric Rehabilitation, Inc." 090772 MHL-046-033 "Solid Foundation Facilities, Inc." 01-Mar-11 01-Jan-20 31-Dec-20 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Choanoke Valley 224 Ward Road Windsor NC 27983 1321 West First Street Ahoskie NC 27910 Hertford (252)209-8540 "Solid Foundation Facilities, Inc." 080065 MHL-078-204 "Southeastern Behavioral Healthcare Services, Inc." 07-Mar-08 01-Jan-19 31-Dec-19 Type B 12-Feb-14 - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Southeastern Behavioral Healthcare Services, LLC" PO Box 1004 Lumberton NC 28359-1004 3575 Lackey Street Lumberton NC 28359 Robeson (910)738-7858 Virgil L. Hutchinson 080571 MHL-078-302 "Southeastern Behavioral Healthcare Services, LLC" 16-Nov-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Southeastern Behavioral Healthcare Services, LLC" PO Box 1004 Lumberton NC 28359-1004 109 West Central Street Maxton NC 28364 Robeson (910)844-2267 050501 MHL-047-162 "Southeastern Behavioral Healthcare Services, LLC" 09-Feb-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Southeastern Behavioral Healthcare Services, LLC" PO Box 1004 Lumberton NC 28359-1004 310 Harris Avenue Raeford NC 28376 Hoke (910)848-2267 140007 MHL-092-746 "Southeastern Healthcare of North Carolina, Inc." 23-Jun-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Southeastern Healthcare of North Carolina, Inc." PO Box 14144 Raleigh NC 27620 3401 Carl Sandburg Court Raleigh NC 27620 Wake (919)212-8580 "Southeastern Healthcare of North Carolina, Inc." 110933 MHL-078-321 "Southeastern Integrated Care, LLC" 25-Jun-19 25-Jun-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Southeastern Integrated Care, LLC" PO Box 8251 Concord NC 28027 86-A Three Hunts Drive Pembroke NC 28372 Robeson (910)522-0408 "Southeastern Integrated Care, LLC" 130465 MHL-042-072 "Spring Life Behavioral Care, LLC" 18-Nov-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Spring Life Behavioral Care, LLC" 109 Long Circle Roanoke Rapids NC 27870 109 Long Circle Roanoke Rapids NC 27870 Halifax (252)535-6400 "Spring Life Behavioral Care, LLC" 100854 MHL-041-1013 "Step By Step Care, Inc." 21-Apr-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Step By Step Care, Inc." "709 East Market Street, Suite 100-B" Greensboro NC 27401 "709 East Market Street, Suite 100-B" Greensboro NC 27401 Guilford (336)378-0109 922360 MHL-064-150 "Straight Walk Family Services, Inc." 06-Apr-15 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Straight Walk Family Services 3208-B Sunset Ave Rocky Mount NC 27804 3208-B Sunset Avenue Rocky Mount NC 27804 Nash (252)212-5524 "Straight Walk Family Services, Inc." 100172 MHL-059-048 "Strategic Interventions, Inc." 01-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY The Center - A Strategic Interventions Facility PO Box 1149 Nebo NC 28761 3100 Hwy 226 South Suite B Marion NC 28752 McDowell (828)655-3093 "Strategic Interventions, Inc." 130320 MHL-032-528 "Sunrise Clinical Associates, PLLC" 09-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Sunrise Clinical Associates, PLLC" "3500 Westgate Dr, Stes 603&604" Durham NC 27707 "3500 Westgate Drive, Suites 603 & 604" Durham NC 27707 Durham (919)493-5013 "Sunrise Clinical Associates, PLLC" 090701 MHL-078-248 "TT & T Services, Inc." 01-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "TT and T Services, Inc. - Lumberton" PO Box 1685 Raeford NC 28376 4719 Fayetteville Road Lumberton NC 28358 Robeson (910)739-0050 "TT and T Services, Inc." 150528 MHL-051-200 "The Enhancement Center, Inc." 22-Nov-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY The Enhancement Center - Clayton 896 Gulley Drive Clayton NC 27520 896 Gulley Drive Clayton NC 27520 Johnston (919)359-8168 "The Enhancement Center, Inc." 100148 MHL-060-1130 "The Right Choice MWM, Inc." 15-Mar-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY The Right Choice-PSR Program PO Box 79146 Charlotte NC 28271 "8825 University East Drive, Suite 210" Charlotte NC 28271 Mecklenburg (704)537-3650 "The Right Choice MWM, Inc." 011214 MHL-076-094 "Therapeutic Alternatives, Inc." 15-Feb-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Randolph Psychosocial Rehabilitation PO Box 814 Randleman NC 27317 974 South Cox Street Asheboro NC 27203 Randolph (336)495-2700 Therapeutic Alternatives Inc 020704 MHL-062-030 "Therapeutic Alternatives, Inc." 15-Feb-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Journey House PO Box 814 Randleman NC 27317 696 Covington Street Troy NC 27371 Montgomery (910)572-0535 "Therapeutic Alternatives, Inc." 921414 MHL-063-086 "Therapeutice Alternatives, Inc." 15-Feb-10 01-Jan-19 31-Dec-19 Type B 01-Nov-18 - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Woodland House PO Box 814 Randleman NC 27317 110 East Boston Avenue Pinebluff NC 28373 Moore (336)495-2700 "Therapeutic Alternatives, Inc." 922757 MHL-032-006 "Threshold, Inc." 01-Jan-86 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Threshold PO Box 11706 Durham NC 27703 609 Gary Street Durham NC 27703 Durham (919)682-4124 190128 MHL-032-550 "Tonya Omar, PLLC" 27-Aug-10 02-Apr-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY The Aya Center "2634 Durham Chapel Hill Blvd, Ste 4" Durham NC 27707 "2634 Durham Chapel Hill Boulevard, Suite 4" Durham NC 27707 Durham (919)402-8738 "Tonya Omar, PLLC" 130467 MHL-034-317 "Top Priority Care Services, LLC" 18-Nov-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY The Center for Lifelong Learning & Enrichment 4401 Providence Lane Winston-Salem NC 27106 4401 Providence Lane Winston-Salem NC 27106 Forsyth (336)896-1323 "Top Priority Care Services, LLC" 160251 MHL-041-1057 "Top Priority Care Services, LLC" 16-Aug-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY """My Friend's House""" 4401 Providence Lane Winston Salem NC 27106 "308 Pomona Drive, Suites M & N" Greensboro NC 27407 Guilford (336)294-5611 "Top Priority Care Services, LLC" 970388 MHL-076-122 "Triad Telecare, Inc." 06-Feb-15 01-Jan-20 31-Dec-20 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Country Club Day Activity 1324 Coltrane Mill Rd Randleman NC 27317 1324 Coltrane Mill Road Randleman NC 27317 Randolph (336)674-6293 "Triad Telecare, Inc." 140483 MHL-001-236 Trinity Behavioral Healthcare PC 30-Nov-14 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY Trinity Behavioral Healthcare PC 2716 Troxler Road Burlington NC 27215 2716 Troxler Road Burlington NC 27215 Alamance (336)570-0104 "Trinity Behavioral Healthcare, PC" 150444 MHL-041-983 "United Quest Care Services, LLC" 11-Aug-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "United Quest Care Services, LLC" 708 Summit Ave Greensboro NC 27405 708 Summit Avenue Greensboro NC 27405 Guilford (336)279-1227 "United Quest Care Services, LLC" 180076 MHL-060-1373 "United Quest Care Services, LLC" 02-Apr-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "United Quest Care Services, LLC" 708 Summit Avenue Greensboro NC 27405 "3707 Latrobe Drive, Suites 440 & 450" Charlotte NC 28211 Mecklenburg (980)299-3959 "United Quest Care Services, LLC" 090948 MHL-041-1111 "United Youth Care Services, Inc." 22-Jan-15 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "United Youth Care Services, Inc." 1207 4th Street Greensboro NC 27405 1207 4th Street Greensboro NC 27405 Guilford (336)370-9232 "United Youth Care Services, Inc." 110386 MHL-011-320 "Universal Mental Health Services, Inc." 30-Apr-10 23-Jul-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Universal PSR 839 Wilkesboro Blvd Lenoir NC 28645 "370 N. Louisiana Ave., Suites F1, F2, F3, & F4" Asheville NC 28806 Buncombe (828)225-4980 "Universal Mental Health Services, Inc." 130250 MHL-004-044 Veronica D. Kennedy 25-Jan-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY Kennedy PSR & Day Treatment & Partial Hospitalzation 121 N. Greene St. Wadesboro NC 28170 121 N. Greene Street Wadesboro NC 28170 Anson (704)695-0676 Veronica D. Kennedy 120525 MHL-032-511 "Visions Counseling Studio, PLLC" 13-Nov-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Visions Counseling Studio, PLLC" 401 E. Lakewood Ave Ste E Durham NC 27707 "401 E. Lakewood Ave., Suite E" Durham NC 27701 Durham (919)908-6371 170355 MHL-021-021 "Visions In View, Inc." 12-Mar-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Visions In View, Inc." PO Box 423 Edenton NC 27932 709 N. Broad Street Edenton NC 27932 Chowan (252)482-2186 "Visions in View, Inc." 100662 MHL-078-213 W&B Health Care Inc. 02-Oct-08 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Community Outreach PO Box 168 Red Springs NC 28377 108 East 5th Avenue Red Springs NC 28377 Robeson (910)843-1997 "W&B Health Care, Inc." 130203 MHL-041-1079 "Zephaniah Services, PLLC" 12-Jun-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Zephaniah Services, PLLC" PO Box 41167 Greensboro NC 27404 "3405 West Wendover Avenue, Suite F" Greensboro NC 27407 Guilford (336)323-1385 080229 MHL-041-877 "(C.O.P.S) Center of Progressive Strides, Inc." 14-Oct-08 18-Apr-19 31-Dec-19 Type A 06-Jul-15 - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Progressive Steps 29 Holly Springs Lane Greensboro NC 27455 4103 Landerwood Court Greensboro NC 27405 Guilford (336)375-7985 "(C.O.P.S) Center of Progressive Strides, Inc." 080076 MHL-001-166 "A Better Path, Inc." 15-Aug-08 01-Jan-19 31-Dec-19 Type A 18-Oct-13 - - 5 27G.1300 Residential Treatment Level II C&A MI RESIDENTL "A Better Path, Inc." PO Box 2954 Burlington NC 27216-2954 309 South Beaumont Avenue Burlington NC 27217 Alamance (336)221-9156 "A Better Path, Inc." 980325 MHL-090-073 "Agape Services, Inc." 19-Feb-98 01-Jan-19 31-Dec-19 Type A 29-Mar-16 - - 3 27G.1300 Residential Treatment Level II C MI RESIDENTL Agape II PO Box 3319 Monroe NC 28111 1008 Griffith Road Monroe NC 28112 Union (704)238-9293 160466 MHL-090-188 "Agape Services, Inc." 07-Aug-10 01-Jan-19 31-Dec-19 - - - - 3 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Kincaid Home PO Box 3319 Monroe NC 28111 313 Alda Drive Monroe NC 28110 Union (704)289-7889 "Agape Services, Inc." 170402 MHL-001-159 "Alamance Academy, LLC" 01-May-08 01-Jan-19 31-Dec-19 - - - - 5 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL "Alamance Academy, LLC" 605 S. Church Street Burlington NC 27217 723 North Fisher Street Burlington NC 27217 Alamance (336)227-3111 "Alamance Academy, LLC" 051163 MHL-045-133 "Appalachian Outpatient Services, LLC" 03-Apr-18 01-Jan-19 31-Dec-19 Suspension of Admission 06-Jul-18 - - 12 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Tapestry Adolescent Residential Program P.O. Box 1037 Brevard NC 28712 5030 Hendersonville Road Fletcher NC 28732 Henderson (828)884-2475 "Appalachian Outpatient Services, LLC" 080279 MHL-049-109 Barium Springs Home for Children 26-Jul-07 01-Jan-19 31-Dec-19 Type B 25-Jul-18 - - 6 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Barium Springs - Nelson Home P.O Box 1 Barium Springs NC 28010-0001 115 Barium Springs Drive Statesville NC 28677-6238 Iredell (704)832-2231 Barium Springs 101044 MHL-097-064 Barium Springs Home for Children 01-Jul-11 01-Jan-19 31-Dec-19 - - - - 9 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Barium Springs Home for Children - Kulynych Cottage P.O. Box 1 Barium Springs NC 28010-0001 517 Boston Avenue North Wilkesboro NC 28659-3903 Wilkes (336)667-5095 Barium Springs 030492 MHL-018-096 "Changing Lives Now, LLC" 26-Sep-17 01-Jan-19 31-Dec-19 Suspension of Admission 11-Sep-18 - - 6 27G.1300 Residential Treatment Level II C&ADOL MD RESIDENTL Changing Lives Now #3 PO Box 605 Conover NC 28613 4675 Hickory Lincolnton Hwy Newton NC 28658 Catawba (704)325-0526 "Changing Lives Now, LLC" 080572 MHL-051-170 Children Under Construction Treatment Center Barnes Inc 14-Jan-09 01-Jan-19 31-Dec-19 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Children Under Construction Treatment Center Barnes Inc 42 Jewel Lane Four Oaks NC 27524 42 Jewel Lane Four Oaks NC 27524 Johnston (919)934-8611 Children Under Construction Trtmnt Ctr Barne Inc 170197 MHL-059-080 "Clear Sky Behavioral, LLC" 21-Dec-18 01-Jan-19 31-Dec-19 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Bobcat Group Home 33 Burgin St. Marion NC 28752 120 Bobcat Path Marion NC 28752 McDowell (828)237-0225 "Clear Sky Behavioral, LLC" 160430 MHL-045-127 "Equinox RTC, LLC" 22-Dec-16 01-Jan-19 31-Dec-19 Type B 09-May-19 - - 37 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Equinox RTC 530 UIpper Flat Creek Rd weaverville NC 28787 2420 Middle Fork Road Hendersonville NC 28792 Henderson (877)279-8925 "Equinox RTC, LLC" 010644 MHL-012-137 "FOCUS Behavioral Health Services, LLC" 27-Oct-15 01-Jan-19 31-Dec-19 - - - - 6 27G.1300 Residential Treatment Level II C&ADOL MD RESIDENTL Park Place PO Box 3624 Morganton NC 28680-3624 109 Parker Lane Morganton NC 28655-3624 Burke (828)544-8340 "FOCUS Behavioral Health Services, LLC" 100547 MHL-006-018 "Grandfather Home for Children, Inc." 29-Mar-11 01-Jan-19 31-Dec-19 Type A 24-Sep-18 - - 8 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Grandfather Home For Children - Hickory Cottage PO Box 1 Barium Springs NC 28010-0001 "240 Grandfather Home Dr., Bldg.1" Banner Elk NC 28604 Avery (828)898-5465 "Grandfather Home for Children, Inc." 140247 MHL-034-328 "Inspirationz, LLC" 26-Aug-14 01-Jan-19 31-Dec-19 - - - - 5 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Inspirationz Level II 629 Akron Drive Winston-Salem NC 27105 5089 Baux Mountain Road Winston-Salem NC 27105 Forsyth (336)602-2873 "Inspirationz, LLC" 140463 MHL-034-335 "Inspirationz, LLC" 10-Mar-15 01-Jan-19 31-Dec-19 Type B 05-Feb-19 - - 4 27G.1300 Residential Treatment Level II C&ADOL MD RESIDENTL Inspirationz Tres 629 Akron Drive Winston Salem NC 27105 216 Hedgecock Avenue Winston Salem NC 27104 Forsyth (336)293-6705 "Inspirationz, LLC" 030775 MHL-001-169 Just In Time Youth Services 08-Sep-08 01-Jan-19 31-Dec-19 - - - - 6 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Just In Time Youth Services II P.O. Box 2162 Burlington NC 27216 111 Dogwood Drive Burlington NC 27215 Alamance (336)261-7148 Just In Time Youth Services 150542 MHL-002-028 "Luca's Hope, LLC" 10-Nov-05 01-Jan-19 31-Dec-19 - - - - 6 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Luca's Hope III PO Box 442 Sherrills Ford NC 28673 243 Liledoun Road Taylorsville NC 28681-4592 Alexander (828)352-7036 "Luca's Hope, LLC" 120156 MHL-041-1045 Lydia's Home LLC 24-May-12 01-Jan-19 31-Dec-19 - - - - 4 27G.1300 Residential Treatment Level II ADOL MI RESIDENTL "Lydia's Home, LLC Phase 2" PO Box 7954 Greensboro NC 27417 716 Prince Road Greensboro NC 27455 Guilford (336)855-6937 Lydia's Home LLC 110837 MHL-041-890 "Majestic Solutions, LLC" 24-Nov-08 01-Jan-19 31-Dec-19 Type A 18-Nov-14 - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL "Majestic Solutions, LLC" PO Box 1535 Greensboro NC 27402-1535 1115 Centennial Street High Point NC 27262 Guilford (336)307-2517 070260 MHL-080-173 Nazareth Children's Home 01-Apr-08 01-Jan-19 31-Dec-19 Suspension of Admission 09-Oct-18 - - 8 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL A.C.E. Program PO Box 1438 Rockwell NC 28138 1155 Children's Circle Rockwell NC 28138 Rowan (704)279-5556 Nazareth Children's Home 180403 MHL-001-259 "New Possibilities Home For Children, LLC" 11-Jan-19 11-Jan-19 31-Dec-19 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL A Mother's Love 813 Trail One Burlington NC 27215 1227 Westmoreland Drive Burlington NC 27215 Alamance (336)359-6011 "New Possibilities Home for Children, LLC" 020468 MHL-080-201 "New Vision of the Carolinas, Inc." 01-Oct-15 01-Jan-19 31-Dec-19 Type A 22-Dec-17 - - 3 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Partee Street 1040 Short Street Salisbury NC 28144 204 Partee Street Salisbury NC 28144 Rowan (704)870-8387 "New Vision of the Carolinas, Inc." 120172 MHL-012-095 "One Love Periodic Services, Inc." 16-Jul-04 01-Jan-19 31-Dec-19 Type A 01-Jun-18 - - 4 27G.1300 Residential Treatment Level II C&ADOL MR/DD RESIDENTL Oak House 103 North Green Street Morganton NC 28655 216 Valdese Avenue Drexel NC 28619 Burke (828)391-1949 "One Love Periodic Services, Inc." 150335 MHL-081-111 Peace in the City 15-Jan-16 01-Jan-19 31-Dec-19 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Peace in the City-House of Love P.O. Box 987 Forest City NC 28043 795 Spindale Street Spindale NC 28160 Rutherford (828)382-0472 Peace In The City 061050 MHL-060-586 "Primary Care Solutions, Inc." 12-Jul-00 01-Jan-19 31-Dec-19 Type B 02-May-18 - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Idlewild Home 5601 Executive Center Dr Ste 200 Charlotte NC 28212 6807 Idlewild Brook Lane Charlotte NC 28212 Mecklenburg (704)569-5147 William Bullock 080449 MHL-060-1088 "Primary Care Solutions, Inc." 18-Nov-08 01-Jan-19 31-Dec-19 Type A 19-Sep-17 - - 3 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Fairstone Home "5601 Executive Center Dr., Ste. 200" Charlotte NC 28212 2744 Fairstone Avenue Charlotte NC 28269 Mecklenburg (704)910-4895 Primary Care Solutions 150196 MHL-023-197 "Self Determination, LLC" 04-Nov-11 01-Jan-19 31-Dec-19 Type A 18-Apr-19 - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Self Direction 103 Ebenezer Road Kings Mountain NC 28086 103 Ebenezer Road Kings Mountain NC 28086 Cleveland (704)750-4752 "Self Determination, LLC" 160193 MHL-023-203 "Self Determination, LLC" 18-Jul-14 01-Jan-19 31-Dec-19 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Ann's House 103 Ebenezer Road Kings Mountain NC 28086 423 Milsap Road Shelby NC 28150 Cleveland (704)750-4752 "Self Determination, LLC" 090425 MHL-001-218 "Solutions Community Support Agency, LLC" 18-Aug-11 01-Jan-19 31-Dec-19 - - - - 4 27G.1300 Residential Treatment Level II C MI RESIDENTL Life Cycles Residential Facility "236 N. Mebane St., Ste. 101" Burlington NC 27217 614 Oakdale Court Burlington NC 27217 Alamance (336)227-6010 "Solutions Community Support Agency, LLC" 050460 MHL-041-770 "Special ""K"" Services, Inc." 21-Dec-05 01-Jan-19 31-Dec-19 - - - - 5 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL "Special ""K"" Services" 825 Nestleway Drive Greensboro NC 27406 825 Nestleway Drive Greensboro NC 27406 Guilford (336)312-1316 090202 MHL-001-177 "Sunrise Pointe, LLC" 04-Jun-09 01-Jan-19 31-Dec-19 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Turning Pointe #1 203 Overbrook Terrace Burlington NC 27215 1409 Jackson Street Burlington NC 27217 Alamance (336)350-9465 "Sunrise Pointe, LLC" 130285 MHL-001-152 "Sunrise Pointe, LLC" 24-Sep-07 01-Jan-19 31-Dec-19 - - - - 6 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Star Pointe 203 Overbrook Terrace Burlington NC 27215 203 Overbrook Terrace Burlington NC 27215 Alamance (336)254-8798 "Sunrise Pointe, LLC" 061457 MHL-092-678 "The Bruson Group, Inc." 14-Mar-07 01-Jan-19 31-Dec-19 Type A 12-Jul-19 - - 6 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL The Bruson Group Inc. dbaNew Beginnings Health Care Pha 4225 Coldwater Springs Drive Raleigh NC 27616-8419 4513 Fox Road Raleigh NC 27616 Wake (919)878-6650 Sonia Ward 060602 MHL-051-151 United Family Network 19-Jul-06 01-Jan-19 31-Dec-19 Type B 21-May-08 - - 4 27G.1300 Residential Treatment Level II C MI RESIDENTL United Family Network at Ridge Road 9609 Kennebec Road at Willow Spring Willow Springs NC 27592 1259 Ridge Rd Angier NC 27501 Johnston (919)894-2040 080152 MHL-001-161 "Vince Marley, LLC" 25-Jul-08 01-Jan-19 31-Dec-19 Type A 26-Sep-14 - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Ethel's Footprints PO Box 163 Randleman NC 27317 219 Albany Street Burlington NC 27215 Alamance (336)226-4103 Vince Marley LLC 011296 MHL-011-398 "Wilderness Training & Consulting, LLC" 11-Jul-16 01-May-19 31-Dec-19 - - - - 96 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL "Solstice East, LLC" 530 Upper Flat Creek Rd Weaverville NC 28787 530 Upper Flat Creek Road Weaverville NC 28787 Buncombe (828)484-9928 "Wilderness Training & Consulting, LLC" 041660 MHL-041-753 "Youth Enrichment Group Home, Inc." 12-Aug-05 01-Jan-19 31-Dec-19 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Lockwood Place 4299 Harbor Ridge Drive Greensboro NC 27406 4004 Cornerrock Drive Greensboro NC 27406 Guilford (336)697-0837 070585 MHL-041-851 "Youth Enrichment Group Home, Inc." 19-Oct-07 01-Jan-19 31-Dec-19 Type A 18-Dec-08 - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Bellwick Place 4299 Harbor Ridge Drive Greensboro NC 27406 1701 Bellwick Drive Greensboro NC 27406 Guilford (336)697-1826 "Youth Enrichment Group Home, Inc." 021313 MHL-079-073 "Youth Haven Services, LLC" 11-Mar-04 01-Jan-19 31-Dec-19 - - - - 3 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Faith House 229 Turner Dr Reidsville NC 27320 1115 Rosemont Drive Reidsville NC 27320 Rockingham (336)634-0389 "Youth Haven Services, LLC" 120219 MHL-059-057 "A Caring Alternative, LLC" 05-Jun-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY McDowell County Elementary Day Treatment PO Box 1536 Morganton NC 28680 "820 Marler Road, Classroom #A-16" Marion NC 28752 McDowell (828)738-3353 "A Caring Alternative, LLC" 130298 MHL-011-361 "A Caring Alternative, LLC" 18-Jul-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Buncombe County PASS Day Treatment Program P.O. Box 1536 Morganton NC 28680 "235 Old Highway 70, Modular A, Classroom #1" Swannanoa NC 28778 Buncombe (828)686-7734 "A Caring Alternative, LLC" 130296 MHL-011-362 "A Caring Alternative, LLC" 18-Jul-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Buncombe County New Beginnings Day Treatment Program P.O. Box 1536 Morganton NC 28680 "730 Old Highway 70, Classroom #400 & #401" Swannanoa NC 28778 Buncombe (828)686-7739 "A Caring Alternative, LLC" 130300 MHL-011-363 "A Caring Alternative, LLC" 24-Jul-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Buncombe County OASIS Day Treatment Program P.O. Box 1536 Morganton NC 28680-4999 "108 Elk Mountain Road, Classroom 106" Asheville NC 28806 Buncombe (828)232-4287 "A Caring Alternative, LLC" 180537 MHL-059-055 "A Caring Alternative, LLC" 01-Nov-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY McDowell County Day Treatment PO Box 1536 Morganton NC 28680-1536 "676 State Street, Classroom # B-12" Marion NC 28752 McDowell (828)652-7711 "A Caring Alternative, LLC" 180452 MHL-061-015 "A Caring Alternative, LLC" 21-Dec-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MD DAY Greenlee Primary School/Mitchell Co. Day Treatment 301 East Meeting Street Morganton NC 28655 "2206 Carters Ridge Road, Rooms 222 & 228" Spruce Pine NC 28777 Mitchell (828)766-9562 "A Caring Alternative, LLC" 180204 MHL-060-1263 "ARJ, LLC" 10-Apr-13 01-Jan-19 31-Dec-19 Type A 18-Jan-18 - - 0 27G.1400 Day Treatment C&ADOL MI DAY Jasper's House Day Treatment 2311 Village Lake Drive Charlotte NC 28212 2311 Village Lake Drive Charlotte NC 28212 Mecklenburg (980)819-5692 "ARJ, LLC" 190111 MHL-025-223 "Access Family Services, Inc." 01-Nov-14 27-Mar-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Aspire "8390 Six Forks Rd., Suite 201/204" Raleigh NC 27615 "2000 Dr. Martin Luther King Jr. Boulevard, Bldg. 500" New Bern NC 28562 Craven (252)633-2587 "Access Family Services, Inc." 100400 MHL-078-294 "Advantage Behavioral Healthcare, Inc." 07-Dec-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Advantage Behavioral Healthcare 732 Davis Avenue Whiteville NC 28472 609 Harry West Lane Ext. Pembroke NC 28372 Robeson (910)852-9811 Advantage Behavioral Healthcare 180408 MHL-024-106 "Advantage Behavioral Healthcare, Inc." 17-Aug-15 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Columbus Day Treatment Center 732 Davis Avenue Whiteville NC 28472 "409 East Third Street, Room D 105" Chadbourn NC 28431 Columbus (910)654-3825 "Advantage Behavioral Healthcare, Inc." 180413 MHL-083-062 "Advantage Behavioral Healthcare, Inc." 24-Jun-19 24-Jun-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Scotland Day Treatment Center 732 Davis Avenue Whiteville NC 28472 "2100 Sycamore Lane, Rooms B9 & B10" Laurinburg NC 28352 Scotland (910)277-4350 "Advantage Behavioral Healthcare, Inc." 120136 MHL-004-031 "Agape Services, Inc." 03-Apr-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment ADOL MI DAY Next Generation Educational-SAIOP Treatment Center-East PO Box 3319 Monroe NC 28111-3319 201 West Morgan Street Wadesboro NC 28170 Anson (704)465-2221 "Agape Services, Inc." 190077 MHL-090-126 "Agape Services, Inc." 24-Oct-01 02-Apr-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Next Generation Educational & SAIOP Treatment Center 717 East Park Drive Monroe NC 28112 717 East Park Drive Monroe NC 28112 Union (704)289-7889 "Agape Services, Inc." 100012 MHL-041-1166 "Akachi Solution, LLC" 16-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Akachi Solutuion, LLC" "3818 N. Elm Street., Ste C" Greensboro NC 27455 "3818 North Elm Street, Suite C" Greensboro NC 27455 Guilford (336)545-5995 "Akachi Solution, LLC" 051152 MHL-060-968 Alexander Youth Network 01-Nov-05 01-Jan-19 31-Dec-19 Type B 30-Apr-19 - - 0 27G.1400 Day Treatment C&ADOL MI DAY Alexander Youth Network - Charlotte Day Treatment 6220 Thermal Rd Charlotte NC 28211 6220-D Thermal Rd Charlotte NC 28211 Mecklenburg (704)366-8712 100857 MHL-013-154 Alexander Youth Network 27-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Alexander Youth Network - Furr Day Treatment 6220 Thermal Road Charlotte NC 28211 2725 Clover Road Northwest Concord NC 28027 Cabarrus (704)788-4300 Alexander Youth Network 971334 MHL-090-178 Alexander Youth Network 18-Aug-14 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Alexander Youth Network-South Providence Day Treatment 6220 Thermal Road Charlotte NC 28211 "500 South Providence Street, Downstairs Suite" Waxhaw NC 28173 Union (704)290-1580 Alexander Youth Network 160067 MHL-010-083 Alexander Youth Network 22-Jul-16 01-Jan-19 31-Dec-19 Type A 19-Apr-17 - - 0 27G.1400 Day Treatment C&ADOL MI DAY Alexander Youth Network - Bolivia Day Treatment 6220 Thermal Road Charlotte NC 28211 "4036 Business 17 East, Building 600" Bolivia NC 28422 Brunswick (910)703-8800 Alexander Youth Network 170173 MHL-036-002 Alexander Youth Network 09-Nov-00 01-Jan-19 31-Dec-19 Type A 03-Feb-17 - - 0 27G.1400 Day Treatment C&ADOL MI DAY Alexander Youth Network-Beacon Hall 6220 Thermal Road Charlotte NC 28211 1906 Dallas-Cherryville Highway Dallas NC 28034 Gaston (704)922-9115 Alexander Youth Network 170284 MHL-090-177 Alexander Youth Network 18-Aug-14 01-Jan-19 31-Dec-19 Type B 27-Mar-19 - - 0 27G.1400 Day Treatment C&ADOL MI DAY Alexander Youth Network-Porter Ridge 6220 Thermal Road Charlotte NC 28211 "2843 Ridge Road, Classrooms E-102 & E-104" Indian Trail NC 28079 Union (704)289-1965 Alexander Youth Network 180116 MHL-084-091 Alexander Youth Network 14-Mar-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Alexander Youth Network-Millingport Day Treatment 6220 Thermal Rd Charlotte NC 28211 "24198 NC 73 Highway, Rooms 101 & 102" Albemarle NC 28001-7360 Stanly (704)961-4300 Alexander Yourh Network 180304 MHL-029-139 Alexander Youth Network 12-Jul-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C MI DAY Alexander Youth Network-Liberty Dr Elmntry Day Trtmnt 6220 Thermal Road Charlotte NC 28211 "401 Liberty Drive, Rooms 118 & 124" Thomasville NC 27360 Davidson (336)474-4186 Alexander Youth Network 180339 MHL-023-157 Alexander Youth Network 21-Aug-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Alexander Youth Network -Shelby Day Treatment 6220 Thermal Road Charlotte NC 28211 "400 W Marion Street, Turning Point Academy, Lower Wing" Shelby NC 28150 Cleveland (704)476-8062 Alexander Youth Network 180434 MHL-023-193 Alexander Youth Network 10-Sep-14 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Alexander Youth Network-North Shelby Day Treatment 6220 Thermal Road Charlotte NC 28211 "1701 Charles Road, Classrooms 102,106, & 107" Shelby NC 28152 Cleveland (704)482-4800 Alexander Youth Network 180476 MHL-026-970 Alexander Youth Network 25-Oct-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL&A MI DAY Howard Day Treatment 6220 Thermal Rd Charlotte NC 28211 "1608 Camden Road, Rooms 16 & 17" Fayetteville NC 28306 Cumberland (910)483-5434 Alexander Youth Network 190043 MHL-026-971 Alexander Youth Network 11-Feb-19 11-Feb-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Sherwood Park Day Treatment 6220 Thermal Road Charlotte NC 28211 "2115 Hope Mills Road, Rooms 1 & 3" Fayetteville NC 28304 Cumberland (910)424-4797 Alexander Youth Network 140317 MHL-049-085 Barium Springs Home for Children 14-Jul-03 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Springs Academy P.O. Box 1 Barium Springs NC 28010-0001 222 Knox Street Statesville NC 28677 Iredell (704)872-7606 Barium Springs 090009 MHL-024-077 "Carolinas Home Care Agency, Inc." 27-Mar-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Carolinas Home Care Agency, Inc." PO Box 1723 Whiteville NC 28472 603 South Canal Street Whiteville NC 28472 Columbus (910)642-3700 Melody and Michael Campbell 090009 MHL-024-077 "Carolinas Home Care Agency, Inc." 27-Mar-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Bayada Nurses, Inc." "5505 Creedmoor Road, Suite 205" Raleigh NC 27612 "5505 Creedmoor Road, Suite 205" Raleigh NC 27612 Wake (919)785-4949 130017 MHL-009-043 "Carolinas Home Care Agency, Inc." 30-Jan-13 01-Jan-19 31-Dec-19 Type B 15-Feb-17 - - 0 27G.1400 Day Treatment C&A MI DAY Carolinas Home Care Agency Inc. PO Box 1723 Whiteville NC 28472 1204 West Swanzy Street Elizabethtown NC 28337 Bladen (910)862-1515 "Carolinas Home Care Agency, Inc." 061358 MHL-065-259 "Coastal Horizons Center, Inc." 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Lake Forest Academy Day Treatment 615 Shipyard Blvd. Wilmington NC 28401 1806 South 15th Street Wilmington NC 28401 New Hanover (910)772-2515 "Coastal Horizons Center, Inc." 180345 MHL-009-047 "Coastal Horizons Center, Inc." 24-Aug-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Elizabethtown Middle School Day Treatment 615 Shipyard Blvd. Wilmington NC 28412 "1496 Highway 701 N., Room 205" Elizabethtown NC 28337 Bladen (910)862-4071 "Coastal Horizons Center, Inc." 090679 MHL-009-048 "Coastal Horizons Center, Inc." 24-Aug-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Elizabethtown Primary Day Treatment 615 Shipyard Blvd. Wilmington NC 28401 "301 Mercer Mill Road, Rooms 1 & 3" Elizabethtown NC 28337 Bladen (910)879-9996 "Coastal Horizons Center, Inc." 100289 MHL-024-088 "Community Support Agency, LLC" 05-May-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Community Support Agency, LLC" PO Box 465 Delco NC 28436 44 Dream Avenue Delco NC 28436 Columbus (910)655-0698 070448 MHL-058-024 "Comprehensive Interventions, Inc." 26-Jun-07 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Comprehensive Interventions, Inc." P.O. Box 1216 Williamston NC 27892 607 Washington Street Williamston NC 27892 Martin (252)792-8035 180416 MHL-033-130 "Comprehensive Interventions, Inc." 21-Dec-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Comprehensive Interventions Inc. Day Treatment-Bullock "607 Washington St, PO Box 1216" Williamston NC 27892 "3090 Bullock School Road, Room 504" Rocky Mount NC 27801 Edgecombe (252)985-3456 Comprehensive Interventions Inc. 180419 MHL-033-131 "Comprehensive Interventions, Inc." 06-Dec-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Comprehensive Interventions Inc. Day Treatment-Patillo "607 Washington St., PO Box 1216" Williamston NC 27892 "501 E. Avenue, Rooms 139, 141, 143" Tarboro NC 27886 Edgecombe (252)823-3812 "Comprehensive Interventions, Inc." 150185 MHL-041-1036 "Continuum Care Services, Inc." 16-Dec-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Continuum Care Services, Inc." P.O. Box 6331 Concord NC 28027 "409 East Fairfield Road, Suites C, D & E" High Point NC 27263 Guilford (336)854-2560 "Continuum Care Services, Inc." 180190 MHL-041-1165 "Continuum Care Services, Inc." 10-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment ADOL MI DAY "Continuum Care Services, Inc." PO Box 6331 Concord NC 28027 1001 Phillips Avenue High Point NC 27262 Guilford (336)854-2560 "Continuum Care Services, Inc." 090664 MHL-040-045 "Corine's Care Management, Inc." 23-Oct-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Corine's Care Management, Inc." 55 Patrick Drive Snow Hill NC 28580 369 B Highway 13 South Snow Hill NC 28580 Greene (252)747-5705 "Corine's Care Management, Inc." 922838 MHL-094-012 "D.R.E.A.M. Provider Care Services, Inc." 11-Apr-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Dream Provider Care Services, Inc." 216 Stewart Parkway Washington NC 27889 716 Washington Street Plymouth NC 27962 Washington (252)791-0430 100421 MHL-029-127 "Daymark Recovery Services, Inc." 15-Jul-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY LMS Day Treatment 2129 Statesville Blvd. Salisbury NC 28147 100 West Hemstead Street Lexington NC 27292 Davidson (336)242-1567 "Daymark Recovery Services, Inc." 130605 MHL-006-023 "Daymark Recovery Services, Inc." 17-Mar-14 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Blue Ridge Academy Day Treatment 2129 Statesville Blvd Salisbury NC 28147 "76 Old Montezuma Road, Aternative School & Annex" Newland NC 28657 Avery (828)733-0145 "Daymark Recovery Services, Inc." 140310 MHL-095-050 "Daymark Recovery Services, Inc." 04-Sep-14 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Watauga Day Treatment - Blowing Rock Elementary 2129 Statesville Blvd Salisbury NC 28147 "165 Morris Street, Classroom #501" Blowing Rock NC 28605 Watauga (828)295-3204 "Daymark Recovery Services, Inc." 150171 MHL-029-124 "Daymark Recovery Services, Inc." 11-Oct-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Daymark Davidson Day Treatment at Pickett Elementary 2129 Statesville Blvd. Salisbury NC 28142 "200 Biesecker Road, Classroom #20" Lexington NC 27295 Davidson (336)242-1546 "Daymark Recovery Services, Inc." 160112 MHL-097-076 "Daymark Recovery Services, Inc." 17-May-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY West Wilkes Middle Day Treatment 2129 Statesville Blvd Salisbury NC 28147 "1677 North NC Highway 16, Classrooms #701, 702 & 703" Wilkesboro NC 28697 Wilkes (336)651-4381 "Daymark Recovery Services, Inc." 160379 MHL-097-077 "Daymark Recovery Services, Inc." 31-Aug-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C MI DAY Wilkes Day Treatment-Mulberry Elementary 2129 Statesville Blvd Salisbury NC 28147 "190 Mulberry School Road, Classrooms 139 & 141" North Wilkesboro NC 28659 Wilkes (336)667-4641 Daymark Recovery Services Inc. 170331 MHL-097-079 "Daymark Recovery Services, Inc." 26-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Wilkes Day Treatment-CC Wright Elementary 2129 Statesville Blvd Salisbury NC 28147 "200 C.C. Wright School Road, Rooms 126 & 127" North Wilkesboro NC 28659 Wilkes (336)838-5513 "Daymark Recovery Services, Inc." 170336 MHL-097-080 "Daymark Recovery Services, Inc." 24-Aug-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Wilkes Day Treatment-North High 2129 Statesville Blvd Salisbury NC 28147 "2986 Traphill Road, Classrooms #181 & #181-B" Hays NC 28635 Wilkes (336)903-4040 "Daymark Recovery Services, Inc." 130235 MHL-075-027 "DirectCare Community Base Services, LLC" 26-Jun-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY DirectCare Comm. Based Services-Day Treatment Polk Co. P.O. Box 261 Crouse NC 28033 "156 School Road, Classroom #103" Mill Spring NC 28756 Polk (828)894-9755 "DirectCare Community Based Services, LLC" 160483 MHL-081-083 "DirectCare Community Based Services, LLC" 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY DirectCare Community Based Services-Day Treatment 105 Carriage Court South Shelby NC 28150 129 First Street Forest City NC 28403 Rutherford (828)286-4466 "DirectCare Community Based Services, LLC" 090536 MHL-032-533 "Diverse Family Services, LLC" 13-May-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Diverse Family Services, LLC" 2402 South Miami Blvd. Suite 108 Durham NC 27703 3519 Fayetteville Street Durham NC 27707 Durham (919)683-9560 Attn: Kristin Jones 090592 MHL-098-172 "Diverse Family Services, LLC" 11-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Diverse Family Services "2402 S. Miami Blvd., Ste. 108" Durham NC 27704 618 Tarboro Street NE Wilson NC 27894 Wilson (252)399-0073 Kristin Jones 170182 MHL-054-165 "Dixon Social Interactive Services, Inc." 07-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Dixon Social Interactive Services PO Box 30166 Greenville NC 27833 "301 North Secrest St., classrooms 1-5" Kinston NC 28501 Lenoir (252)353-0100 "Dixon Social Interactive Services, Inc." 001575 MHL-011-261 "Eliada Homes, Inc." 01-Jul-05 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Eliada Academy PO Box 16708 Asheville NC 28816 2 Compton Drive Asheville NC 28806 Buncombe (828)254-5356 "Eliada Homes, Inc." 100223 MHL-033-078 Elite Care Inc. 16-Apr-10 01-Jan-18 31-Dec-18 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Elite Care, Inc." 3836 Abby Lynn Drive Greenville NC 27858 410 Main Street Tarboro NC 27886 Edgecombe (252)824-3007 Elite Care Inc. 170478 MHL-067-140 "FACT Specialized Services, LLC" 01-May-02 01-Jan-20 31-Dec-20 Type A 21-Nov-14 - - 0 27G.1400 Day Treatment C&ADOL MI DAY FACT Day Treatment Program "120 Henderson Drive, Suites A & B" Jacksonville NC 28540 "120 Henderson Drive, Suites A & B" Jacksonville NC 28540 Onslow (910)346-3744 "FACT Specialized Services, LLC" 130389 MHL-012-108 "FOCUS Behavioral Health Services, LLC" 05-Dec-06 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Hand In Hand Burke County Day Treatment P.O. Box 3624 Morganton NC 28680 "205 S. Main Street, Hallyburton Academy Bldg. Rm #1&2" Drexel NC 28619 Burke (828)544-8337 "FOCUS Behavioral Health Services, LLC" 070885 MHL-096-185 "Family First Support Center, Inc." 16-Nov-06 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL&A MI DAY Family First Support Center 770 Vail Road Pikeville NC 27863-9446 110 SW Center Street Mt. Olive NC 28365-2124 Wayne (919)635-3344 Howard Calhoun 090960 MHL-045-091 "Family Preservation Services of North Carolina, LLC" 17-Dec-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY FPS-GR-Edneyville "2300 Sardis Rd., N Ste M" Charlotte NC 28227 2875 Pace Road Hendersonville NC 28792 Henderson (828)685-7600 "Family Preservation Services of NC, LLC" 090962 MHL-045-093 "Family Preservation Services of North Carolina, LLC" 17-Dec-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY FPS-GR-Dana "2300 Sardis Rd, N Ste M" "Charlotte," NC 28227 690 Ridge Road Hendersonville NC 28792 Henderson (828)697-4187 "Family Preservation Services of NC, LLC" 110404 MHL-045-104 "Family Preservation Services of North Carolina, LLC" 13-Jul-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY FPS-GR-Flat Rock Middle School "2300 Sardis Rd., N Suite M" Charlotte NC 28227 191 Preston Lane East Flat Rock NC 28726 Henderson (828)697-4187 "Family Preservation Services of NC, LLC" 160345 MHL-081-116 "Family Preservation Services of North Carolina, LLC" 17-Aug-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C MI DAY FPS-Spindale Elementary "2300 Sardis Rd N, Ste M" Charlotte NC 28209 "161 North Oak Street, Classroom # A-109" Spindale NC 28160 Rutherford (828)286-2861 "Family Preservation Services of North Carolina,LLC" 160347 MHL-081-117 "Family Preservation Services of North Carolina, LLC" 17-Aug-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C MI DAY FPS-Forest City-Dunbar Elementary "2300 Sardis Rd, N, Ste. M" Charlotte NC 28227 "286 Learning Parkway, Classroom #225" Forest City NC 28043 Rutherford (828)245-4978 "Family Preservation Services of NC, LLC" 160348 MHL-081-118 "Family Preservation Services of North Carolina, LLC" 17-Aug-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C MI DAY FPS-Ellenboro Elementary "2300 Sardis Rd., N, Ste M" Charlotte NC 28227 "813 Piney Mountain Church Road, Classroom 127" Ellenboro NC 28040 Rutherford (828)453-8185 "Family Preservation Services of NC, LLC" 160346 MHL-081-119 "Family Preservation Services of North Carolina, LLC" 17-Aug-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C MI DAY FPS-Rutherfordton Elementary "2300 Sardis Rd., N., Ste. M" Charlotte NC 28227 "201 Bob Hardin Road, Classrooms C-27 & C-29" Rutherfordton NC 28139 Rutherford (828)287-3778 "Family Preservation Services of NC, LLC" 111029 MHL-014-080 "Focus Behavioral Health Services, LLC" 01-Feb-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Hand In Hand Day Treatment PO Box 3624 Morganton NC 28680-3624 "143-145 Cedar Valley Road, Suites 1, 3 & 4" Hudson NC 28638 Caldwell (828)439-8191 "Focus Behavioral Health Services, LLC" 160323 MHL-014-085 "Focus Behavioral Health Services, LLC" 14-Jul-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Horizons Day Treatment PO Box 3624 Morganton NC 28680-3624 "332 Greenhaven Drive NW, A Wing & Room #20" Lenoir NC 28645-3613 Caldwell (828)439-8191 "Focus Behavioral Health Services, LLC" 090462 MHL-036-274 "Gaston Adolescent Center, Inc." 27-Jul-09 01-Jan-20 31-Dec-20 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Gaston Adolescent Center, Inc." "635 Cox Road, Suite B" Gastonia NC 28054 "635 Cox Road, Suite B" Gastonia NC 28054 Gaston (704)691-7561 "Gaston Adolescent Center, Inc." 110025 MHL-036-308 "Gaston Adolescent Center, Inc." 15-Jul-14 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Gaston Adolescent Center-Warlick Academy Day Treatment "635 Cox Rd., Ste. B" Gastonia NC 28054 "1316 Spencer Mountain Road, Classroom #5" Gastonia NC 28054 Gaston (704)824-3012 "Gaston Adolescent Center, Inc." 130228 MHL-098-145 Getting Ready Inc. 23-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Getting Ready Inc. PO Box 355 Black Creek NC 27813 510 Church Street Black Creek NC 27813 Wilson (252)281-1718 160343 MHL-042-077 Getting Ready Inc. 31-Aug-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment A MI DAY Getting Ready Inc. PO Box 355 Black Creek NC 27813 13723 Highway 481 Enfield NC 27823 Halifax (252)445-5455 "Getting Ready, Inc." 180241 MHL-098-199 Getting Ready Inc. 08-Nov-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Getting Ready Inc. 510 Church St. Black Creek NC 27813 1004 Herring Avenue Wilson NC 27893 Wilson (252)293-4151 Getting Ready Inc. 090056 MHL-006-022 "Grandfather Home for Children, Inc." 06-Aug-13 01-Jan-19 31-Dec-19 Type B 08-Apr-15 - - 0 27G.1400 Day Treatment C&ADOL MI DAY Grandfather Home Day Treatment PO Box 1 Barium Springs NC 28010-0001 64 Hickory Nut Gap Road Banner Elk NC 28604 Avery (828)898-5465 Barium Springs 100001 MHL-092-682 "Hope Services, LLC" 18-May-07 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&A MI DAY Ray of Hope PO Box 808 Kure Beach NC 28449 2900 Kidd Road Raleigh NC 27610 Wake (919)532-7599 "Hope Services, Inc." 061284 MHL-051-221 "Hope Services, LLC" 16-Aug-19 16-Aug-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Light of Hope "3000 Highwoods Blvd, Ste 210" Raleigh NC 27604 1329 N. Brightleaf Blvd. Suite D Smithfield NC 27577 Johnston (919)646-9560 "Hope Services, LLC" 180197 MHL-074-251 Integrated Family Services PLLC 19-Apr-18 25-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Integrated Family Services Day Treatment Program PO Box 885 Ahoskie NC 27910 "1019 Fleming Street, Room 221 & 223" Greenville NC 27834 Pitt (252)830-2152 Integrated Family Services PLLC 100314 MHL-054-147 "Joseph's Community Support Services, Inc" 17-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Joseph's Empowerment Center PO Box 1444 Kinston NC 28503 2005 N Queen Street (East side) Kinston NC 28501 Lenoir (252)208-2005 110042 MHL-016-041 "Le'Chris Counseling Services, Inc." 10-Feb-01 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Le'Chris Counseling Services, Inc. of Carteret County" "1822 S. Glenburnie Rd., Ste. 352" New Bern NC 28562 140 Vashti Drive Morehead City NC 28557 Carteret (252)622-4826 "Le'Chris Counseling Services, Inc." 110332 MHL-040-043 "Lucille's Behavioral, Inc." 16-Apr-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Lucille's Behavioral, Inc." One Professional Drive Snow Hill NC 28580 414-F Kingold Blvd. Snow Hill NC 28580 Greene (252)747-3450 922161 MHL-092-092 Lucy Daniels Center 01-Aug-91 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Lucy Daniels Center for Early Childhood 9003 Weston Parkway Cary NC 27513 9003 Weston Parkway Cary NC 27513 Wake (919)677-1400 Lucy Daniels Center 110080 MHL-088-033 "Meridian Behavioral Health Services, Inc." 01-Jan-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Meridian Behavioral Health Services-Brevard Middle PO Box 2187 Sylva NC 28779 400 Fisher Road Brevard NC 28712 Transylvania (828)844-3152 "Meridian Behavioral Health Services, Inc." 051091 MHL-044-066 "Meridian Behavioral Health Services, Inc." 01-Mar-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Meridian Behavioral Health Services-WMS Day Treatment PO Box 2187 Sylva NC 28779 495 Brown Avenue Waynesville NC 28786 Haywood (828)456-2403 "Meridian Behavioral Health Services, Inc." 020331 MHL-050-065 "Meridian Behavioral Health Services, Inc." 01-Mar-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment A MI DAY Meridian Behavioral Health Services-Hub Day Treatment PO Box 2187 Sylva NC 28779 3770 Skyland Drive Sylva NC 28779 Jackson (828)586-4328 "Meridian Behavioral Health Services, Inc." 160199 MHL-044-064 "Meridian Behavioral Health Services, Inc." 01-Mar-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Meridian Behavioral Health Services-Bridges Day Trtmnt PO Box 2187 Sylva NC 28779 "60 Thompson Street, Classrooms 110 & 111" Canton NC 28716 Haywood (828)646-3444 "Meridian Behavioral Health Services, Inc." 110539 MHL-050-068 "Meridian Behavioral Health Services, Inc." 18-Aug-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Scotts Creek Day Treatment PO Box 2187 Sylva NC 28779 "516 Parris Branch Rd., Classroom #229" Sylva NC 28779 Jackson (828)631-2740 "Meridian Behavioral Health Services, Inc." 180281 MHL-088-034 "Meridian Behavioral Health Services, Inc." 01-Jan-16 25-Jul-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Meridian Behavioral Health Services-Pisgah Forest DT PO Box 2187 Sylva NC 28779 "1076 Ecusta Road, Rooms 111 & 117" Brevard NC 28712 Transylvania (828)877-4481 "Meridian Behavioral Health Services, Inc." 160250 MHL-038-020 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Graham Foundations PO Box 11247 Richmond VA 23230-1247 "54 Moose Branch Road, Auditorium Bldg." Robbinsville NC 28771 Graham (828)479-9850 "NCG Acquisition, LLC" 130227 MHL-020-077 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Foundation: Murphy Elementary PO Box 11247 Richmond VA 23230-1247 "315 Valley River Avenue, Classroom #204" Murphy NC 28906 Cherokee (828)837-2424 "NCG Acquisition, LLC" 130457 MHL-038-021 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Foundations: Graham High School P.O. Box 11247 Richmond VA 23230-1247 113 Moose Branch Road Robbinsville NC 28771 Graham (828)479-6692 "NCG Acquisition, LLC" 051112 MHL-087-013 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Foundations: Swain West Elementary PO Box 11247 Richmond VA 23230-1247 4142 Highway 19 West Bryson City NC 28713 Swain (828)488-2119 "NCG Acquisition, LLC" 120398 MHL-087-014 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Foundations: Swain Middle PO Box 11247 Richmond VA 23230-1247 135 Arlington Avenue Bryson City NC 28713 Swain (828)488-3480 "NCG Acquisition, LLC" 051111 MHL-087-015 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Swain Foundations PO Box 11247 Richmond VA 23230-1247 1415 Fontana Road Bryson City NC 28713 Swain (828)488-1201 "NCG Acquisition, LLC" 100945 MHL-050-067 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Foundations: Swain Elementary 750 US Hwy 64 W Murphy NC 28906 "4747 Ela Road, Room #405" Whittier NC 28789 Jackson (828)488-0939 "NCG Acquisition, LLC" 170361 MHL-020-080 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Foundations: Murphy Middle School PO Box 11247 Richmond VA 23220-1247 "2230 Airport Road, Bldg. #1 & #2" Marble NC 28905 Cherokee (828)837-5485 "NCG Acquisition, LLC" 080239 MHL-080-200 "Nazareth Children's Home, Inc." 08-Apr-15 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Crescent Academy P.O. Box 1438 Rockwell NC 28138 1190 Safe Haven Lane Rockwell NC 28138 Rowan (704)279-5556 "Nazareth Children's Home, Inc." 160469 MHL-080-199 "Nazareth Children's Home, Inc." 07-Apr-15 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Crescent Academy - Hanford Dole Elementary PO Box 1438 Rockwell NC 28138 "465 Choate Road, Mobile Unit #1" Salisbury NC 28146 Rowan (704)639-3046 "Nazareth Children's Home, Inc." 130190 MHL-080-202 "Nazareth Children's Home, Inc." 03-Nov-15 06-May-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Crescent Academy Rockwell #2 P.O. Box 1438 Rockwell NC 28138 855 Crescent Road Rockwell NC 28138 Rowan (704)279-5556 Nazareth Children's Home. Inc. 922863 MHL-031-071 "New Dimension Group, LLC" 25-Mar-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY New Dimension Group PO Box 880 Rose Hill NC 28458 416 West Ridge Street Rose Hill NC 28458 Duplin (910)289-2610 "New Dimension Group, LLC" 922559 MHL-054-018 "Nova IC, Inc." 01-Mar-89 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY New Beginnings Kinston PO Box 11077 Goldsboro NC 27532 2002C Shackleford Road Kinston NC 28504 Lenoir (252)233-0491 "NOVA IC, Inc." 080213 MHL-096-214 "One To One With Youth, Inc." 21-Aug-08 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "One to One With Youth, Inc." 307 East Beech Street Goldsboro NC 27530-2818 801-A Poplar Street Goldsboro NC 27530 Wayne (919)731-4876 Danny King 110247 MHL-098-162 "One To One With Youth, Inc." 12-May-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "One to One With Youth, Inc." 307 East Beech Street Goldsboro NC 27530-2818 "3011 Highway 42 West, Suite G" Wilson NC 27893 Wilson (252)991-3985 130313 MHL-064-144 "One to One With Youth, Inc." 08-Aug-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY One to One with Youth - Tar River Middle School 307 E. Beech Street Goldsboro NC 27530 "308 S. Tillery Street, Room 414, 415 & 426" Rocky Mount NC 27804 Nash (252)451-4875 "One to One with Youth, Inc." 170384 MHL-096-272 "One to One With Youth, Inc." 08-Aug-13 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "One to One With Youth, Inc." 307 Beech Street Goldsboro NC 27530 307 Beech Street Goldsboro NC 27530 Wayne (919)731-2119 "One to One With Youth, Inc." 180391 MHL-063-108 "One to One with Youth, Inc." 01-Feb-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "One to One With Youth, Inc." 307 E Beech St Goldsboro NC 27530-2818 7681 US 15-501 Highway Pinehurst NC 28370-0611 Moore (910)235-3715 "One To One With Youth, Inc." 945201 MHL-063-080 PORT Health Services 02-Jun-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY PORT Health Services Aberdeen Day Treatment 4300-110 Sapphire Ct. Greenville NC 27834 206 North Pine Street Aberdeen NC 28315 Moore (910)944-2189 PORT Health Services 110241 MHL-071-032 PORT Health Services 02-May-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL&A MI DAY Port Health Services - Burgaw 4300-110 Sapphire Court Greenville NC 27834 314 Progress Drive Extension Burgaw NC 28425 Pender (910)259-5212 Port Health Services 945018 MHL-074-039 "PORT Health Services, Inc." 25-Jul-94 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY PORT Health Services-Greenville Day Treatment 4300-110 Sapphire Court Greenville NC 27834 116 Health Drive Greenville NC 27834 Pitt (252)413-1950 PORT Health Services 160141 MHL-096-247 "Positive Influences, Inc." 07-Mar-12 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Positive Influences - Goldsboro PO Box 1332 Greenville NC 27835 "1600 Wayne Memorial Boulevard, Suite E" Goldsboro NC 27530 Wayne (919)988-9198 "Positive Influences, Inc." 170488 MHL-096-273 "Positive Influences, Inc." 09-Nov-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Positve Influences, Inc. - Dillard Academy" "1600 Wayne Memorial Dr., Ste. E" Goldsboro NC 29501 504 West Elm Street Goldsboro NC 27530 Wayne (919)581-0166 "Positive Influences, Inc." 020333 MHL-078-249 Positive Progress Services Corp. 04-Mar-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment A MI DAY Progressive Child and Adolescent Center PO Box 12 Red Springs NC 28377 527 Woods Road Pembroke NC 28372 Robeson (910)521-7461 Positive Progress Services Corp 180453 MHL-098-200 "Pride in North Carolina, LLC" 07-Nov-18 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL&A MI DAY Wilson Day Treatment 2416 Bedgood Drive Wilson NC 27893 "723 Elvie Street S, Room 201" Wilson NC 27893-6113 Wilson (252)399-7900 "Pride in North Carolina, LLC" 160541 MHL-064-100 "Progressive Care Services, Inc." 08-May-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Progressive Care Services, Inc." "2747 Sunset Ave., Ste 109" Rocky Mount NC 27804 "2747 Sunset Avenue, Suite 109" Rocky Mount NC 27804 Nash (252)985-3216 "Progressive Care Services, Inc." 170404 MHL-064-155 "Progressive Care Services, Inc." 25-Sep-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Progressive Care Services at Spring Hope "2747 Sunset Avenue, Suite 109" Rocky Mount NC 27804 401 McLean Street Spring Hope NC 27882 Nash (252)451-8530 "Progressive Care Services, Inc." 170403 MHL-064-156 "Progressive Care Services, Inc." 25-Sep-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Progressive Care Services at Edwards Middle School "2747 Sunset Avenue, Suite 109" Rocky Mount NC 27804 720 Edwards Street Rocky Mount NC 27803 Nash (252)937-9025 "Progressive Care Services, Inc." 130312 MHL-064-157 "Progressive Care Services, Inc." 25-Sep-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Progressive Care Services at Williford "2747 Sunset Avenue, Suite 109" Rocky Mount NC 27804 "801 Williford Street, Room 302/304" Rocky Mount NC 27803 Nash (252)937-9030 "Progressive Care Services, Inc." 090875 MHL-032-512 "Quality Care Solutions, Inc." 17-Nov-09 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Quality Care Solutions "3824 Barrett Drive, Suite 105" Raleigh NC 27609 1016 Broad Street Durham NC 27705 Durham (919)286-6766 "Quality Care Solutions, Inc." 090134 MHL-008-044 Rachel's House 09-Apr-09 01-Jan-19 31-Dec-19 Type A 27-May-15 - - 0 27G.1400 Day Treatment C&ADOL MI DAY Rachel's House Day Treatment 1212 Charles Street Windsor NC 27983 1212 Charles Street Windsor NC 27983 Bertie (252)794-8503 090826 MHL-046-038 "Rehoboth Counseling Services, Inc." 10-Mar-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Rehoboth Counseling Services PO Box 57 Ahoskie NC 27910 415 East Holloman Avenue Ahoskie NC 27910-2314 Hertford (252)332-8700 "Reboth Counseling Services, PLLC" 100638 MHL-077-063 Sandhills Alternative Academy LLC 07-Jul-10 01-Jan-20 31-Dec-20 - - - - 0 27G.1400 Day Treatment ADOL MI DAY "Sandhills Alternative Academy, LLC" PO Box 1192 Hamlet NC 28345-1192 121 Pine Needle Lane Hamlet NC 28345-8803 Richmond (910)417-4922 "Sandhills Alternative Academy, LLC" 080065 MHL-078-204 "Southeastern Behavioral Healthcare Services, Inc." 07-Mar-08 01-Jan-19 31-Dec-19 Type B 12-Feb-14 - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Southeastern Behavioral Healthcare Services, LLC" PO Box 1004 Lumberton NC 28359-1004 3575 Lackey Street Lumberton NC 28359 Robeson (910)738-7858 Virgil L. Hutchinson 190235 MHL-078-322 "Southeastern Integrated Care, LLC" 25-Jun-19 25-Jun-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Southeastern Integrated Care, LLC" PO Box 8251 Concord NC 28027 86-C Three Hunts Drive Pembroke NC 28372 Robeson (910)522-0408 "Southeastern Intergrated Care, LLC" 130320 MHL-032-528 "Sunrise Clinical Associates, PLLC" 09-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Sunrise Clinical Associates, PLLC" "3500 Westgate Dr, Stes 603&604" Durham NC 27707 "3500 Westgate Drive, Suites 603 & 604" Durham NC 27707 Durham (919)493-5013 "Sunrise Clinical Associates, PLLC" 921703 MHL-036-292 "Support, Inc." 26-Jul-11 01-Jan-20 31-Dec-20 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Support, Inc.-Gastonia" PO Box 4003 Gastonia NC 28054 708 South Chestnut Street Gastonia NC 28054 Gaston (704)865-3525 "Support, Inc." 170353 MHL-018-095 "Support, Inc." 21-Aug-17 01-Jan-20 31-Dec-20 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Support Inc. Day Treatment PO Box 4003 Gastonia NC 28054 "2110 Main Avenue Southeast, West Wing" Hickory NC 28602 Catawba (704)865-3529 "Support, Inc." 120420 MHL-055-120 "Support, Incorporated" 24-Aug-12 01-Jan-20 31-Dec-20 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Support Day Treatment PO Box 4003 Gastonia NC 28054 126 Performance Drive Lincolnton NC 28092 Lincoln (704)240-4267 "Support, Incorporated" 090701 MHL-078-248 "TT & T Services, Inc." 01-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "TT and T Services, Inc. - Lumberton" PO Box 1685 Raeford NC 28376 4719 Fayetteville Road Lumberton NC 28358 Robeson (910)739-0050 "TT and T Services, Inc." 170340 MHL-034-166 The Crossnore School & Children's Home 01-Dec-02 01-Jan-20 31-Dec-20 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Crossnore School & Children's Home Day Treatment Prgrm 1001 Reynolda Road Winston-Salem NC 27104 "1001 Reynolda Road, Building 6" Winston-Salem NC 27104 Forsyth (336)721-7600 The Crossnore School & Children's Home 160595 MHL-032-402 "Turning Point Family Care, LLC" 20-Mar-07 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Turning Point Family Care, LLC" 2000 Yonkers Road Raleigh NC 27604 "3209 Yorktown Avenue, Suite 172" Durham NC 27713 Durham (919)493-0959 "Turning Point Family Care, LLC" 100858 MHL-013-190 "Turning Point Homes, LLC" 22-Aug-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Griffin Point Academy 919 N. Main Street Mooresville NC 28115 "7650 Griffin's Gate Drive SW, Classrooms #501 & #502" Concord NC 28025 Cabarrus (704)455-1569 "Turning Point Homes, LLC" 030258 MHL-099-033 "Turning Point Homes, LLC" 16-Aug-18 14-Aug-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Yadkin Day Treatment 919 N. Main Street Mooresville NC 28115 "733 East Main Street, Classrooms 42 & 43 & 22" Yadkinville NC 27055 Yadkin (336)679-4888 "Turning Point Homes, LLC" 130250 MHL-004-044 Veronica D. Kennedy 25-Jan-17 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment ADOL&A MI DAY Kennedy PSR & Day Treatment & Partial Hospitalzation 121 N. Greene St. Wadesboro NC 28170 121 N. Greene Street Wadesboro NC 28170 Anson (704)695-0676 Veronica D. Kennedy 932937 MHL-034-159 Wake Forest University Health Sciences 07-Aug-02 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Amos Cottage Therapeutic Day Program 3325 Silas Creek Pkwy Winston Salem NC 27103 3325 Silas Creek Pkwy Winston Salem NC 27103 Forsyth (336)713-7400 130144 MHL-096-161 Waynesboro Family Clinic P.A. 14-Sep-05 01-Jan-20 31-Dec-20 Type A 08-Apr-16 - - 0 27G.1400 Day Treatment C&ADOL MI DAY Waynesboro Family Clinic P.A. 1706 Wayne Memorial Drive Goldsboro NC 27534 "1103 Gracie Place, Suite B" Goldsboro NC 27534 Wayne (919)734-6676 160392 MHL-092-924 "Yelverton's Enrichment Services, Inc." 01-Aug-15 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY YES Program Services "5809 Departure Dr., Ste 106" Raleigh NC 27616 "5809 Departure Drive, Suite 106" Raleigh NC 27616 Wake (919)872-6220 "Yelverton's Enrichment Services, Inc." 100788 MHL-032-449 "Youth Extensions, Inc." 06-Jun-08 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL&A MI DAY "Youth Extensions, Inc." 1303 Jackson St Durham NC 27701 1915 Chapel Hill Road Ste A Durham NC 27707 Durham (919)246-5664 020784 MHL-041-640 "Youth Focus, Inc." 28-Jun-02 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Mell-Burton School 405 Parkway Suite A Greensboro NC 27401 1601-C Huffine Mill Road Greensboro NC 27405 Guilford (336)375-5502 Youth Focus Inc. 060894 MHL-041-793 "Youth Focus, Inc." 31-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Mell-Burton Structured Day 405 Parkway Sute A Greensboro NC 27401 "309 Concord Street, Suite 101 & 201" Greensboro NC 27406 Guilford (336)273-4688 Youth Focus 160259 MHL-041-1136 "Youth Focus, Inc." 20-Jul-16 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Building Futures 405 Parkway Ste A Greensboro NC 27401 3300 Normandy Road Greensboro NC 27408 Guilford (336)545-2020 "Youth Focus, Inc." 070697 MHL-079-117 "Youth Haven Services, LLC" 25-Feb-11 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Rockingham County Schools Day Treatment Program 229 Turner Dr. Reidsville NC 27320 401 Moss Street Reidsville NC 27320 Rockingham (336)634-3984 100815 MHL-085-038 "Youth Haven Services, LLC" 18-Aug-14 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Youth Haven Stokes Day Treatment 229 Turner Drive Reidsville NC 27320 817 Meadowbrook Drive King NC 27021 Stokes (336)983-0515 "Youth Haven Services, LLC" 140501 MHL-085-039 "Youth Haven Services, LLC" 13-Jan-15 01-Jan-19 31-Dec-19 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Youth Haven Stokes Elementary Day Treatment 229 Turner Drive Reidsville NC 27320 "152 E. School Street, Classroom 1 & 2" King NC 27021 Stokes (336)983-0938 "Youth Haven Services, LLC" 061355 MHL-041-807 "(C.O.P.S) Center of Progressive Strides, Inc." 06-Feb-07 18-Apr-19 31-Dec-19 Suspension of Admission 14-Aug-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Center of Progressive Strides 29 Holly Springs Lane Greensboro NC 27455 2212 Glenside Drive Greensboro NC 27405 Guilford (336)375-3099 "(C.O.P.S) Center of Progressive Strides, Inc." 110430 MHL-051-173 9avin Grace LLC 30-Jan-09 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Savin Grace II 3400 Duveneck Drive Raleigh NC 27616 562 Old Dam Road Selma NC 27576 Johnston (919)351-0465 Savin Grace LLC 150544 MHL-036-319 "A Better Concept, Inc." 30-Nov-16 01-Jan-19 31-Dec-19 Suspension of Admission 09-Jul-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL A Better Concept 5139 Stockbridge Drive Mt. Holly NC 28120 3019 Fallswood Drive Gastonia NC 28052 Gaston (704)671-2998 "A Better Concept, Inc." 020905 MHL-060-872 "A Caring Home, Inc." 01-Nov-02 01-Jan-19 31-Dec-19 Suspension of Admission 28-Aug-18 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Mr. Bill's Place 8616 Nations Ford Road Charlotte NC 28217 8612 Nations Ford Road Charlotte NC 28217 Mecklenburg (704)525-2840 955421 MHL-060-1337 "A Caring Home, Inc." 19-Dec-16 01-Jan-19 31-Dec-19 Type A 28-Aug-18 - - 3 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Bonnie's Home for Youth 8616 Nations Ford Rd Charlotte NC 28217 8616 Nations Ford Road Charlotte NC 28217 Mecklenburg (704)252-2840 "A Caring Home, Inc." 070571 MHL-041-852 "A Place of Their Own, LLC" 19-Oct-07 01-Jan-19 31-Dec-19 Type A 29-Jul-13 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL A Place of Their Own LLC 1525 Bowmore Place McLeansville NC 27301 5629 Burlington Road McLeansville NC 27301 Guilford (336)382-0178 Chanisty Mitchell 060611 MHL-034-207 "A Sure House, Inc." 28-Sep-06 01-Jan-19 31-Dec-19 Type B 28-Apr-10 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "A Sure House, Inc." 1265 Arbor Road Winston-Salem NC 27104 1265 Arbor Road Winston-Salem NC 27104 Forsyth (336)773-7627 180502 MHL-036-339 "ABLE House Family Services, LLC" 17-Jul-19 17-Jul-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C MI RESIDENTL ABLE House 1711 Copperplate Road Charlotte NC 28262 26 Kee Road Belmont NC 28012 Gaston (704)829-3259 "ABLE House Family Services, LLC" 040694 MHL-041-731 Adolescent Alternatives 05-Aug-04 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Adolescent Alternatives PO Box 16162 Greensboro NC 27416 2207 Long Brook Drive Greensboro NC 27406 Guilford (336)370-9876 960016 MHL-090-049 "Agape Services, Inc." 24-Jul-96 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Agape I PO Box 3319 Monroe NC 28111 504 Colony Road Monroe NC 28112 Union (704)238-9982 Agape Services Inc. 120385 MHL-001-162 "All God's Children of Burlington, LLC" 01-Aug-08 01-Jan-19 31-Dec-19 Type A 29-Mar-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL All God's Children of Burlington 325 N. Sellars Mill Road Burlington NC 27217 101 Ruby Lane Haw River NC 27258 Alamance (336)227-9594 020782 MHL-041-673 "Alternative Behavioral Solutions, Inc." 06-Jun-03 01-Jan-19 31-Dec-19 Type B 22-Dec-10 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL James El Parrish 121 South Elm Street Suite A Greensboro NC 27401 3601 Amos Drive Greensboro NC 27405 Guilford (336)370-9400 Alternative Behavioral Solutions 020698 MHL-074-130 Andre Levon Roberson and Dorothy Mae Roberson 04-Sep-02 01-Jan-19 31-Dec-19 Type B 29-Aug-11 - - 3 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL WeCare Residential Facility 1761 Roosevelt Spain Road Greenville NC 27834 1761 Roosevelt Spain Road Greenville NC 27834 Pitt (252)329-8813 Andre Roberson 021288 MHL-041-669 "Black & Associates Global, Inc" 01-Apr-03 01-Jan-19 31-Dec-19 Type A 30-Jul-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Our Home 102 Burrows Road Jamestown NC 27282 618 Broad Avenue Greensboro NC 27401 Guilford (336)230-0767 Ellen R. Black 040176 MHL-041-781 "Black & Associates Global, Inc." 27-Apr-06 01-Jan-19 31-Dec-19 Type A 30-Jul-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Our Home-Aunt Zola's 102 Burrows Rd. Jamestown NC 27282 408 Andrew Street Greensboro NC 27406 Guilford (336)271-2004 Ellen R. Black 150168 MHL-041-1083 Blessed Alms II LLC 14-Aug-13 01-Jan-19 31-Dec-19 Type A 14-Oct-16 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Blessed Alms II LLC P.O. Box 16527 Greensboro NC 27416 3909 Bears Creek Road Greensboro NC 27406 Guilford (336)379-1314 Blessed Alms II LLC 945321 MHL-041-1039 "Blessed New Beginnings, LLC" 11-Jan-12 01-Jan-19 31-Dec-19 Type A 06-May-15 - - 4 27G.1700 Residential Treatment Level III ADOL MI RESIDENTL "Blessed New Beginnings, LLC" P.O. Box 16527 Greensboro NC 27416 515 Guilford College Road Greensboro NC 27409 Guilford (336)315-6070 180088 MHL-036-331 "Brighter Dayz, LLC" 13-Jun-18 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Brighter Dayz, LLC" "620 N Church Street, Apt. 1315" Charlotte NC 28202 837 Lynhaven Drive Gastonia NC 28052 Gaston (704)890-5173 "Brighter Dayz, LLC" 180552 MHL-036-336 "Brighter Dayz, LLC" 22-Feb-19 22-Feb-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Brighter Dayz LLC #2 "620 N. Church St., Apt. 1315" Charlotte NC 28202 205 Armstrong Drive Belmont NC 28012 Gaston (704)829-3837 "Brighter Dayz, LLC" 040792 MHL-078-170 "Chaparral Youth Services, LLC" 30-Dec-04 26-Mar-19 31-Dec-19 Type B 29-Apr-14 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Chaparral Youth Services, LLC" 16 Stanley St Pembroke NC 28372 5973 McLeod Road Maxton NC 28364 Robeson (910)827-1169 "Chaparral Youth Services, LLC" 130592 MHL-059-072 "Clear Sky Behavioral, LLC" 05-Sep-17 01-Jan-20 31-Dec-20 - - - - 8 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Clear Sky Group Home 33 Burgin St Marion NC 28752 55 Railroad Street Marion NC 28752 McDowell (828)559-0346 "Clear Sky Behavioral, LLC" 001528 MHL-060-739 "Community Treatment Alternatives, Inc." 30-Nov-01 01-Jan-19 31-Dec-19 Type A 19-Jul-18 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Community Treatment Alternatives II PO Box 215 Matthews NC 28106 4901 Rosena Drive Charlotte NC 28227 Mecklenburg (704)563-8400 "Community Treatment Alternatives, Inc." 932124 MHL-060-857 "Community Treatment Alternatives, Inc." 08-Aug-02 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Community Treatment Alternatives I PO Box 215 Matthews NC 28106 3517 Crosswinds Road Charlotte NC 28227 Mecklenburg (704)532-5883 "Community Treatment Alternatives, Inc." 160258 MHL-080-215 "Concepts of Independence, LLC" 10-Jul-18 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MD RESIDENTL Fisher House PO Box 5084 Concord NC 28027 530 East Fisher Street Salisbury NC 28144 Rowan (704)603-4640 "Concepts of Independence, LLC" 140405 MHL-081-110 "DirectCare Community Base Services, LLC" 20-Jan-15 01-Jan-19 31-Dec-19 - - - - 3 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL DirectCare Group Home P.O. Box 261 Crouse NC 28033 106 Orchard Street Forest City NC 28043 Rutherford (828)229-3200 "DirectCare Community Base Services, LLC" 160023 MHL-081-115 "DirectCare Community Base Services, LLC" 02-Jun-16 01-Jan-19 31-Dec-19 - - - - 3 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL DirectCare Group Home #2 PO Box 261 Crouse NC 28033 135 Michelle Drive Ellenboro NC 28040 Rutherford (828)229-3243 "DirectCare Community Based Services, LLC" 010103 MHL-060-852 "Dreams and Vision, LLC" 02-Aug-02 01-Jan-19 31-Dec-19 Type A 22-Dec-17 - - 6 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Vision Home 5004 Glenview Court Charlotte NC 28215 5004 Glenview Court Charlotte NC 28215 Mecklenburg (704)566-9734 "Dreams and Vision, LLC" 040737 MHL-060-959 "Echelon Consulting, Inc." 06-Dec-04 01-Jan-20 31-Dec-20 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Echelon 1 7209J East W.T.Harris Blvd. Ste.207 Charlotte NC 28227 4508 Carriage Drive Circle Charlotte NC 28205 Mecklenburg (704)531-1625 "Echelon Consulting, Inc." 020924 MHL-060-1067 "Echelon Consulting, Inc." 01-Oct-08 01-Jan-20 31-Dec-20 Type A 20-Aug-14 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Echelon 5 7209J East WT Harris Blvd. Ste. 207 Charlotte NC 28227 1535 Peachtree Road Charlotte NC 28216 Mecklenburg (704)391-1925 "Echelon Consulting, Inc." 010846 MHL-060-1066 "Echelon Consulting, Inc." 01-Oct-01 01-Jan-20 31-Dec-20 Type A 03-Nov-14 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Echelon 4 7209J East WT Harris Blvd. Ste. 207 Charlotte NC 28227 6135 Elgywood Lane Charlotte NC 28213 Mecklenburg (704)599-0813 "Echelon Consulting, Inc." 140362 MHL-060-1042 "Echelon Consulting, Inc." 11-Jan-08 01-Jan-20 31-Dec-20 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Echelon 3 7209-J East WT Harris Blvd. Ste.207 Charlotte NC 28227 4724 Carriage Drive Circle Charlotte NC 28205 Mecklenburg (980)938-6567 "Echelon Consulting, Inc." 991118 MHL-011-203 "Eliada Homes, Inc." 07-Nov-00 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Reuter Cottage PO Box 16708 Asheville NC 28816 2 Compton Drive Asheville NC 28806 Buncombe (828)210-0207 "Eliada Homes, Inc." 080381 MHL-011-301 "Eliada Homes, Inc." 17-Nov-08 01-Jan-19 31-Dec-19 - - - - 6 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Earle Level III PO Box 16708 Asheville NC 28816 2 Compton Drive Asheville NC 28806 Buncombe (828)259-5372 "Eliada Homes, Inc." 080381 MHL-011-301 "Eliada Homes, Inc." 17-Nov-08 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Earle Level III PO Box 16708 Asheville NC 28816 2 Compton Drive Asheville NC 28806 Buncombe (828)259-5372 "Eliada Homes, Inc." 140065 MHL-011-371 "Eliada Homes, Inc." 23-Jun-14 01-Jan-19 31-Dec-19 Type A 17-Dec-18 - - 4 27G.1700 Residential Treatment Level III C&ADOL MD RESIDENTL Green Level III PO Box 16708 Asheville NC 28816 2 Compton Drive Asheville NC 28806 Buncombe (828)254-5356 "Eliada Homes, Inc." 030739 MHL-041-699 "Envisions of Life, LLC" 03-Nov-03 01-Jan-19 31-Dec-19 Intent to Revoke 04-Jan-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Envisions of Life Gatwick House 5 Centerview Drive Suite 110 Greensboro NC 27407 4003 Gatwick Court Greensboro NC 27406 Guilford (336)697-5277 "Envisions of Life, LLC" 070150 MHL-041-818 Eva Lewis Washington and Victor Reuben Washington 10-Apr-07 01-Jan-19 31-Dec-19 Type A 20-Feb-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Successful Transitions, LLC Residential Home Level III" 8300 Chartwell Drive Oak Ridge NC 27310 1458 London Drive High Point NC 27262 Guilford (336)889-7500 c/o Eva & Victor Washington 971088 MHL-045-119 "Excalibur Youth Services, LLC" 21-Oct-15 01-Jan-20 31-Dec-20 Type B Imposed 17-May-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MD RESIDENTL Azalea Way PO Box 968 Travelers Rest SC 29690 145 Azalea Way Hendersonville NC 28739 Henderson (828)693-5385 "Excalibur Youth Services, LLC" 020051 MHL-067-133 "FACT Specialized Services, LLC" 05-Feb-02 01-Jan-20 31-Dec-20 Type B 06-Sep-11 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Silverleaf Lodge 120 Henderson Drive Suite B Jacksonville NC 28540 109 Silverleaf Drive Jacksonville NC 28546 Onslow (910)353-1903 "FACT Specialized Services, LLC" 030741 MHL-067-101 "FACT Specialized Services, LLC" 06-Dec-99 01-Jan-20 31-Dec-20 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Shadowridge Retreat 120 Henderson Drive Suite B Jacksonville NC 28540 107 Silverleaf Drive Jacksonville NC 28546 Onslow (910)577-4568 FACT Specialized Svcs LLC 921550 MHL-014-006 "FOCUS Behavioral Health Services, LLC" 01-Jun-87 01-Jan-19 31-Dec-19 Suspension of Admission 15-Aug-19 - - 8 27G.1700 Residential Treatment Level III C&ADOL MR/DD DAY&RESL Burkwell PO Box 3624 Morganton NC 28680-3624 3476 Morganton Boulevard Lenoir NC 28645 Caldwell (828)544-8343 "FOCUS Behavioral Health Services, LLC" 160548 MHL-014-087 "FOCUS Behavioral Health Services, LLC" 27-Apr-01 01-Jan-19 31-Dec-19 Type B Imposed 13-Mar-18 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL The Landing PO Box 3624 Morganton NC 28680-3624 2419 Morganton Boulevard Lenoir NC 28645 Caldwell (828)544-8345 "FOCUS Behavioral Health Services, LLC" 930657 MHL-001-103 Falcon Crest Residential Care Inc. 26-Nov-02 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Falcon Crest Residential Care 3 Inc. P.O. Box 1670 Mebane NC 27302 3309-A Hwy. 49 Burlington NC 27217 Alamance (336)578-5701 031054 MHL-001-141 Falcon Crest Residential Care Inc. 13-Oct-06 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Falcon Crest Residential Care 2 PO Box 1670 Mebane NC 27302 2094 Haith Fuller Trail Mebane NC 27302 Alamance (336)578-5775 Falcon Crest Residential Care 2 Inc 070799 MHL-066-024 "Family Advantage, LLC" 29-May-13 01-Jan-19 31-Dec-19 Type B 21-May-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Family Advantage LLC P O Box 100 Pleasant Hill NC 27866 3104 Highway 301 North Pleasant Hill NC 27866 Northampton (252)536-0600 Willie Gilchrist ll 070357 MHL-041-837 "First Genesis Family Services, Inc." 03-Aug-07 01-Jan-19 31-Dec-19 Type A 05-Nov-14 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Bisbee Place 4821 Bisbee Drive Greensboro NC 27407 4821 Bisbee Drive Greensboro NC 27407 Guilford (336)292-1555 "First Genesis Family Services, Inc." 070876 MHL-034-226 "Foundation Strong, LLC" 12-Mar-08 01-Jan-20 31-Dec-20 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Foundation Strong, LLC" PO Box 77805 Greensboro NC 27417 1677 Banbridge Road Kernersville NC 27285 Forsyth (336)307-3198 Teresa DeBerry-Brady 956211 MHL-006-009 "Grandfather Home for Children, Inc." 22-Sep-99 01-Jan-19 31-Dec-19 Type A 14-Dec-17 - - 16 27G.1700 Residential Treatment Level III C MI RESIDENTL Grandfather Home For Children P.O. Box 1 Barium Springs NC 28010-0001 158 Grandfather Home Drive Banner Elk NC 28604 Avery (828)898-5465 Barium Springs 040043 MHL-041-719 Hope Street LLC 13-May-04 01-Jan-19 31-Dec-19 Type B 12-Nov-10 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Hope Street Group Home 1523 GuinnessDrive McLeansville NC 27301 2007 Lynn Road Greensboro NC 27405 Guilford (336)375-5985 Hope Street LLC 170383 MHL-097-081 "Horizons Kids, LLC" 21-Dec-18 28-May-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Horizons Kids 5936 Monroe Rd. Charlotte NC 28212 2655 Wiles Ridge Road Hays NC 28635 Wilkes (336)957-2710 "Horizons Kids, LLC" 090061 MHL-036-269 "Innovative Compliance Solutions, LLC" 01-Jun-09 01-Jan-20 31-Dec-20 - - - - 4 27G.1700 Residential Treatment Level III ADOL MI RESIDENTL New Hope Home PO Box 38514 Charlotte NC 28273 3915 South New Hope Road Gastonia NC 28056 Gaston (704)874-1813 Desareta Jones 110966 MHL-023-176 "Innovative Compliance Solutions, LLC" 01-Jan-12 01-Jan-20 31-Dec-20 Type A 14-Mar-18 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Hope Home II PO Box 38514 Cahrlotte NC 28278 1102 Groves Street Kings Mountain NC 28086 Cleveland (704)778-5635 Innovative Compliance Solutions LLC 130306 MHL-036-303 "Innovative Compliance Solutions, LLC" 07-Jun-13 01-Jan-19 31-Dec-19 Type A 29-Jan-18 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Hope Home III P.O. Box 38514 Charlotte NC 28278-1009 111 Belmont Mount Holly Road Belmont NC 28012 Gaston (704)812-8366 "Innovative Compliance Solutions, LLC" 140428 MHL-036-309 "Innovative Compliance Solutions, LLC" 23-Aug-13 01-Jan-20 31-Dec-20 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Hope Home IV P.O. Box 38514 Charlotte NC 28275 4912 Duncan Lane Gastonia NC 28056 Gaston (704)466-3206 "Innovative Compliance Solutions, LLC" 070363 MHL-034-219 "Inspirationz, LLC" 31-Aug-07 01-Jan-19 31-Dec-19 Type A 25-Feb-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Inspirationz 629 Akron Drive Winston-Salem NC 27105 607 Hillhaven Drive Winston-Salem NC 27107 Forsyth (336)788-8579 Sandra Davis 180203 MHL-034-379 "Inspirationz, LLC" 11-Jun-18 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Inspirationz, LLC Cuatro" 629 Akron Drive Winston-Salem NC 27105 2427 Patria Street Winston-Salem NC 27127 Forsyth (336)661-8191 "Inspirationz, LLC" 070036 MHL-041-857 "JMJ Enterprises, LLC" 21-Dec-07 01-Jan-19 31-Dec-19 Suspension of Admission 18-May-18 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Fresh Start Home for Children 2020 Textile Drive Greensboro NC 27405 1929 Murryhill Road Greensboro NC 27403 Guilford (336)271-6982 "JMJ Enterprises, LLC" 060601 MHL-074-152 James Harris 19-Oct-01 01-Jan-19 31-Dec-19 Intent to Revoke 29-Aug-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Emmanuel Residential Facility 3715 Willow Run Drive Greenville NC 27858 3300 Pinetree Lane Greenville NC 27834 Pitt (252)355-4131 James Harris 061123 MHL-058-022 Jeff Roberts 15-Feb-07 01-Jan-19 31-Dec-19 Type A 26-Sep-14 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Amani Residential/Human Services, Inc." P.O. Box 833 Williamston NC 27892 105 Roberson Drive Williamston NC 27892 Martin (252)792-7859 Jeff Roberts 170211 MHL-001-149 Just In Time Youth Services 20-May-07 01-Jan-19 31-Dec-19 Type A 22-May-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Just In Time Youth Services PO Box 2162 Burlington NC 27216 1710 Sykes Street Burlington NC 27215 Alamance (336)261-7148 Just In Time Youth Services 040116 MHL-051-138 "KMG Holdings, Inc." 31-Mar-04 01-Jan-19 31-Dec-19 Type B Imposed 31-Jul-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL The Lighthouse II of Clayton PO Box 24914 Raleigh NC 27611 2016 Fort Drive Clayton NC 27520 Johnston (919)553-9111 KMG Holdings Inc. 140355 MHL-051-114 "KMG Holdings, Inc." 25-Oct-01 01-Jan-19 31-Dec-19 Type A 14-May-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL The Lighthouse PO Box 24914 Raleigh NC 27611 956 N. O'Neil Street Clayton NC 27520 Johnston (919)585-2474 KMG Holdings. Inc. 070445 MHL-074-140 "Keep Hope Alive, LLC" 19-Feb-04 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Willow Manor PO Box 30557 Greenville NC 27833 1419 SE Greenville Boulevard Greenville NC 27858 Pitt (252)830-5337 Monica Wallace 060682 MHL-074-139 "Keep Hope Alive, LLC" 19-Feb-04 01-Jan-19 31-Dec-19 Type A 09-Jan-17 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Keswick Manor - Keep Hope Alive Human Services, LLC" PO Box 30557 Greenville NC 27833-0557 1110 SE Greenville Blvd. Greenville NC 27858 Pitt (252)215-0337 041207 MHL-092-728 "Life Changez, Inc." 25-Sep-08 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Pine Forest II "1100 Logger Court, Ste. A102" Raleigh NC 27609 3833 Buffaloe Road Raleigh NC 27604 Wake (919)239-4299 "Life Changez, Inc." 040542 MHL-092-795 "Life Changez, Inc." 18-Nov-10 01-Jan-19 31-Dec-19 Suspension of Admission 16-Aug-18 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Life Skills Independent Care #1 "1100 Logger Ct, Ste A102" Raleigh NC 27609 800 Perry Howard Road Fuquay Varina NC 27526 Wake (919)577-0021 "Life Changez, Inc." 130021 MHL-092-868 "Life Changez, Inc." 06-Jun-13 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C MI RESIDENTL Cherrywood Court "1100 Logger Ct, Ste A102" Raleigh NC 27609 5321 Logos Court Raleigh NC 27610 Wake (919)803-7125 "Life Changez, Inc." 030785 MHL-078-150 "Life Opportunities, Inc." 13-Oct-03 01-Jan-19 31-Dec-19 Type B 13-Feb-15 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Hope House PO Box 448 Shannon NC 28386 3775 Old Lowery Road Red Springs NC 28377 Robeson (910)843-1330 "Life Opportunities, Inc." 031087 MHL-078-159 "Life Opportunities, Inc." 03-Mar-04 01-Jan-19 31-Dec-19 Type B 06-May-15 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL A Better Way Residential Services PO Box 448 Shannon NC 28386 220 Calvins Road Shannon NC 28386 Robeson (910)359-0173 "Life Opportunities, Inc." 080787 MHL-071-022 "Linda Newton, Susie Hayes & Cardell Hayes" 16-Aug-06 01-Jan-19 31-Dec-19 Type A 14-Jul-14 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL A Special Touch 5925 NC Highway 11 Willard NC 28478 5925 NC Highway 11 Willard NC 28478 Pender (910)285-7717 "A Special Touch, Inc." 070410 MHL-041-850 Lydia's Home LLC 19-Oct-07 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Lydia's Home LLC Phase I 5063 Bartholomew Lane Greensboro NC 27407 2704 Grimsley Street Greensboro NC 27403 Guilford (336)855-6937 Melissa LeGette 180609 MHL-029-142 Macs Village LLC 05-Apr-19 05-Apr-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C MI RESIDENTL Macs Village LLC PO Box 3122 Thomasville NC 27360 205 Princeton Crossing Thomasville NC 27360 Davidson (336)875-5636 Macs Village LLC 011095 MHL-026-673 Melissa McAllister 07-Jan-01 01-Jan-19 31-Dec-19 Type B 18-Mar-08 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Precious Haven, Inc." PO Box 25821 Fayetteville NC 28314 532 Wayland Drive Fayetteville NC 28314 Cumberland (910)920-2912 010913 MHL-060-785 "Miracle Houses, Inc." 22-Feb-02 01-Jan-19 31-Dec-19 Type A 23-May-19 - - 6 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Miracle House 1 7508 East Independence Blvd. Charlotte NC 28227 1418 Jules Court Charlotte NC 28226 Mecklenburg (704)367-5041 "Miracle Houses, Inc." 041290 MHL-060-957 "Miracle Houses, Inc." 19-Jan-05 01-Jan-19 31-Dec-19 Type A 18-Dec-15 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Miracle Houses-Monteith 7508 East Independence Blvd. Charlotte NC 28227 6421 Monteith Drive Charlotte NC 28213 Mecklenburg (704)596-3493 "Miracle Houses, Inc." 070094 MHL-060-1048 "Miracle Houses, Inc." 19-Feb-08 01-Jan-19 31-Dec-19 Type B 22-Jul-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Miracle Houses-Swearingan 7508 East Independence Blvd. Charlotte NC 28227 5212 Swearingan Road Charlotte NC 28216 Mecklenburg (704)394-7838 "Miracle Houses, Inc." 030650 MHL-036-287 "Miracle Houses, Inc." 28-Oct-10 01-Jan-19 31-Dec-19 Type B 18-Jan-17 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Miracle Houses-Twin Avenue "7508 E. Independence Blvd., Ste 119" Charlotte NC 28227 2004 Twin Avenue Gastonia NC 28052 Gaston (704)215-5768 "Miracle Houses, Inc." 041369 MHL-049-152 "Miracle Houses, Inc." 20-Dec-18 25-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Miracle Houses Valleybrook II "7508 E. Independence Blvd., Ste 119" Charlotte NC 28227 251 Valleybrook Lane Troutman NC 28166 Iredell (704)528-2044 "Miracle Houses, Inc." 011051 MHL-060-757 "My B.R.O.T.H.E.R.'s House, Inc." 02-Jan-02 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Brite Horizon P.O. Box 25719 Charlotte NC 28229 12219 Windy Wood Court Charlotte NC 28273 Mecklenburg (704)588-6059 "My BROTHER's House, Inc." 990615 MHL-060-538 "My B.R.O.T.H.E.R.'s House, Inc." 16-Jun-99 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C MI RESIDENTL Highland Mist Home P.O. Box 25719 Charlotte NC 28229 913 Highland Mist Lane Charlotte NC 28216 Mecklenburg (704)569-9162 011292 MHL-060-802 "New Leaf Adolescent Care, Inc." 10-Apr-02 01-Jan-19 31-Dec-19 Type B 08-Dec-16 - - 3 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Water Mill Home PO Box 560291 Charlotte NC 28256-0291 6801 Water Mill Court Charlotte NC 28215 Mecklenburg (704)910-4029 New Leaf Adolescent Care 020003 MHL-060-776 "New Place, Inc." 05-Feb-02 01-Jan-19 31-Dec-19 Type A 13-Mar-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Place "6612 E Harris Blvd. , Ste. D" Charlotte NC 28215 5601 Faulconbridge Road Charlotte NC 28227 Mecklenburg (704)563-8169 "New Place, Inc." 150082 MHL-060-648 "New Place, Inc." 07-May-01 01-Jan-19 31-Dec-19 Type A 10-Jun-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Turn Around 6612 E. Harris Blvd. Ste D. Charlotte NC 28215 9709 Batten Court Mint Hill NC 28227 Mecklenburg (704)910-2878 "New Place, Inc." 170138 MHL-060-1347 "New Place, Inc." 31-May-17 01-Jan-19 31-Dec-19 Type A 17-May-18 - - 3 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Foundation "6612 East WT Harris Blvd., Suite D" Charlotte NC 28215 5419 Twin Lane Charlotte NC 28269 Mecklenburg (704)295-4196 "New Place, Inc." 070543 MHL-001-155 "New Possibilities Home for Children, LLC" 14-Dec-07 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "New Possibilities Home For Children, LLC" PO Box 2701 Burlington NC 27215 813 Trail One Burlington NC 27215 Alamance (336)261-3427 New Possibilities Home For Children 001251 MHL-080-101 "Newpath Youth Services, Inc." 09-Oct-00 01-Jan-19 31-Dec-19 23-Jul-08 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Fresh Start-Boundary House PO Box 4084 Salisbury NC 28144 426 North Martin Luther King Avenue Salisbury NC 28144 Rowan (704)637-2109 "Fresh Start Services, Inc." 011047 MHL-080-122 "Newpath Youth Services, Inc." 26-Nov-01 01-Jan-19 31-Dec-19 Type A 20-Nov-07 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Chances Group Home PO Box 4084 Salisbury NC 28145 712 West Fisher Street Salisbury NC 28144 Rowan (704)645-8889 Fresh Start Youth Services 020094 MHL-013-090 "Newpath Youth Services, Inc." 28-Feb-02 01-Jan-19 31-Dec-19 Suspension of Admission 27-Jul-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Tournament Street PO Box 4084 Salisbury NC 28144 174 Tournament Drive SW Concord NC 28027 Cabarrus (704)721-5369 "Fresh Start Services, Inc." 021317 MHL-023-107 "Newpath Youth Services, Inc." 01-Apr-03 01-Jan-19 31-Dec-19 Type B 06-Feb-17 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Inward Bound PO Box 4084 Salisbury NC 28145 208 Kenwood Drive Shelby NC 28151 Cleveland (704)645-8888 "Fresh Start Svcs., Inc." 180541 MHL-036-337 "Pathways Group Homes, LLC" 05-Mar-19 05-Mar-19 31-Dec-19 Suspension of Admission 14-Aug-19 - - 4 27G.1700 Residential Treatment Level III C MI RESIDENTL Serenity House "543 Cox Rd., Ste B1" Gastonia NC 28054 508 N. Ransom Street Gastonia NC 28054 Gaston (980)320-1137 "Pathways Group Homes, LLC" 140127 MHL-081-109 Peace in the City 14-Aug-14 01-Jan-19 31-Dec-19 Suspension of Admission 10-Aug-18 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Peace in the City P.O. Box 987 Forest City NC 28043 724 Thompson Road Rutherfordton NC 28139 Rutherford (828)375-0052 Peace in the City 150334 MHL-081-112 Peace in the City 22-Jan-16 13-Aug-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Peace In The City - House of Hope P.O. Box 987 Forest City NC 28043 265 Old Castle Lane Forest City NC 28043 Rutherford (828)382-0476 Peace In The City 020231 MHL-026-709 "Pearl's Angel Care, Inc." 13-Jun-02 01-Jan-19 31-Dec-19 Suspension of Admission 21-Jul-17 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Pearl's Angel Care, Inc." 1545 Stackhouse Drive Fayetteville NC 28314 1423 Grandview Drive Fayetteville NC 28314 Cumberland (910)257-6060 Betty Washington 000399 MHL-026-924 "Precious Haven, Inc." 19-Oct-11 01-Jan-19 31-Dec-19 Type B 20-Aug-14 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Precious Haven #2 P.O. Box 25821 Fayetteville NC 28314 6033 Concho Court Fayetteville NC 28303 Cumberland (910)867-8111 "Precious Haven, Inc." 010701 MHL-026-959 "Precious Haven, Inc." 16-Nov-15 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Precious Haven #3 Comet 315 Dick Street Fayetteville NC 28301 975 Comet Circle Fayetteville NC 28314 Cumberland (910)676-8979 "Precious Haven, Inc." 070788 MHL-070-043 "Pride In North Carolina, LLC" 31-Jul-96 01-Jan-19 31-Dec-19 Type B 16-Nov-10 - - 5 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Church Street 231 Commerce St Greenville NC 27858 1216 West Church Street Elizabeth City NC 27909 Pasquotank (252)331-2200 "Prinde In North Carolina, LLC" 990614 MHL-060-537 "Primary Care Solutions, Inc." 02-Jul-99 01-Jan-19 31-Dec-19 Type B 11-Jan-18 - - 4 27G.1700 Residential Treatment Level III C MI RESIDENTL Harris Home 5601Executive Center Drive Ste.200 Charlotte NC 28212 4616 East W.T. Harris Boulevard Charlotte NC 28215 Mecklenburg (704)241-9699 "Primary Care Solutions, Inc." 001494 MHL-060-1078 "Primary Care Solutions, Inc." 06-Oct-08 01-Jan-19 31-Dec-19 Type B 23-May-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL The Norland House 5601 Executive Center Dr Ste 200 Charlotte NC 28212 1019 Norland Road Charlotte NC 28205 Mecklenburg (980)207-2176 "Primary Care Solutions, Inc." 180469 MHL-023-215 "Recovery Foundations, LLC" 08-May-19 08-May-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Sandra's House 2101 Twin Avenue Gastonia NC 28052 1856 Stony Point Road Shelby NC 28150 Cleveland (704)802-4145 "Recovery Foundations, LLC" 030560 MHL-041-696 "Rising Phoenix, Inc." 13-Oct-03 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Rising Phoenix, Inc." 603 Montrose Drive Greensboro NC 27405 603 Montrose Drive Greensboro NC 27410 Guilford (336)855-3744 Mel Westmoreland 040545 MHL-078-166 "Riverbend Services, Inc." 19-Aug-04 19-Mar-19 31-Dec-19 Type B 19-Mar-14 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Riverbend Residential Services #1 PO Box 1768 Lumberton NC 28359 4195 South Creek Road Orrum NC 28369 Robeson (910)628-9272 "Riverbend Services, Inc." 170359 MHL-078-319 "Riverbend Services, Inc." 11-Jan-18 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Riverbend Residential Services #2 6688 NC Highway 41 North Lumberton NC 28358 527 Fair Bluff Road Orrum NC 28369 Robeson (910)628-5141 "Riverbend Services, Inc." 160485 MHL-060-1363 "RoHa Solutions, Inc." 08-Jan-18 01-Jan-19 31-Dec-19 - - - - 3 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Jennings House 7900 McCarron Way Charlotte NC 28215 1529 Jennings Street Charlotte NC 28216 Mecklenburg (704)537-2720 "RoHa Solutions, Inc." 040775 MHL-049-098 "Rockwell Development Center, Inc." 29-Nov-04 01-Jan-19 31-Dec-19 Type A 23-Aug-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Stickney House 120 Rockwell Loop Mooresville NC 28115 120 Rockwell Loop Mooresville NC 28115 Iredell (704)987-2096 "Rockwell Development Center, Inc." 040776 MHL-049-099 "Rockwell Development Center, Inc." 29-Nov-04 01-Jan-19 31-Dec-19 Type B 29-Feb-08 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Whalen House 122 Rockwell Loop Mooresville NC 28115 122 Rockwell Loop Mooresville NC 28115 Iredell (704)987-2096 "Rockwell Development Center, Inc." 090281 MHL-049-123 "Rockwell Development Center, Inc." 07-May-10 01-Jan-19 31-Dec-19 Type B 28-Jun-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Helms House 122 Rockwell Loop Mooresville NC 28115 611 Presbyterian Road Mooresville NC 28115 Iredell (704)987-2096 "Rockwell Development Center, Inc." 000176 MHL-026-952 S & T WeCare Inc. 04-Feb-14 01-Jan-20 31-Dec-20 Type A 18-Aug-15 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Adrienne's House PO Box 25112 Fayetteville NC 28314 4528 Chambersburg Road Fayetteville NC 28314 Cumberland (910)491-6084 S & T WeCare Inc. 010655 MHL-026-689 S&T We Care 30-Apr-02 01-Jan-20 31-Dec-20 Type A 10-Feb-15 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL LUV-N-ARMS PO Box 25112 Fayetteville NC 28314 6777 Candlewood Drive Fayetteville NC 28314 Cumberland (910)868-2061 Sheryl Maxwell 000144 MHL-043-034 "Sierra's Residential Services, Inc." 03-Mar-00 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Sierra's Residential Services, Inc." PO Box 655 Lillington NC 27546 292 Sierra Trail Spring Lake NC 28390 Harnett (910)497-2923 Scottie Jeffery VanHook 020748 MHL-043-039 "Sierra's Residential Services, Inc." 21-Oct-02 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Sierra's Residential Services Inc.-Group Home #2 PO Box 655 Lillington NC 27546 21 Lanexa Lane Spring Lake NC 28390 Harnett (910)436-4010 Sierra's Residential Services Inc. 030651 MHL-043-050 "Sierra's Residential Services, Inc." 25-Aug-03 01-Jan-19 31-Dec-19 Type B Imposed 08-May-13 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Sierra's Residential Services Group Home III PO Box 655 Lillington NC 27546 665 Lake Ridge Drive Cameron NC 28326 Harnett (919)499-9178 Scottie Van Hook 031219 MHL-001-200 "Solutions Community Support Agency, LLC" 25-Aug-10 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Falcon Lane Residential Facility "236 N. Mebane Street, Suite 101" Burlington NC 27217 115 Falcon Lane Mebane NC 27302 Alamance (919)563-9693 "Solutions Community Support Agency, LLC" 110065 MHL-036-268 "Steps for Success Family Services, LLC" 18-Feb-09 01-Jan-19 31-Dec-19 Type A 09-Jul-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Belmont House PO Box 43077 Charlotte NC 28215 927 Floyd Lane Gastonia NC 28052 Gaston (704)671-2602 111032 MHL-036-296 "Steps for Success Family Services, LLC" 16-Feb-12 01-Jan-19 31-Dec-19 Type B 27-Oct-16 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Dorothy's Place PO Box 43077 Charlotte NC 28215 1024 Junius Street Gastonia NC 28052 Gaston (800)263-1550 "Steps For Success Family Services, LLC" 080576 MHL-011-369 "Steps for Success Family Services, LLC" 21-Apr-14 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Cynthia's Place PO Box 43077 Charlotte NC 28215 45 Eye View Road Candler NC 28715 Buncombe (800)263-1550 "Steps for Success Family Services, LLC" 160146 MHL-059-065 "Steps for Success Family Services, LLC" 08-Jul-14 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Ruthie's Place PO Box 43077 Charlotte NC 28215 71 East 4th Street Marion NC 28752 McDowell (828)559-0366 "Steps for Success Family Services, LLC" 080012 MHL-041-866 "Successful Transitions, LLC" 08-May-08 01-Jan-19 31-Dec-19 Type A 15-Feb-16 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Successful Transitions LLC-Residential HomeII-level III 8300 Chartwell Drive Oak Ridge NC 27310-9814 820 Mark Street High Point NC 27260-5928 Guilford (336)889-7515 Eva and Victor Washington 150006 MHL-041-1172 "Successful Visions, LLC" 21-Sep-18 01-Jan-19 31-Dec-19 Type B 02-Apr-19 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Successful Visions, LLC" 5114 Shorthorn Way Greensboro NC 27405 4016 Windspray Loop Summerfield NC 27358 Guilford (336)441-2099 "Successful Visions, LLC" 030773 MHL-026-777 "Sunlight Behavior Center, Inc." 31-Oct-03 01-Jan-19 31-Dec-19 Type A 14-Sep-16 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Sunlight Behavior Center 2030 Hoke Loop Road Fayetteville NC 28314 2030 Hoke Loop Road Fayetteville NC 28314 Cumberland (910)864-2443 Rashad Rahmaan 001638 MHL-080-214 "TGH Behavioral Health Services, Inc." 05-Jul-18 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MD RESIDENTL TGH Residential Services 505 W. Frankling St Salisbury NC 28144 328 Old Concord Road Salisbury NC 28144 Rowan (704)762-9666 "TGH Behavioral Health Services, Inc." 180548 MHL-018-098 "TLC W, LLC" 24-Jul-17 01-Jan-19 31-Dec-19 Type A 12-Apr-18 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL TLC W 4480 S Hwy 16 Maiden NC 28650 4480 South Highway 16 Maiden NC 28650-9030 Catawba (704)574-1549 "TLC W, LLC" 030439 MHL-083-031 "TT & T Services, Inc." 24-Jul-03 01-Jan-19 31-Dec-19 Type A 12-Dec-14 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Miracle Haven of Wagram 126 N. Main St. Raeford NC 28376 21701 Bundy Street Wagram NC 28396 Scotland (910)369-0531 TT&T Svcs Inc. 030869 MHL-092-563 "The Bruson Group, Inc." 23-Nov-03 01-Jan-19 31-Dec-19 Suspension of Admission 04-Mar-15 - - 9 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Beginnings Health Care 4225 Coldwater Springs Drive Raleigh NC 27616-8419 5309 Kyle Drive Raleigh NC 27616 Wake (919)758-8595 "The Bruson Group, Inc./Sonia Ward" 070613 MHL-092-685 "The Bruson Group, Inc." 12-Jun-07 01-Jan-19 31-Dec-19 Type A 21-Jun-13 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Beginnings Health Care Phase III 4225 Coldwater Springs Drive Raleigh NC 27616-8419 3501 Neptune Drive Raleigh NC 27604 Wake (919)981-7497 "The Bruson Group, Inc." 070427 MHL-078-197 The Johnson Center Home Incorporated 02-Jan-07 01-Jan-19 31-Dec-19 Type B 25-Jun-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Johnson Center II PO Box 844 Red Springs NC 28377 111 Taylor Street Red Springs NC 28377 Robeson (910)843-1601 020709 MHL-078-315 The Johnson Center Home Incorporated 01-Jan-16 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C MI RESIDENTL Johnson Center I PO Box 844 Red Springs NC 28377 100 Thurlow Street Red Springs NC 28377 Robeson (910)843-7007 The Johnson Center Home Incorporated 040729 MHL-090-197 The Resiliency Group 02-Apr-19 02-Apr-19 31-Dec-19 - - - - 6 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Agape-Windsor 907 Windsor Strret Monroe NC 28112 907 Windsor Street Monroe NC 28112 Union (704)289-7889 The Resiliency Group 180070 MHL-073-070 "Therapeutic Health Services, Inc." 21-Sep-18 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C MI RESIDENTL THS #1 1148 Allensville Road Roxboro NC 27574 1148 Allensville Road Roxboro NC 27574 Person (336)599-3905 "Therapeutic Health Services, Inc." 040049 MHL-098-100 Tonya Fuller Johnson 15-Mar-04 01-Jan-19 31-Dec-19 Type A 19-Dec-14 - - 4 27G.1700 Residential Treatment Level III C MI RESIDENTL Miss Daisy's Gentlemen Of The Future PO Box 1991 Wilson NC 27894 304 Fairview Avenue Wilson NC 27893 Wilson (252)293-4683 "Gentlemen to the Future, Inc." 061081 MHL-041-805 "Trinity House, Inc." 19-Jan-07 01-Jan-19 31-Dec-19 Type B 24-Jun-08 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Trinity House, Inc." PO Box 78054 Greensboro NC 27427 1803 Lochwood Drive Greensboro NC 27406 Guilford (336)697-5506 Yolande' Harrison 031027 MHL-092-576 "United Family Network, Inc." 16-Jan-04 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL United Family Network @ Willow Springs 9609 Kennebec Road Willow Springs NC 27592 9609 Kennebec Road Willow Springs NC 27592 Wake (919)639-1194 United Fmly Network @ Willow Spring 080044 MHL-092-708 "United Family Network, Inc." 01-May-08 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL United Family Network of Fuquay-Varina 9609 Kennebec Road Willow Springs NC 27592 7086 Kennebec Road Willow Springs NC 27592 Wake (919)567-1300 United Family Network Inc. 150062 MHL-058-056 "Uprising Homes, Inc." 04-Feb-05 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Destiny 3836 Abby Lynn Drive Greenville NC 27858 119 Peele Street Williamston NC 27892 Martin (252)227-2272 "Uprising Homes, Inc." 150423 MHL-058-058 "Uprising Homes, Inc." 18-Apr-07 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Grace 119 Peel Street Williamston NC 27892 21120 Hwy 125 Williamston NC 27892 Martin (252)348-3400 "Uprising Homes, Inc." 180329 MHL-055-127 "VIRTUE, Inc." 08-Mar-19 08-Mar-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C MI RESIDENTL "VIRTUE, Inc. Meantime Home VI" PO Box 35492 Charlotte NC 28235 3387 E Highway 150 Lincolnton NC 28092 Lincoln (704)568-7365 "VIRTUE, Inc." 031074 MHL-074-142 WeCare Residential Facility Inc. 06-Feb-04 01-Jan-19 31-Dec-19 - - - - 3 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "WeCare Residential Facility, Inc. 2" 5293 Whichard Road Stokes NC 27884 5293 Whichard Road Stokes NC 27884 Pitt (252)830-9600 "WeCare Residential Facility, Inc." 041189 MHL-034-201 "Wilson's Constant Care, LLC" 08-Mar-06 01-Jan-19 31-Dec-19 Type B 08-Jul-10 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Wilson's Constant Care 1228 North Highland Avenue Winston-Salem NC 27101 1228 N. Highland Avenue Winston-Salem NC 27101 Forsyth (336)703-9650 Katherine N. Wilson 160310 MHL-092-927 "Yelverton's Enrichment Services, Inc." 01-Aug-15 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL YES-Residential #4 "5809 Departure Drive, Ste 106" Raleigh NC 27616-1936 1649 Eva Mae Drive Raleigh NC 27610 Wake (984)269-5340 "Yelverton's Enrichment Services, Inc." 170174 MHL-040-054 "Yelverton's Enrichment Services, Inc." 14-Sep-16 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C MI RESIDENTL YES-Residential #5 "5809 Departure Drive, Suite 106" Raleigh NC 27616 2755 Highway 123 N. Hookerton NC 28538 Greene (252)747-9943 "Yelverton's Enrichment Services, Inc." 170601 MHL-092-923 "Yelverton's Enrichment Services, Inc." 01-Aug-15 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL YES-Residential #1 "5809 Departure Dr, Ste 106" Raleigh NC 27616 2931 Neals Creek Drive Raleigh NC 27610 Wake (984)200-8957 "Yelverton's Enrichment Services, Inc." 070173 MHL-001-150 "Youth Builders, LLC" 13-Jun-07 01-Jan-19 31-Dec-19 Type A 28-Mar-19 - - 4 27G.1700 Residential Treatment Level III ADOL MI RESIDENTL "Youth Builders, LLC" PO Box 247 Hillsborough NC 27278 2423 Morningside Drive Burlington NC 27217 Alamance (336)261-5920 020954 MHL-041-658 "Youth Enrichment Group Home, Inc." 12-Dec-02 01-Jan-19 31-Dec-19 Type B 14-Nov-07 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Wynmere Place 4299 Harbor Ridge Drive Greensboro NC 27406 203 Hammond Drive Greensboro NC 27406 Guilford (336)389-1913 Youth Enrichment Group Home 060655 MHL-041-785 "Youth Enrichment Group Home, Inc." 11-Jul-06 01-Jan-19 31-Dec-19 Type B Imposed 13-Feb-15 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Lochwood II 4299 Harbor Ridge Drive Greensboro NC 27406 1807 Lochwood Drive Greensboro NC 27406 Guilford (336)698-0351 140231 MHL-079-125 "Youth Haven Services, LLC" 04-Jun-13 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MD RESIDENTL The Dove House 229 Turner Drive Reidsville NC 27320 911 Berrymore Road Reidsville NC 27320 Rockingham (336)637-8505 "Youth Haven Services, LLC" 021313 MHL-079-073 "Youth Haven Services, LLC" 11-Mar-04 01-Jan-19 31-Dec-19 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Faith House 229 Turner Dr Reidsville NC 27320 1115 Rosemont Drive Reidsville NC 27320 Rockingham (336)634-0389 "Youth Haven Services, LLC" 010524 MHL-076-063 "Youth Unlimited, Inc." 17-Jan-02 01-Jan-19 31-Dec-19 Type A 26-May-15 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Youth Unlimited-Slane Home PO Box 485 High Point NC 27261 2872 Youth Unlimited Drive Sophia NC 27350 Randolph (336)861-1413 Youth Unlimited Inc. 030608 MHL-076-068 "Youth Unlimited, Inc." 22-Sep-03 01-Jan-19 31-Dec-19 Provisional 28-May-15 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Youth Unlimited-Hayworth Home PO Box 485 High Point NC 27261 2748 Youth Unlimited Drive Sophia NC 27350 Randolph (336)861-6380 Youth Unlimited Inc. 060210 MHL-047-155 Precious Haven Inc. 16-Jan-14 01-Jan-19 31-Dec-19 Type A 09-Apr-18 - - 12 27G.1800 Intensive Residential Treatment for Children Level IV C&ADOL MI RESIDENTL Precious Haven Inc. 315 Dick Street Fayetteville NC 28301 181 Bostic Road Rockfish NC 28376 Hoke (910)848-1408 Precious Haven Inc. 921429 MHL-060-059 Alexander Youth Network 01-Dec-83 01-Jan-19 31-Dec-19 Type A 05-Mar-14 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI DAY&RESL Alexander Youth Network - PRTF 6220 Thermal Rd. Charlotte NC 28211 6220 Thermal Road Charlotte NC 28211 Mecklenburg (704)366-8712 051148 MHL-060-969 Alexander Youth Network 01-Nov-05 01-Jan-19 31-Dec-19 - - - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Alexander Youth Network - Oak Unit 6220 Thermal Rd. Charlotte NC 28211 6220-A Thermal Rd. Charlotte NC 28211 Mecklenburg (704)366-8712 051146 MHL-060-970 Alexander Youth Network 01-Nov-05 01-Jan-19 31-Dec-19 Type B 27-May-11 - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Alexander Youth Network - Nisbet Unit 6220 Thermal Rd Charlotte NC 28211 6220-C Thermal Rd. Charlotte NC 28211 Mecklenburg (704)366-8712 051150 MHL-060-1117 Alexander Youth Network 27-Oct-09 01-Jan-19 31-Dec-19 - - - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Alexander Youth Network - Elm Unit 6220 Thermal Rd Charlotte NC 28211 6220-D Thermal Rd Charlotte NC 28211 Mecklenburg (704)366-8712 Alexander Youth Network 051149 MHL-060-972 Alexander Youth Network 01-Nov-05 01-Jan-19 31-Dec-19 Type B 03-Sep-10 - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Alexander Youth Network - Dickson Unit 6220 Thermal Rd Charlotte NC 28211 6220-B Thermal Rd Charlotte NC 28211 Mecklenburg (704)366-8712 180231 MHL-060-1404 Alexander Youth Network 05-Jun-19 05-Jun-19 05-Dec-19 - - - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C MI RESIDENTL Spruce Cottage 6220 Thermal Road Charlotte NC 28211 6220-E Thermal Road Charlotte NC 28211 Mecklenburg (704)366-8712 Alexander Youth Network 170161 MHL-090-192 "Anderson Behavioral Health, Inc." 24-Jul-17 01-Jan-19 31-Dec-19 Type A 20-Jun-18 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Anderson Health Services-Ashford 1915 Hasty Rd Marshville NC 28103 1915-B Hasty Road Marshville NC 28103 Union (704)624-4620 "Anderson Behavioral Health, Inc." 140458 MHL-090-193 "Anderson Behavioral Health, Inc." 24-Jul-17 01-Jan-19 31-Dec-19 Type B 24-Oct-17 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Anderson Health Services-Walfus PO Box 490 Marshville NC 28103 1915-A Hasty Road Marshville NC 28103 Union (704)624-4620 "Anderson Behavioral Health, Inc." 170162 MHL-090-195 "Anderson Behavioral Health, Inc." 04-May-18 01-Jan-19 31-Dec-19 Suspension of Admission 01-Jun-18 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Anderson Health Services-Simmons 1915 Hasty Rd Marshville NC 28103 1915-C Hasty Road Marshville NC 28103 Union (704)624-4620 "Anderson Behavioral Health Services, Inc." 080278 MHL-049-087 Barium Springs Home for Children 14-Jul-03 01-Jan-19 31-Dec-19 Type A 20-Jan-17 - - 9 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Barium Springs Home for Children-Sullivan Home PO Box 1 Barium Springs NC 28010-0001 153 Barium Springs Drive Statesville NC 28677-6238 Iredell (704)832-2234 "Barium Springs Home for Children, Inc." 090583 MHL-049-119 Barium Springs Home for Children 16-Oct-09 01-Jan-19 31-Dec-19 Type B 14-Jan-19 - - 9 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Barium Springs Home for Children - King Home PO BOX 1 Barium Springs NC 28010-0001 138 Barium Springs Drive Statesville NC 28677-6238 Iredell (704)832-2238 Barium Springs 110356 MHL-047-158 "Canyon Hills Treatment Facility, LLC" 03-Feb-16 01-Jan-19 31-Dec-19 Type A 10-Dec-18 - - 24 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MD RESIDENTL Canyon Hills Treatment Facility 769 Aberdeen Road Raeford NC 28376 769 Aberdeen Road Raeford NC 28376 Hoke (910)878-1502 "Canyon Hills Treatment Facility, LLC" 080669 MHL-063-100 "Cornerstone Treatment Facility Program, Inc." 01-Nov-11 01-Jan-19 31-Dec-19 Type A 30-Jul-15 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility ADOL MI RESIDENTL Jackson Springs Treatment Center 733 Bargain Street Fayetteville NC 28303 778 Hoffman Road West End NC 27376 Moore (910)673-0833 "Cornerstone Treatment Facility Program, Inc." 070852 MHL-004-016 "Cornerstone Treatment Facility, Inc." 29-Oct-08 01-Jan-19 31-Dec-19 - - - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility ADOL MI RESIDENTL Cornerstone Treatment Facility 733 Bargain St. Fayetteville NC 28303 129 Wallace Road Wadesboro NC 28170 Anson (704)695-0601 "Cornerstone Treatment Facility, Inc." 090050 MHL-047-131 "Cornerstone Treatment Facility, Inc." 21-May-10 01-Jan-19 31-Dec-19 Type A 17-Aug-12 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Hope Gardens Treatment Center 733 Bargain St. Fayetteville NC 28303 1958 Turnpike Road Raeford NC 28376 Hoke (910)904-7180 "Cornerstone Treatment Facility, Inc." 981017 MHL-011-169 "Eliada Homes, Inc." 02-Nov-98 01-Jan-19 31-Dec-19 Type A 20-Dec-18 - - 9 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Reynolds Cottage PO Box 16708 Asheville NC 28816 2 Compton Drive Asheville NC 28806 Buncombe (828)210-0221 "Eliada Homes, Inc." 991117 MHL-011-204 "Eliada Homes, Inc." 07-Nov-00 01-Jan-19 31-Dec-19 Type A 17-Jan-19 - - 9 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Cummings Cottage PO Box 16708 Asheville NC 28816 2 Compton Drive Asheville NC 28806 Buncombe (828)210-0205 "Eliada Homes, Inc." 991076 MHL-011-262 "Eliada Homes, Inc." 01-Jul-05 01-Jan-19 31-Dec-19 - - - - 9 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Lions Cottage PO Box 16708 Asheville NC 28816 2 Compton Drive Asheville NC 28806 Buncombe (828)210-0206 "Eliada Homes, Inc." 070188 MHL-006-017 "Grandfather Home for Children, Inc." 11-Nov-10 01-Jan-19 31-Dec-19 Type A 30-Nov-16 - - 9 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MD RESIDENTL Grandfather Home for Children-Campbell Cottage PO Box 1 Barium Springs NC 28010-001 240 Grandfather Home Dr. Banner Elk NC 28604 Avery (828)898-5465 Barium Springs 941859 MHL-012-117 Michael Walker 29-Jan-10 01-Jan-19 31-Dec-19 - - - - 10 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Walkers Day Program 18869 John Connor Road Cornelius NC 28031 2130 Highway 18/US 64 Morganton NC 28655 Burke (828)639-3576 Miachael and Helen Walker 060869 MHL-054-126 "NOVA, Inc" 02-Nov-06 01-Jan-19 31-Dec-19 Type A 19-Aug-15 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Oakwood Facility 2002 Shackleford Road Kinston NC 28504 2002 D & E Shackleford Road Kinston NC 28504 Lenoir (252)233-0494 "NOVA, Inc." 060871 MHL-054-125 "NOVA, Inc." 02-Nov-06 01-Jan-19 31-Dec-19 Type A 06-Mar-15 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Pinewood Facility 2002 Shackleford Road Kinston NC 28502 2002 A & B Shackleford Road Kinston NC 28504 Lenoir (252)233-0491 "Nova, Inc." 090404 MHL-054-159 "NOVA, Inc." 04-Apr-11 01-Jan-19 31-Dec-19 Type A 13-Sep-16 - - 18 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Maplewood Facility 2002 Shackleford Road Kinston NC 28504 2002-G Shackleford Road Kinston NC 28504 Lenoir (252)233-0491 NOVA. Inc. 051504 MHL-047-103 "Premier Healthcare Services, Inc." 20-Jun-07 01-Jan-19 31-Dec-19 Type A 30-Nov-17 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Grace House 733 Bargain Street Fayetteville NC 28303 1892 Turnpike Road Raeford NC 28376 Hoke (910)878-0121 "Premier Healthcare Services, Inc." 110238 MHL-084-085 "Premier Service of Carolina, Inc." 23-Aug-13 01-Jan-19 31-Dec-19 Type A 26-Jul-17 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Loretta's Place 109 Penny Street Albemarle NC 28001 109 Penny Street Albemarle NC 28001 Stanly (704)985-1178 "Premier Services of the Carolinas, Inc." 080139 MHL-060-1171 Thompson Child & Family Focus 20-Aug-10 01-Jan-19 31-Dec-19 - - - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility ADOL MI RESIDENTL Yorke Cottage 6800 Saint Peters Lane Matthews NC 28105 6750 Saint Peters Lane - Suite 100 Matthews NC 28105 Mecklenburg (704)536-0375 Thompson Child and Family Focus 100698 MHL-060-1172 Thompson Child & Family Focus 20-Aug-10 01-Jan-19 31-Dec-19 Type A 27-Jul-17 - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Alphin Cottage 6800 Saint Peters Lane Matthews NC 28105 "6750 Saint Peters Lane, Suite 400" Matthews NC 28105 Mecklenburg (704)536-0375 Thompson Child and Family Focus 110535 MHL-060-1226 Thompson Child & Family Focus 23-Sep-11 01-Jan-19 31-Dec-19 Type A 31-May-16 - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Peace Cottage 6800 St. Peters Lane Matthews NC 28105 "6750 St. Peters Lane, Suite 200" Matthews NC 28105 Mecklenburg (704)644-4425 Thompson Child & Family Focus 110536 MHL-060-1227 Thompson Child & Family Focus 23-Sep-11 01-Jan-19 31-Dec-19 Type A 10-Sep-18 - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Merancas Cottage 6800 St. Peters Lane Matthews NC 28105 "6750 St. Peters Lane, Suite 300" Matthews NC 28105 Mecklenburg (704)644-4416 Thompson Child & Family Focus 020711 MHL-060-1400 Thompson Child and Family Focus 28-Feb-19 28-Feb-19 31-Dec-19 - - - - 9 27G.1900 PRTF - Psychiatric Residential Treatment Facility ADOL MI RESIDENTL Smith Cottage 6801 St. Peters Lane Matthews NC 28105 6725 Saint Peter's Lane Matthews NC 28105 Mecklenburg (704)536-0375 Thompson Child and Family Focus 971047 MHL-041-224 "Youth Focus, Inc." 23-Dec-97 01-Jan-19 31-Dec-19 Type A 16-Oct-12 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Youth Focus Residential Treatment Center 405 Parkway Ste A Greensboro NC 27401 1601-B Huffine Mill Road Greensboro NC 27405 Guilford (336)375-8333 "Youth Focus, Inc." 922844 MHL-041-048 Addie A. Watson 01-Apr-88 01-Jan-20 31-Dec-20 - - - - 6 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Watson's Group Home PO Box 20084 Greensboro NC 27420 1310 Elwell Avenue Greensboro NC 27405 Guilford (336)275-1461 Addie A Watson 922425 MHL-067-011 "Carobell, Inc." 01-May-89 01-Jan-19 31-Dec-19 - - - - 8 27G.2100 Specialized Community Residential Center C&ADOL MR/DD RESIDENTL ICF Queen's Pond 198 Cinnamon Drive Hubert NC 28539 561 Queen's Creek Road Hubert NC 28539 Onslow (910)326-7600 "Carobell, Inc." 952537 MHL-067-014 "Carobell, Inc." 01-Nov-90 01-Jan-19 31-Dec-19 - - - - 24 27G.2100 Specialized Community Residential Center C&ADOL&A MR/DD RESIDENTL ICF Sandridge 198 Cinnamon Drive Hubert NC 28539 199 Cinnamon Drive Hubert NC 28539 Onslow (910)326-7600 "Carobell, Inc./Vanessa Ervin" 060710 MHL-092-005 "Hilltop Home, Inc." 01-Mar-85 01-Jan-19 31-Dec-19 Type A 08-Aug-11 - - 22 27G.2100 Specialized Community Residential Center C&ADOL MR/DD RESIDENTL ICF Hilltop Home PO Box 46749 Raleigh NC 27620-6749 2820 Kidd Road Raleigh NC 27610-1842 Wake (919)231-8315 "Hilltop Home, Inc." 921533 MHL-036-037 "Holy Angels Services, Inc." 01-May-92 01-Jan-19 31-Dec-19 - - - - 48 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Holy Angels Services-McAuley Residences 6600 Wilkinson Blvd. PO Box 710 Belmont NC 28012 McAuley Circle Belmont NC 28012 Gaston (704)825-4161 "Holy Angels Services, Inc." 941992 MHL-036-012 "Holy Angels, Inc." 01-Mar-85 01-Jan-19 31-Dec-19 - - - - 31 27G.2100 Specialized Community Residential Center C&ADOL&A MR/DD RESIDENTL "Holy Angels, Inc.-Morrow Center" 6600 Wilkinson Boulevard Belmont NC 28012 6600 Wilkinson Boulevard Belmont NC 28012 Gaston (704)825-4161 "Holy Angels, Inc." 922007 MHL-034-016 "Horizons Residential Care Center, Inc." 01-Jun-85 01-Jan-19 31-Dec-19 - - - - 30 27G.2100 Specialized Community Residential Center C&A MR/DD RESIDENTL ICF The Atrium/The Respite Center 100 Horizons Lane Rural Hall NC 27045 101 Horizons Lane Rural Hall NC 27045 Forsyth (336)767-2411 922700 MHL-034-050 "Horizons Residential Care Center, Inc." 01-May-92 01-Jan-19 31-Dec-19 - - - - 10 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF The Arches-Horizons Residential Care Center 100 Horizons Lane Rural Hall NC 27045 5900 Bethabara Park Boulevard Winston-Salem NC 27106 Forsyth (336)661-2190 Horizons Residential Care Center 960009 MHL-011-022 "Irene Wortham Residential Center, Inc." 02-Dec-87 01-Jan-19 31-Dec-19 - - - - 12 27G.2100 Specialized Community Residential Center C&ADOL&A MR/DD RESIDENTL ICF IWC-Rose Street Home 916 West Chapel Road Asheville NC 28803 1 Rose Street W Asheville NC 28803 Buncombe (828)274-7518 Matthew Henry 040358 MHL-092-619 Learning Services Corporation 01-Dec-90 01-Jan-19 31-Dec-19 Type A 02-Dec-11 - - 12 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL Learning Services-River Ridge 5301 Robbins Drive Raleigh NC 27610 5301 Robbins Drive Raleigh NC 27610 Wake (919)255-9595 Learning Svcs. Corp. 130116 MHL-092-917 Learning Services Corporation 17-Jun-15 01-Jan-19 31-Dec-19 - - - - 12 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL Learning Services Corporation - Willow House 5301 Robbins Drive Raleigh NC 27610 570 Building Futures Circle Raleigh NC 27610 Wake (919)255-9595 Learning Services Corporation 130115 MHL-092-916 Learning Services Corporation 17-Jun-15 01-Jan-19 31-Dec-19 - - - - 12 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL Learning Services Corporation - Cedar House 5301 Robbins Drive Raleigh NC 27610 450 Building Futures Circle Raleigh NC 27610 Wake (919)255-9595 Learning Services Corporation 150399 MHL-039-059 Learning Services Corporation 13-Nov-15 01-Jan-19 31-Dec-19 - - - - 10 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL Learning Services Corporation-Transitional Living Cntr 800 Recovery Rd Creedmoor NC 27522 796 Recovery Road Creedmoor NC 27522 Granville (919)529-1241 Learning Services Corporation 960122 MHL-077-019 Monarch 27-Feb-96 01-Jan-19 31-Dec-19 - - - - 9 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Pence Place "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 295 Airport Road Rockingham NC 28379 Richmond (910)895-1154 Monarch 921517 MHL-013-006 "Piedmont Residential Development Center, Inc." 29-Feb-80 01-Jan-19 31-Dec-19 - - - - 10 27G.2100 Specialized Community Residential Center C&A MR/DD RESIDENTL ICF Bost Children's Center P.O. Box 909 Concord NC 28026-0909 5300 Highway 200 Concord NC 28025 Cabarrus (704)786-1405 922010 MHL-074-030 "RHA Health Services NC, LLC" 01-Nov-92 01-Jan-19 31-Dec-19 Type B 23-Aug-19 - - 30 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Tar River 500 Sean Dr Greenville NC 27834 498 & 500 Sean Drive Greenville NC 27834 Pitt (252)758-1101 "RHA Health Services NC, LLC" 922016 MHL-041-055 "RHA Health Services NC, LLC" 01-Feb-89 01-Jan-19 31-Dec-19 Type A 26-Oct-12 - - 15 27G.2100 Specialized Community Residential Center C&ADOL&A MR/DD RESIDENTL ICF Gatewood 1508 Gatewood avenue Greensboro NC 27405 1508 Gatewood Avenue Greensboro NC 27405 Guilford (336)273-6105 "RHA Health Services NC, LLC" 922017 MHL-054-006 "RHA Health Services NC, LLC" 01-Jun-85 01-Jan-19 31-Dec-19 - - - - 113 27G.2100 Specialized Community Residential Center C&A MR/DD RESIDENTL ICF Bear Creek 5840 Greenwood Avenue La Grange NC 28551 5840 Greenwood Avenue La Grange NC 28551 Lenoir (252)566-9181 "RHA Health Services NC, LLC" 922018 MHL-096-009 "RHA Health Services NC, LLC" 01-Apr-88 01-Jan-19 31-Dec-19 - - - - 37 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Walnut Creek 5709 US 70 East Goldsboro NC 27534 5709 US 70 East Goldsboro NC 27534 Wayne (919)778-3524 "RHA Health Services NC, LLC" 922019 MHL-013-007 "RHA Health Services NC, LLC" 14-Feb-86 01-Jan-19 31-Dec-19 Type A 18-Feb-13 - - 120 27G.2100 Specialized Community Residential Center C&ADOL&A MR/DD RESIDENTL ICF Clear Creek 11950 Howell Center Dr Charlotte NC 28227 11950 Howell Center Drive Charlotte NC 28227 Cabarrus (704)545-7200 "RHA Health Services NC, LLC" 922167 MHL-063-012 "RHA Health Services NC, LLC" 01-Aug-91 01-Jan-19 31-Dec-19 - - - - 0 27G.2100 Specialized Community Residential Center C MR/DD RESIDENTL ICF Magnolia Group Home 15235 Airport Road Maxton NC 28364 928 Magnolia Drive Aberdeen NC 28315 Moore (910)944-2611 "RHA Health Services NC, LLC" 922570 MHL-063-007 "RHA Health Services NC, LLC" 01-Feb-91 01-Jan-19 31-Dec-19 - - - - 15 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Sherwood Park Home 15235 Airport Road Maxton NC 28364 126 Robinhood Lane Aberdeen NC 28315 Moore (910)944-7002 "RHA Health Services NC, LLC" 942020 MHL-025-010 "RHA Health Services NC, LLC" 02-Jul-91 01-Jan-19 31-Dec-19 - - - - 125 27G.2100 Specialized Community Residential Center C&A MR/DD RESIDENTL ICF Riverbend "140 Pirates Rd, PO Box 12159" New Bern NC 28562 140 Pirates Road New Bern NC 28562 Craven (252)638-6519 "RHA Health Services NC, LLC" 010376 MHL-068-012 "Residential Services, Inc." 01-Jan-85 01-Jan-19 31-Dec-19 - - - - 15 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF "Residential Services, Inc. Retirement Center" 111 Providence Road Chapel Hill NC 27514 6310 Mount Hermon Church Road Durham NC 27705 Orange (919)383-4444 "Residential Services, Inc." 922584 MHL-096-007 "Skill Creations, Inc." 01-Apr-90 01-Jan-19 31-Dec-19 - - - - 15 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Skill Creations P.O. Box 1664 Goldsboro NC 27533-1664 2101 Royall Ave Goldsboro NC 27534 Wayne (919)736-7471 Attn: Don Neal - Skill Creations 922588 MHL-031-004 "Skill Creations, Inc." 01-Jun-87 01-Jan-19 31-Dec-19 - - - - 15 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Skill Creations of Kenansville PO Box 1664 Goldsboro NC 27533-1664 200 South Stokes Street Kenansville NC 28349 Duplin (910)296-0078 Casy Johnson 922589 MHL-054-010 "Skill Creations, Inc." 01-Sep-87 01-Jan-19 31-Dec-19 - - - - 15 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Skill Creations of Kinston PO Box 1664 Goldsboro NC 27533-1664 901 Doctors Drive Kinston NC 28503 Lenoir (252)522-1738 "Skill Creations, Inc." 922592 MHL-033-008 "Skill Creations, Inc." 01-Jan-88 01-Jan-19 31-Dec-19 - - - - 15 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Skill Creations of Tarboro P.O. Box 1664 Goldsboro NC 27533-1664 811 Western Boulevard Tarboro NC 27886 Edgecombe (252)641-1141 Casey Johnson 922593 MHL-098-005 "Skill Creations, Inc." 01-Nov-91 01-Jan-19 31-Dec-19 - - - - 15 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Skill Creations of Wilson P.O. Box 1664 Goldsboro NC 27533-1664 "2000 Martin Luther King, Jr. Parkway" Wilson NC 27893 Wilson (252)291-9700 922685 MHL-053-008 "T.L.C. Homes, Inc." 01-Dec-87 01-Jan-20 31-Dec-20 - - - - 10 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF "T.L.C. Home, Inc." 1775 Hawkins Avenue Sanford NC 27330 1775 Hawkins Avenue Sanford NC 27330 Lee (919)774-4355 922692 MHL-092-011 "TLC Operations, Inc." 01-Mar-85 01-Jan-19 31-Dec-19 - - - - 30 27G.2100 Specialized Community Residential Center C&A MR/DD RESIDENTL ICF Tammy Lynn Center for Developmental Disabilities 739 Chappell Drive Raleigh NC 27606 "737, 743 and 745 Chappell Drive" Raleigh NC 27606 Wake (919)832-3909 170351 MHL-060-1324 "A Small Miracle, LLC" 02-Nov-16 01-Jan-20 31-Dec-20 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MR/DD DAY Transitions Charlotte Developmental Day Program 5309-C Idlewild Road N Charlotte NC 28227 5309-C Idlewild Road N Charlotte NC 28227 Mecklenburg (704)321-1635 "A Small Miracle, LLC" 180268 MHL-026-244 Autism Society of Cumberland County 19-Jun-96 01-Jan-19 31-Dec-19 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MR/DD DAY Brentwood Elementary School "351 Wagoner Dr, Ste 410" Fayetteville NC 28303 "1115 Bingham Drive, E1 - E7" Fayetteville NC 28304 Cumberland (910)864-5310 Autism Society of Cumberland County 070411 MHL-092-565 "Autism Society of North Carolina, Inc." 18-Nov-03 01-Jan-19 31-Dec-19 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MR/DD DAY Creative Living 5121 Kingdom Way Suite 100 Raleigh NC 27607 "6300 Chapel Hill Road, Suite 230" Raleigh NC 27607 Wake (919)865-2270 Tim Ferreira 941992 MHL-036-012 "Holy Angels, Inc." 01-Mar-85 01-Jan-19 31-Dec-19 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MR/DD DAY "Holy Angels, Inc.-Morrow Center" 6600 Wilkinson Boulevard Belmont NC 28012 6600 Wilkinson Boulevard Belmont NC 28012 Gaston (704)825-4161 "Holy Angels, Inc." 100302 MHL-084-034 Lifespan Incorporated 02-Apr-98 01-Jan-19 31-Dec-19 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MR/DD DAY Lifespan-Albemarle 233 Montgomery Ste 1-A Albemarle NC 28001 233 Montgomery Ste 1-A Albemarle NC 28001 Stanly (704)986-6376 Meri Frazier 090826 MHL-046-038 "Rehoboth Counseling Services, Inc." 10-Mar-17 01-Jan-19 31-Dec-19 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C MR/DD DAY Rehoboth Counseling Services PO Box 57 Ahoskie NC 27910 415 East Holloman Avenue Ahoskie NC 27910-2314 Hertford (252)332-8700 "Reboth Counseling Services, PLLC" 010878 MHL-096-126 "Skill Creations, Inc." 15-Aug-01 01-Jan-19 31-Dec-19 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MR/DD DAY SCI-Wayne County Day Program P. O. Box 979 Goldsboro NC 27533-0979 2103 Royal Avenue Goldsboro NC 27533 Wayne (919)731-9783 "Skill Creations, Inc." 080306 MHL-012-077 "Skill Creations, Inc." 14-Aug-01 01-Jan-19 31-Dec-19 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MD DAY SCI-Morganton Day Program PO Box 1403 Lenoir NC 28645 115 Stonebridge Drive Morganton NC 28655 Burke (828)437-3814 "Skill Creations, Inc." 010139 MHL-060-616 "The Kids Workshop, Inc." 31-Jan-01 01-Jan-19 31-Dec-19 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C MR/DD DAY The Kid's Workshop 11921 Bailey Road Cornelius NC 28031 5901 Beatties Ford Road Charlotte NC 28216 Mecklenburg (704)399-4045 "The Kids Workshop, Inc." 100941 MHL-044-054 "8Haywood Vocational Opportunities, Inc." 01-Oct-10 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Haywood Vocational Opportunities-Westwood Facility 172 Riverbend Street Waynesville NC 28786 150 Westwood Circle Waynesville NC 28786 Haywood (828)456-4455 "Haywood Vocational Opportunities, Inc." 070544 MHL-041-881 AbleCare Corp 01-Dec-08 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY AbleCare Day Center "305 South Westgate Dr., Ste. A" Greensboro NC 27407 "305 South Westgate Dr., Ste. A" Greensboro NC 27407 Guilford (336)218-7008 AbleCare Corp 150281 MHL-032-600 "Advantage Care In Home Services, Inc." 06-Jul-15 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Advantage Care Vocational Center P.O. Box 1258 Henderson NC 27536 "3600 North Duke Street, Suite 100" Durham NC 27704 Durham (919)471-1314 "Advantage Care In Home Services, Inc." 110869 MHL-065-236 "Alberta Professional Services, Inc." 04-Nov-11 01-Jan-20 31-Dec-20 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY New Directions 3107 So Elm-Eugene St Bldg A Greensboro NC 27406 "140 Cinema Drive, Units A and B" Wilmington NC 28403 New Hanover (910)341-3003 "Alberta Professional Services, Inc." 130136 MHL-041-932 "Alberta Professional Services, Inc." 04-Nov-09 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Alberta Care PO Box 14884 Greensboro NC 27415 3107 South Elm-Eugene Street Greensboro NC 27406 Guilford (336)373-3960 "Alberta Professional Services, Inc." 921434 MHL-003-002 "Alleghany Group Homes, Inc." 01-Apr-85 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Alleghany Group Homes, Inc., ADAP" P.O. Box 488 Sparta NC 28675 133 Health Services Rd. Sparta NC 28675 Alleghany (336)372-5671 "Alleghany County Group Homes, Inc ADAP" 921441 MHL-040-005 "Ambleside, Inc." 01-Jan-95 01-Jan-19 31-Dec-19 Type B 19-Aug-14 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Ambleside 1 Industrial Drive Snow Hill NC 28580 1 Industrial Drive Snow Hill NC 28580 Greene (252)747-5252 "Ambleside, Inc." 070411 MHL-092-565 "Autism Society of North Carolina, Inc." 18-Nov-03 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Creative Living 5121 Kingdom Way Suite 100 Raleigh NC 27607 "6300 Chapel Hill Road, Suite 230" Raleigh NC 27607 Wake (919)865-2270 Tim Ferreira 080809 MHL-026-871 "Autism Society of North Carolina, Inc." 20-Mar-09 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Academy For Life Skills Development 5121 Kingdom Way Suite 100 Raleigh NC 27607 "1047 Murchison Road, Suite 128 & 130" Fayetteville NC 28301 Cumberland (910)307-0319 Autism Society of North Carolina 110060 MHL-041-674 "Autism Society of North Carolina, Inc." 13-Jun-03 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Autism Center for Life Enrichment 5121 Kingdom Way Ste 100 Raleigh NC 27607 "9 Oak Branch Drive, Suites A & B" Greensboro NC 27407-2992 Guilford (336)333-0197 "Autism Society of North Carolina, Inc." 922917 MHL-006-001 Avery Assoc. for Exceptional Citizens Inc. 28-Oct-85 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Yellow Mountain Enterprises P.O. Box 548 Newland NC 28657 255 Estatoa Avenue Newland NC 28657 Avery (828)733-2944 "David L Tate, Executive Director" 921486 MHL-007-002 "Beaufort County Developmental Center, Inc." 16-Jul-85 01-Jan-20 31-Dec-20 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Beaufort County Developmental Center P O Box 518 Washington NC 27889 1534 West Fifth Street Washington NC 27889 Beaufort (252)946-0151 Eric Summerlin 150384 MHL-074-243 Better Connections Inc 16-Jun-10 01-Jan-19 31-Dec-19 Type B 20-Jun-16 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Better Connections Day Program 315 Clifton Street Greenville NC 27858 315 Clifton Street Greenville NC 27858 Pitt (252)814-2118 "Better Connections, Inc." 922254 MHL-061-001 "BlueWest Opportunities, Inc." 01-Jul-85 01-Jul-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Mountain Opportunity Center-Mitchell PO Box 1250 Asheville NC 28802-1250 36 North Mitchell Ave. Bakersville NC 28705 Mitchell (828)688-3050 "BlueWest Opportunities, Inc." 020388 MHL-057-016 BlueWest Opportunities. Inc. 04-Apr-02 01-Jul-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Mountain Opportunity Center-Madison PO Box 1250 ASHEVILLE NC 28802-1250 317 Kenpack Lane Marshall NC 28753 Madison (828)649-1139 "BlueWest Opportunities, Inc." 921540 MHL-010-001 Brunswick Community College 01-Sep-86 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Brunswick Interagency Program PO Box 30 Supply NC 28462 50 College Road Bolivia NC 28422 Brunswick (910)755-7371 Brunswick Interagency Prog. 140185 MHL-029-129 "C.F. Marketing, LLC" 21-Jul-14 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY C. F. Marketing 1206 Fairview Drive Lexington NC 27292 1208 Fairview Drive Lexington NC 27292 Davidson (336)236-2056 "C. F. Marketing, LLC" 051187 MHL-014-069 Caldwell Opportunities 26-Jul-07 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Caldwell Opportunities 1617 College Avenue Lenoir NC 28645 1617 College Avenue Lenoir NC 28645 Caldwell (828)757-5680 101005 MHL-065-035 "Cape Fear Group Homes, Inc." 01-Feb-92 01-Jan-20 31-Dec-20 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Cape Fear Group Homes Day Program PO Box 4203 Wilmington NC 28406 1504 N. Kerr Avenue Wilmington NC 28405 New Hanover (910)251-2555 "Cape Fear Group Homes, Inc." 922651 MHL-016-004 "Carobell, Inc." 03-Feb-86 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Station Club Enterprise 198 Cinnamon Drive Hubert NC 28539 306 Church Street Morehead City NC 28557 Carteret (919)436-4033 "Carobell, Inc." 991173 MHL-067-104 "Carobell, Inc." 20-Dec-99 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Carobell Day Program/Day Activity Program 198 Cinnamon Drive Hubert NC 28539 196 & 198 Cinnamon Drive Hubert NC 28539 Onslow (910)326-7600 "Carobell, Inc." 190253 MHL-019-040 "Chatham Trades, Inc." 06-Sep-06 01-Jul-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Chatham Trades, Inc." PO Box 511 Siler City NC 27344 2535 Old US Highway 421 North Siler City NC 27344 Chatham (919)663-3481 "Chatham Trades, Inc." 921663 MHL-023-002 "Cleveland Vocational Industries, Inc." 10-May-85 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Cleveland Vocational Industries, Inc." 650 North Post Road Shelby NC 28150 650 North Post Road Shelby NC 28150 Cleveland (704)471-0606 981030 MHL-065-099 Coastal Enterprises of Jacksonville Inc. 03-Nov-98 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Coastal Enterprises of Wilmington PO Box 3375 Wilmington NC 28406 1214 Kidder Street Wilmington NC 28401 New Hanover (910)763-3424 Coastal Enterprises of Wilmington 100717 MHL-014-027 "ComServ, Inc." 19-Sep-05 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Gateway Opportunities PO Box 1080 Lenoir NC 28645 2419 Norwood Street SW Lenoir NC 28645 Caldwell (828)728-9635 "ComServ, Inc." 990162 MHL-067-084 "Community Innovations, Inc." 08-Jun-98 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Countryview Day Program 1011-A Onsville Drive Jacksonville NC 28546 1009-B Onsville Drive Jacksonville NC 28546 Onslow (910)455-2230 "Community Innovations, Inc." 041307 MHL-024-022 "Community Innovations, Inc." 21-Mar-94 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Bill Parker Day Activity Center 80 Alliance Drive Whiteville NC 28472 118 E Walter Street Whiteville NC 28472 Columbus (910)640-3375 "Community Innovations, Inc." 170050 MHL-024-029 "Community Innovations, Inc." 23-Dec-96 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Southeastern Community Support Center 80 Alliance Drive Whiteville NC 28472 80 Alliance Drive Whiteville NC 28472 Columbus (910)642-5697 "Community Innovations, Inc." 922029 MHL-091-003 "Community Workforce Solutions, Inc." 01-Mar-85 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Community Workforce Solutions, Inc." "1011 Schaub Dr, Ste 200" Raleigh NC 27606 602 South Garnett Street Henderson NC 27536 Vance (252)492-9555 180595 MHL-092-273 "Community Workforce Solutions, Inc." 28-Apr-97 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Community Workforce Solutions, Inc." "1011 Schaub Dr, Ste 200" Raleigh NC 27606 "1011 Schaub Drive, Suites 102 & 104" Raleigh NC 27606 Wake (919)231-3325 "Community Workforce Solutions, Inc." 130121 MHL-041-1090 "Creative Management Source, Inc." 15-Nov-13 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Creative Management Source, Inc." PO Box 16851 Greensboro NC 27415 3407-G West Wendover Avenue Greensboro NC 27407 Guilford (336)292-5478 "Creative Management Source, Inc." 120557 MHL-063-103 "Diligent Care, Inc." 20-Nov-12 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Diligent Care, Inc. Day Activity Center" 320 Magnolia Square Court Aberdeen NC 28315 320 Magnolia Square Court Aberdeen NC 28315 Moore (910)944-7500 "Diligent Care, Inc." 160434 MHL-098-195 "Diversified Opportunities, Inc." 23-Feb-17 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Diversified Opportunities, Inc." 1010 Herring Avenue Wilson NC 27893 1010 Herring Avenue Wilson NC 27893 Wilson (252)291-0378 "Diversified Opportunities, Inc." 060389 MHL-032-379 "Durham Exchange Club Industries, Inc." 13-Jul-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Durham Exchange Club Industries Inc. 1717 Lawson St Durham NC 27703 1717 Lawson St. Durham NC 27703 Durham (919)596-1341 921487 MHL-042-002 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Jun-85 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY SET - WELDON "5171 Glenwood Avenue, Suite 211" Raleigh NC 27612 1710 Watkins Drive Weldon NC 27890 Halifax (252)536-4105 Easter Seals UCP 030363 MHL-074-035 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Jun-93 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Copymatic of Greenville 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 200 West 4th Street Greenville NC 27858 Pitt (252)695-6155 Easter Seals UCP 944876 MHL-026-013 "Employment Source, Inc." 15-Oct-86 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Service Source 600 Ames Street Fayetteville NC 28301 600 Ames Street Fayetteville NC 28301 Cumberland (910)826-4699 "Employment Source, Inc." 060794 MHL-059-031 Foothills Industries of McDowell County Inc. 22-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Foothills Industries 300 Rockwell Drive Marion NC 28752 300 Rockwell Drive Marion NC 28752 McDowell (828)652-4088 150181 MHL-084-021 GHA Autism Supports 01-Jun-95 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY GHA Day Services P.O. Box 2487 Albemarle NC 28002 221-B North Second Street Albemarle NC 28001 Stanly (704)982-9077 GHA Autism Supports 160209 MHL-065-242 GHA Autism Supports 05-Nov-13 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Port City Academy PO Box 4122 Wilmington NC 28406 "20 North Fourth Street, Suite 300B" Wilmington NC 28401 New Hanover (910)769-1046 GHA Autism Supports 922530 MHL-055-012 "Gaston Skills, Inc." 01-Jul-91 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Salem Industries 1301 Bessemer City Road Gastonia NC 28052 1636 Salem Church Road Lincolnton NC 28092 Lincoln (704)732-1516 051136 MHL-036-243 "Gaston Skills, Inc." 18-Jul-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Gaston Skills 1301 Bessemer City Road Gastonia NC 28052 1301Bessemer City Road Gastonia NC 28052 Gaston (704)869-0300 JoAnn Raxter 010672 MHL-011-215 "Goodwill Industries of Northwest North Carolina, Inc." 11-Jul-01 01-Jan-20 31-Dec-20 Type A 30-Aug-13 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Goodwill Ind. of NW NC, Inc./Ashville Emplymt&Trning Ct" 1616 Patton Avenue Asheville NC 28806 1616 Patton Avenue Asheville NC 28806 Buncombe (828)298-9023 050208 MHL-018-075 "Goodwill Industries of Northwest North Carolina, Inc." 21-Jun-05 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Goodwill Industries-Catawba Co Workforce Developm't Ctr 413 Thornburg Drive Conover NC 28613 413 Thornburg Drive Conover NC 28613 Catawba (828)465-0371 180477 MHL-091-111 "Guardian Angel Healthcare, LLC" 28-Feb-19 28-Feb-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY The Alliance Center PO Box 2002 Henderson NC 27536-2002 123 Young Street Henderson NC 27536 Vance (252)430-8748 "Guardian Angel Healthcare, LLC" 060864 MHL-044-048 "Haywood Vocational Opportunities, Inc." 17-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Haywood Vocational Opportunities-Riverbend & Scates Bld PO Box 7 Hazelwood NC 28738 172 Riverbend Street Waynesville NC 28786 Haywood (828)456-4455 941992 MHL-036-012 "Holy Angels, Inc." 01-Mar-85 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Holy Angels, Inc.-Morrow Center" 6600 Wilkinson Boulevard Belmont NC 28012 6600 Wilkinson Boulevard Belmont NC 28012 Gaston (704)825-4161 "Holy Angels, Inc." 060148 MHL-082-057 Howell Support Services 30-Jan-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Opportunities Unlimited ADVP PO Box 10946 Goldsboro NC 27532 118 County Complex Road Suite 2 Clinton NC 28328 Sampson (910)592-5945 060813 MHL-020-042 "Industrial Opportunties, Inc." 28-Aug-06 01-Jan-20 31-Dec-20 Type A 24-Sep-13 - - 0 27G.2300 Adult Developmental Vocational Programs C&ADOL&A MR/DD DAY "Industrial Opportunities, Inc." PO Box 1649 Andrews NC 28901 2586 Business Hwy 19 Andrews NC 28901 Cherokee (828)321-4754 080398 MHL-051-152 "Johnston County Industries, Inc." 01-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Johnston County Industries, Inc." 1100 East Preston Street Selma NC 27576 1100 East Preston Street Selma NC 27576 Johnston (919)743-8700 140171 MHL-043-067 "Johnston County Industries, Inc." 03-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Johnston County Industries, Inc. - Erwin" 1100 East Preston St Selma NC 27576 "411 East Jackson Boulevard, Suite 2" Erwin NC 28339 Harnett (910)891-2710 "Johnston County Industries, Inc." 960465 MHL-021-009 "LIFE, Inc." 03-Jul-96 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Edenton Day Program 2609 Royall Avenue Goldsboro NC 27534 701-D North Broad Street Edenton NC 27932 Chowan (252)482-8666 "Life, Inc." 120281 MHL-042-067 "LIFE, Inc." 21-Jun-12 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Halifax Co. Day Program 2609 Royall Avenue Goldsboro NC 27534 706 South McDaniel Street Enfield NC 27823 Halifax (252)445-1590 "Life, Inc." 060307 MHL-053-051 "Lee County Industries, Inc." 02-Jun-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Lee County Industries Inc. 2711 Tramway Road Sanford NC 27332 2711 Tramway Road Sanford NC 27332 Lee (919)775-3439 960328 MHL-025-087 "Life, Inc." 21-May-96 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Life, Inc./New Bern Day Program" 2609 Royall Ave. Goldsboro NC 27534 "2717 Neuse Blvd, Homestead Sq. #B" New Bern NC 28563 Craven (252)636-1090 "Life, Inc." 080415 MHL-010-064 "Life, Inc." 24-Jul-08 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "LIFE, Inc. /Leland Day Program" 2609 Royall Ave. Goldsboro NC 27534 117 J Village Road Leland NC 28451 Brunswick (910)371-0230 "LIFE, Inc." 100926 MHL-096-112 "Life, Inc." 04-Jan-00 01-Jan-19 31-Dec-19 Type B 21-Sep-11 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Life, Inc. / Goldsboro Day Program" 2609 Royall Avenue Goldsboro NC 27534 2609 Royall Avenue Goldsboro NC 27534 Wayne (919)778-1900 160545 MHL-007-016 "Life, Inc." 21-May-96 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Life, Inc./Washington Day Program" 2609 Royall Avenue Goldsboro NC 27534 1827 Carolina Avenue Washington NC 27889 Beaufort (252)974-2600 "Life, Inc." 090342 MHL-060-643 Lifespan Incorporated 30-Apr-01 01-Jan-20 31-Dec-20 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY Lifespan Graham 601 North Graham Street Charlotte NC 28202 601 North Graham Street Charlotte NC 28202 Mecklenburg (704)333-7107 Lifespan 100302 MHL-084-034 Lifespan Incorporated 02-Apr-98 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Lifespan-Albemarle 233 Montgomery Ste 1-A Albemarle NC 28001 233 Montgomery Ste 1-A Albemarle NC 28001 Stanly (704)986-6376 Meri Frazier 922495 MHL-086-010 Lifespan Incorporated 01-May-89 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Lifespan 623 Rockford Road Dobson NC 27017 623 Rockford Road Dobson NC 27017 Surry (336)374-4466 130108 MHL-041-1072 "M & S Supervised Living, LLC" 27-Mar-13 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY M & S Center For Opportunities 7311-A Friendship Church Road Brown Summit NC 27214 308-L Pomona Drive Greensboro NC 27407 Guilford (336)907-7950 "M & S Supervised Living, LLC" 050894 MHL-018-033 MH Fund Inc. dba Catawba Valley Behavioral Healthcare 01-Oct-95 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Life Skills Program 327 1st Avenue NW Hickory NC 28601 3060 11th Avenue Dr. SE Hickory NC 28602 Catawba (828)695-2150 Kandi Dubuque 041235 MHL-056-018 "Macon Citizens Habilities, Inc." 02-Dec-04 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Macon Citizens Enterprises(MCE) PO Box 698 Franklin NC 28744 913 Lake Emory Road Franklin NC 28734 Macon (828)524-5888 170311 MHL-032-507 "Makin' Choices, Inc." 16-Oct-09 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Makin' Choices, Inc." "2609 N. Duke Street, Bldg. 900" Durham NC 27704 "2609 N. Duke Street, Bldg. 900" Durham NC 27704 Durham (919)317-1170 "Makin' Choices, Inc." 922186 MHL-058-002 "Martin County Residential Services, Inc." 01-Jul-85 01-Jan-20 31-Dec-20 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Martin Enterprises PO Box 1042 Williamston NC 27892 6003 West Main Street EXT. HWY 64 W Williamston NC 27892 Martin (252)792-8251 Martin Enterprises 921668 MHL-025-005 Monarch 01-Mar-88 01-Jan-19 31-Dec-19 Type B 12-Oct-12 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Health Drive "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 1320 Health Drive New Bern NC 28560 Craven (252)638-5945 Monarch 921985 MHL-047-001 Monarch 01-Dec-86 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Vocational Options of Hoke County "350 Pee Dee Ave, Suite101" Albemarle NC 28001 1992 Turnpike Road Raeford NC 28376 Hoke (910)875-6639 Monarch 922239 MHL-062-002 Monarch 01-Jul-86 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Montgomery Community Living Skills "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 215 Page Street Biscoe NC 27209 Montgomery (910)428-4298 Monarch 922643 MHL-084-002 Monarch 01-Oct-90 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Stanly Industrial Services "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 730 Greenwood Street Albemarle NC 28002 Stanly (704)983-2174 Monarch 955353 MHL-077-015 Monarch 22-Dec-94 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Community Based Alternatives Inc. "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 7 Raleigh Street Hamlet NC 28345 Richmond (910)582-1923 Monarch 955444 MHL-085-008 Monarch 07-Feb-95 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Stokes Opportunity Center "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 1080 Neal Road Walnut Cove NC 27052 Stokes (336)591-5446 Monarch 070764 MHL-030-014 Monarch 01-Oct-97 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY New Horizons Enterprises "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 161 Funder Drive Mocksville NC 27028 Davie (336)751-1805 Monarch 090825 MHL-009-028 Monarch 09-Aug-07 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Bladen Opportunities Unlimited "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 412B Peanut Road Elizabethtown NC 28337 Bladen (910)863-4137 Monarch 942625 MHL-078-199 Monarch 09-Aug-07 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Southeastern Industrial Center "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 430 Caton Road Lumberton NC 28359 Robeson (910)738-8138 Monarch 120024 MHL-063-090 Monarch 03-May-10 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Creative Arts and Community Center "350 Pee Dee Ave., Ste. 101" Albemarle NC 28001 1662 Richards Street Southern Pines NC 28387 Moore (910)692-2936 Monarch 140335 MHL-076-005 Monarch 01-Feb-85 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Vocational Opportunities in the Community "350 Pee Dee Ave., Ste. 101" Albemarle NC 28001 1021 South Fayetteville Street Asheboro NC 27203 Randolph (336)625-1516 Monarch 941820 MHL-034-203 Monarch 19-May-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY Studio 651 "350 Pee Dee Ave., Ste. 101" Albemarle NC 28001 651 North Highland Avenue Winston Salem NC 27101 Forsyth (336)725-7527 Monarch 020134 MHL-024-070 Monarch 09-Aug-07 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Columbus Industries "350 Pee Dee Ave, Ste 101" Albemarle NC 28001 1222 South Madison Street Whiteville NC 28472 Columbus (336)705-9880 Monarch 180036 MHL-034-375 "Morgan Support Services, Inc." 09-Feb-18 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY The Oasis by MSS 331 High Street Winston Salem NC 27101 331 High Street Winston Salem NC 27101 Forsyth (336)934-4128 "Morgan Support Services, Inc." 922265 MHL-096-019 "NOVA IC, Inc." 01-Dec-90 01-Jan-19 31-Dec-19 Type B 06-Jun-11 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Dr. James H. McGlone Developmental Center PO Box 11077 Goldsboro NC 27532 2010 Hwy 117 N. Bypass Goldsboro NC 27530 Wayne (919)734-8962 922271 MHL-054-003 "Neuse Enterprises, Inc." 01-May-85 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Neuse Enterprises Inc. PO Box 1715 Kinston NC 28503 3800 Commerce Drive Kinston NC 28503 Lenoir (252)523-0817 031187 MHL-031-001 "Neuse Enterprises, Inc." 01-Mar-85 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Neuse Enterprises - Omega P.O. Box 1715 Kinston NC 28503 125 Rockfish Plaza Wallace NC 28466 Duplin (910)285-6531 Neuse Enterprises Inc 922273 MHL-060-015 "Nevins, Inc." 01-Jun-85 01-Jan-19 31-Dec-19 Type A 08-Jan-09 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Nevins, Inc." 3523 Nevin Rd. Charlotte NC 28269 3523 Nevin Road Charlotte NC 28269 Mecklenburg (704)596-1372 060422 MHL-068-126 "OE Enterprises, Inc." 25-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY OE Enterprises Inc. 348 Elizabeth Brady Road Hillsborough NC 27278 348 Elizabeth Brady Road Hillsborough NC 27278 Orange (919)732-8124 OE Enterprises 170063 MHL-001-064 "OE Enterprises, Inc." 24-Jun-99 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY OE Enterprises Inc at Alamance 1341 Anthony Rd Burlington NC 27215 1341 Anthony Road Burlington NC 27215 Alamance (336)506-2515 "OE Enterprises, Inc." 150554 MHL-041-1123 "Outward Bound One, LLC" 15-Feb-16 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Outward Bound Community Services "624 Guilford College Rd, Ste E" Greensboro NC 27409 620 B Guilford College Road Greensboro NC 27409 Guilford (336)553-9898 Outward Bound One LLC 120480 MHL-092-865 P.H.P. of N.C. Inc. 09-Apr-13 01-Jan-19 31-Dec-19 Type B 12-Aug-16 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY P.H.P. of N.C. Inc. PO Box 20014 Durham NC 27707 700 B Pony Road Zebulon NC 27597 Wake (919)375-4702 P.H.P. of N.C. Inc. 170043 MHL-032-255 P.H.P. of N.C. Inc. 13-Jun-01 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY P.H.P. Activity Center PO Box 20014 Durham NC 27707 "4125 Ben Franklin Boulevard, Suite A" Durham NC 27704 Durham (919)220-0021 "P.H.P. of N.C., Inc." 060623 MHL-073-049 Person County Local Government 01-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Person Industries 601 North Madison Blvd. Roxboro NC 27573 601 North Madison Blvd. Roxboro NC 27573 Person (336)599-7571 060624 MHL-073-048 Person County Local Government 01-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Person County Recycling Center 601 N. Madison Blvd. Roxboro NC 27573 741 Martin Street Roxboro NC 27573 Person (336)597-4437 060841 MHL-075-017 "Polk County Sheltered Workshop, Inc." 21-Aug-06 01-Jan-20 31-Dec-20 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Polk Vocational Services 451 Industrial Park Drive Columbus NC 28722 451 Industrial Park Drive Columbus NC 28722 Polk (828)894-3041 Polk Vocational Services 120475 MHL-078-300 "Primary Health Choice, Inc." 26-Sep-12 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Primary Health Choice, Inc." PO Box 159 St. Pauls NC 28384 107A Mt. Moriah Church Road Lumberton NC 28360 Robeson (910)738-7794 180112 MHL-083-055 "Primary Health Choice, Inc." 24-Jun-11 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Primary Health Choice, Inc." PO Box 159 St. Pauls NC 28384 505 Atkinson Street Laurinburg NC 28352 Scotland (910)277-0001 "Primary Health Choice, Inc." 100745 MHL-078-307 RHA Behavioral Health NC LLC 01-May-13 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY RHA Innovations PSR Robeson 2003 Godwin Avenue Suite A Lumberton NC 28358 "2003 Godwin Avenue, Suite A" Lumberton NC 28358 Robeson (910)739-8849 RHA Behavioral Health NC LLC 944887 MHL-026-038 "RHA Health Service NC, LLC" 12-Mar-89 01-Jan-19 31-Dec-19 Type A 18-May-15 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Wingate Road Day Program 2248 Wingate Road Fayetteville NC 28304 2248 Wingate Road Fayetteville NC 28304 Cumberland (910)424-2121 "RHA Health Services NC, LLC" 050209 MHL-065-129 "RHA Health Services NC, LLC" 20-Mar-01 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY The WAVE "3255 Burnt Mill Dr., Ste 5" Wilmington NC 28403 3255 Burnt Mill Drive Suite 5 Wilmington NC 28403 New Hanover (910)251-6616 "RHA Health Services NC, LLC" 020673 MHL-051-022 "RHA Health Services NC, LLC" 01-May-88 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Benson Vocational Center 501-C South Wall Street Benson NC 27504 501-C South Wall Street Benson NC 27504 Johnston (919)894-5124 "RHA Health Services NC, LLC" 922016 MHL-041-055 "RHA Health Services NC, LLC" 01-Feb-89 01-Jan-19 31-Dec-19 Type A 26-Oct-12 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Gatewood 1508 Gatewood avenue Greensboro NC 27405 1508 Gatewood Avenue Greensboro NC 27405 Guilford (336)273-6105 "RHA Health Services NC, LLC" 922019 MHL-013-007 "RHA Health Services NC, LLC" 14-Feb-86 01-Jan-19 31-Dec-19 Type A 18-Feb-13 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Clear Creek 11950 Howell Center Dr Charlotte NC 28227 11950 Howell Center Drive Charlotte NC 28227 Cabarrus (704)545-7200 "RHA Health Services NC, LLC" 922168 MHL-018-021 "RHA Health Services NC, LLC" 31-May-90 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Maiden Day Program 1754 GKN Way Newton NC 28658 1754 GKN Way Newton NC 28658 Catawba (828)428-0061 "RHA Health Services NC, LLC" 922293 MHL-095-010 "RHA Health Services NC, LLC" 01-Apr-90 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY New River Vocational Center 176 Wildcat Road Deep Gap NC 28618 176 Wildcat Road Deep Gap NC 28618 Watauga (828)262-5450 "RHA Health Services NC, LLC" 922615 MHL-083-011 "RHA Health Services NC, LLC" 01-Jun-90 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Maxton Vocational Center 15235 Airport Rd. Maxton NC 28364 15235 Airport Rd. Maxton NC 28364 Scotland (910)844-9664 "RHA Health Services NC, LLC" 922650 MHL-049-024 "RHA Health Services NC, LLC" 01-Nov-90 01-Jan-19 31-Dec-19 Type A 06-May-16 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Statesville Day Program 190 Commerce Boulevard Statesville NC 28625 190 Commerce Boulevard Statesville NC 28625 Iredell (704)872-3257 "RHA Health Services NC, LLC" 942020 MHL-025-010 "RHA Health Services NC, LLC" 02-Jul-91 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs C&A MR/DD DAY Riverbend "140 Pirates Rd, PO Box 12159" New Bern NC 28562 140 Pirates Road New Bern NC 28562 Craven (252)638-6519 "RHA Health Services NC, LLC" 070418 MHL-041-825 "RHA Health Services NC, LLC" 24-Nov-93 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY High Point Vocational Center "1701 Westchester Dr., Ste. 940" High Point NC 27262 "1701 Westchester Drive, Suite 940" High Point NC 27262 Guilford (336)885-5090 "RHA Health Services NC, LLC" 921662 MHL-080-019 "RHA Health Services NC, LLC" 01-May-90 01-Jan-19 31-Dec-19 Type A 04-May-15 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Cleveland Day Program 211 Roseman Lane Cleveland NC 27013 211 Roseman Lane Cleveland NC 27013 Rowan (704)278-9681 "RHA Health Services NC, LLC" 130539 MHL-039-008 "RHA Health Services NC, LLC" 01-May-90 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Creedmoor Vocational Center 2527 E. Lyon Station Rd Creedmoor NC 27522 2527 E. Lyon Station Road Creedmoor NC 27522 Granville (919)528-2558 "RHA Health Services NC, LLC" 922253 MHL-100-025 "RHA Health Services NC, LLC" 01-Jul-15 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY The Rutherford Hughes Center 414 East Main St. Burnsville NC 28714 414 East Main Street Burnsville NC 28714 Yancey (828)682-9813 "RHA Health Services NC, LLC" 150468 MHL-078-314 "RHA Health Services NC, LLC" 01-Nov-15 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Lumberton Vocational Center "2003 Godwin Ave., Ste. A1" Lumberton NC 28358 "2003 Godwin Avenue, Suite A1" Lumberton NC 28358 Robeson (910)739-1468 "RHA Health Services NC, LLC" 170158 MHL-080-208 "RHA Health Services NC, LLC" 01-May-17 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Ervin Woods Vocational Center 195 Ervin Woods Drive Kannapolis NC 28081 195 Ervin Woods Drive Kannapolis NC 28081 Rowan (704)925-8041 "RHA Health Services NC, LLC" 955649 MHL-001-040 "Ralph Scott Lifeservices, Inc." 29-Dec-94 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Star Point Day Program 408 West Trade Street Burlington NC 27217 1212 Turrentine Street Burlington NC 27215 Alamance (336)513-4335 "Ralph Scott Lifeservices, Inc." 922476 MHL-094-002 "Roanoke Developmental Center, Inc." 01-Jul-85 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Roanoke Developmental Center, Inc." PO Box 967 Plymouth NC 27962 609 Adams Street Plymouth NC 27962 Washington (252)793-5077 160275 MHL-079-130 Rouses Group Home II Inc. 01-Jul-16 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Paths 123 East Murphy Street Madison NC 27025 140 East Murphy Street Madison NC 27025 Rockingham (336)427-2562 "Rouse's Group Home II, Inc." 090235 MHL-080-176 "Rowan Vocational Opportunities, Inc." 28-Apr-09 01-Jan-19 31-Dec-19 Type A 30-Dec-16 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Rowan Vocational Opportunities 2728 Old Concord Road Salisbury NC 28146 2728 Old Concord Road Salisbury NC 28146 Rowan (704)633-6223 "Rowan Vocational Opportunities, Inc." 100962 MHL-013-158 "Rowan Vocational Opportunities, Inc." 20-Oct-10 01-Jan-19 31-Dec-19 Type A 19-Feb-15 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Cabarrus Vocational Opportunities 2728 Old Concord Road Salisbury NC 28146 107 Commercial Park Drive Concord NC 28027 Cabarrus (704)793-1314 "Rowan Vocational Opportunities, Inc." 101026 MHL-041-842 Russell Morgan 22-Aug-07 01-Jan-19 31-Dec-19 Type A 21-Apr-15 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY The Shoppe by MSS 500 Spring Garden Street Greensboro NC 27401 500 Spring Garden Street Greensboro NC 27401 Guilford (336)323-2870 Russell Morgan 060391 MHL-081-065 "Rutherford Life Services, Inc." 18-Jul-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Rutherford Life Services 230 Fairground Rd Spindale NC 28160 230 Fairground Rd Spindale NC 28160 Rutherford (828)286-4352 Amanda Freeman 150398 MHL-047-157 "Serenity Therapeutic Services, Inc." 12-Apr-11 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Serenity Therapeutic Day Support 207 S. Stewart Street Raeford NC 28376 107 Campbell Avenue Raeford NC 28376 Hoke (910)479-1111 "Serenity Therapeutic Services, Inc." 001227 MHL-032-246 "Skill Creations, Inc." 06-Nov-00 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY SCI-Triangle Day Program PO Box 1664 Goldsboro NC 27533-1664 110 South Miami Blvd Durham NC 27703 Durham (919)957-0388 "Skill Creations , Inc." 030027 MHL-065-029 "Skill Creations, Inc." 01-Dec-90 01-Jan-19 31-Dec-19 Type B 27-Jul-09 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY SCI-Day Program PO Box 1664 Goldsboro NC 27533 3718 Carolina Beach Road Wilmington NC 28401 New Hanover (910)790-4570 "Skill Creations, Inc." 945122 MHL-042-016 "Skill Creations, Inc." 08-Sep-94 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Roanoke House Day P.O. Box 1644 Goldsboro NC 27533 533 Becker Drive Roanoke Rapids NC 27870 Halifax (252)535-1193 "Skill Creations, Inc." 990057 MHL-031-023 "Skill Creations, Inc." 12-Jan-99 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Southeast Day Program PO Box 1664 Goldsboro NC 27533 101 East Bay Street Warsaw NC 28398 Duplin (910)293-4722 "Skill Creations, Inc." 990357 MHL-074-079 "Skill Creations, Inc." 19-Apr-99 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY SCI-Pitt County Day Program PO Box 1664 Goldsboro NC 27533-1664 600 Country Club Drive Greenville NC 27834 Pitt (252)355-0722 "Skill Creations, Inc." 090772 MHL-046-033 "Solid Foundation Facilities, Inc." 01-Mar-11 01-Jan-20 31-Dec-20 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Choanoke Valley 224 Ward Road Windsor NC 27983 1321 West First Street Ahoskie NC 27910 Hertford (252)209-8540 "Solid Foundation Facilities, Inc." 140014 MHL-067-158 "Spirit of Excellence Community Outreach, Inc." 02-Nov-04 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Guardian Care Adult Day Program 123-A Henderson Drive Jacksonville NC 28540 123-A Henderson Drive Jacksonville NC 28540 Onslow (910)939-4663 "Spirit of Excellence Community Outreach, Inc." 061155 MHL-086-044 "Surry-Yadkin Residential Services, Inc." 20-Sep-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY SYRS Day Services "401 S. Main St., Ste.100" Mount Airy NC 27030 162 B. West Pine Street Mount Airy NC 27030 Surry (336)786-5153 "Surry-Yadkin Residential Services, Inc." 110547 MHL-041-1175 "Sylvanglade Services, Inc." 29-Jan-19 29-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Edward Douglas Center 108 Winola Court Greensboro NC 27409 108 Winola Court Greensboro NC 27409 Guilford (336)218-1176 "Sylvanglade Services, Inc." 110793 MHL-026-171 The C.R.E.S.T. Program 05-Jul-94 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "C.R.E.S.T., Inc." PO Box 877 Fayetteville NC 28302 241 Tillinghast Street Fayetteville NC 28301 Cumberland (910)487-3131 The C.R.E.S.T. Program 030834 MHL-034-047 The Enrichment Center-An Affiliated Chapter of The Arc 12-Jul-91 01-Jan-20 31-Dec-20 Type A 11-Mar-08 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY The Enrichment Center 1006 South Marshall Street Winston-Salem NC 27101 1006 South Marshall Street Winston-Salem NC 27101 Forsyth (336)777-0076 140026 MHL-029-128 "The Workshop of Davidson, Inc." 05-Mar-14 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY The Workshop of Davidson PO Box 906 Lexington NC 27293 275 Monroe Road Lexington NC 27292 Davidson (336)248-2816 960755 MHL-076-034 "Therapeutic Alternatives, Inc." 01-Oct-96 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY The Lighthouse Project PO Box 814 Randleman NC 27317 4031 Heath Dairy Road Randleman NC 27317 Randolph (336)495-2700 "Therapeutic Alternatives, Inc." 090902 MHL-029-099 "Therapeutic Alternatives, Inc." 01-Jan-04 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Community Living Services of Lexington PO Box 814 Randleman NC 27317 37 Pickard Circle Lexington NC 27292 Davidson (336)224-2626 "Therapeutic Alternatives, Inc." 060700 MHL-088-016 "Transylvania Vocational Services, Inc." 07-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Transylvania Vocational Services PO Box 1115 Brevard NC 28712 11 Mountain Industrial Drive Brevard NC 28712 Transylvania (828)884-3195 "Transylvania Vocational Services, Inc." 120280 MHL-033-113 "Tri-County Industries, Inc." 28-Jun-12 01-Jan-20 31-Dec-20 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Tri-County Industries 1250 Atlantic Avenue Rocky Mount NC 27801 1250 Atlantic Avenue Rocky Mount NC 27801 Edgecombe (252)977-3800 Brenda P Cogdell 921431 MHL-002-004 "Turning Point Services, Inc." 04-Apr-90 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Alexander Opportunities 1001 South Sterling Street Morganton NC 28655 554 Seventh Street SW Taylorsville NC 28681 Alexander (828)632-7414 "Turning Point Services, Inc" 070070 MHL-012-012 "Turning Point Services, Inc." 13-Feb-85 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Burke Opportunities 1001 South Sterling Street Morganton NC 28655 1913 Jamestown Road Morganton NC 28655 Burke (828)584-8221 "Turning Point Services, Inc." 030516 MHL-090-145 Union Diversified Industries 23-May-03 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD RESIDENTL Union Diversified Industries PO Box 492 Monroe NC 28111 2815 Walkup Avenue Monroe NC 28110 Union (704)289-1571 Union Diversified Industries 921564 MHL-019-007 University of North Carolina at Chapel Hill 29-Aug-90 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY ICF CLLC(Carolina Living & Learning Center) CB #7180 Chapel Hill NC 27599-7180 325 Russet Run Pittsboro NC 27312 Chatham (919)542-1910 CLLC 160252 MHL-053-066 "Victor & Associates, Inc." 22-Oct-10 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Mid Carolina Innovations 1600 South 3rd St. Sanford NC 27330 488 Commerce Drive Sanford NC 27332 Lee (919)498-0245 "Victor & Associates, Inc." 051297 MHL-045-062 "Vocational Solutions of Henderson County, Inc." 26-Jul-06 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Vocational Solutions of Henderson County Inc. 2110 Spartanburg Hwy E Flat Rock NC 28726 2110 Spartanburg Hwy E FLat Rock NC 28726 Henderson (828)692-9626 090974 MHL-092-006 "Wake Enterprises, Inc." 01-Mar-87 01-Jan-19 31-Dec-19 Type A 26-Apr-18 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Wake Enterprises - The Miller Building 3548 Bush Street Raleigh NC 27609 3548 Bush Street Raleigh NC 27609 Wake (919)714-6100 "Wake Enterprises, Inc." 040394 MHL-092-306 "Wake Enterprises, Inc." 24-Feb-98 01-Jan-19 31-Dec-19 Type A 17-Dec-15 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Wake Enterprises, Inc." 3548 Bush Street Raleigh NC 27609-7509 3333 Air Park Road Fuquay-Varina NC 27526 Wake (919)714-6100 "Wake Enterprises, Inc" 970724 MHL-095-029 "Watauga Opportunities, Inc." 17-Jun-97 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Watauga Opportunities, Inc." P.O. Box 2330 Boone NC 28607 642 Greenway Road Boone NC 28607 Watauga (828)264-5008 190265 MHL-005-030 "Watauga Opportunities, Inc." 01-Jul-19 24-Jul-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Ashe Opportunities PO Box 2330 Boone NC 28607 "626 Ashe Central School Road, Suite B4-5" Jefferson NC 28640 Ashe (336)384-3718 "Watauga Opportunities, Inc." 051076 MHL-096-169 "Wayne Opportunity Center, Inc." 06-Jun-06 01-Jan-20 31-Dec-20 Type A 18-May-16 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Wayne Opportunity Center PO Box 1007 Goldsboro NC 27533 619 South George Street Goldsboro NC 27530 Wayne (919)735-5363 Wayne Opportunity Center 160038 MHL-041-941 "WesCare Professional Services, LLC" 19-Feb-10 01-Jan-20 31-Dec-20 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY WesCare Adult Day Placement 10-A Oak Branch Drive Greensboro NC 27407 10-A Oak Branch Drive Greensboro NC 27407 Guilford (336)272-8335 "WesCare Professional Services, LLC" 922882 MHL-097-001 "Wilkes ADAP, Inc." 01-Mar-86 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Wilkes ADAP PO Box 968 North Wilkesboro NC 28659 820 Boston Avenue North Wilkesboro NC 28659 Wilkes (336)667-1800 020864 MHL-097-060 "Wilkes Vocational Services,Inc." 20-Dec-07 01-Jan-19 31-Dec-19 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Wilkes Vocational Services 501 Elkin Highway North Wilkesboro NC 28659 501 Elkin Highway North Wilkesboro NC 28659 Wilkes (336)838-3812 Wilkes Vocational Services. 020971 MHL-092-526 Meredith College 26-Feb-03 01-Jan-19 31-Dec-19 - - - - 0 27G.2400 "Day Services for DD, Devel. Delayed, or Atypical Devel." C MR/DD DAY Meredith Autism Program 3800 Hillsborough Street Raleigh NC 27607 3800 Hillsborough St. Ledford Hall Raleigh NC 27607 Wake (919)760-8022 Meredith College Autism Program 921416 MHL-034-004 "Addiction Recovery Care Association, Inc." 01-Oct-75 01-Jan-20 31-Dec-20 Type B 06-Aug-10 - - 12 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Addiction Recovery Care Association(ARCA) 1931 Union Cross Road Winston Salem NC 27107 1931 Union Cross Road Winston Salem NC 27107 Forsyth (336)784-9470 "Addiction Recovery Care Association, Inc." 932215 MHL-060-1300 "Anuvia Prevention and Recovery Center, Inc." 01-Sep-15 01-Jan-19 31-Dec-19 - - - - 9 27G.3100 Non-hospital Medical Detoxification A SAS DAY&RESL Anuvia Prevention and Recovery Center 100 Billingsley Road Charlotte NC 28211 429 Billingsley Road Charlotte NC 28211 Mecklenburg (704)445-6900 "Anuvia Prevention and Recovery Center, Inc." 170551 MHL-036-332 "Aspen Investment Group, LLC" 23-Aug-18 10-May-19 31-Dec-19 - - - - 16 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Freedom 1089 X-Ray Drive Gastonia NC 28054 1089 X Ray Drive Gastonia NC 28054-7489 Gaston (980)320-1250 "Aspen Investment Group, LLC" 922513 MHL-026-914 Cumberland Co Hsp Sys Inc. dba Cape Fear Valley Hlh Sys 21-Jan-11 01-Jan-19 31-Dec-19 - - - - 7 27G.3100 Non-hospital Medical Detoxification C&ADOL&A SAS RESIDENTL Roxie Avenue Center 1638 Owen Drive Fayetteville NC 28304 1724 Roxie Avenue Fayetteville NC 28304 Cumberland (910)484-1212 "Cumberland Co. Hospital Systems, Inc." 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-19 31-Dec-19 - - - - 11 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 922268 MHL-011-421 "Family Preservation Services of North Carolina, LLC" 22-Jun-18 01-Jan-19 31-Dec-19 - - - - 6 27G.3100 Non-hospital Medical Detoxification C&ADOL SAS RESIDENTL Caiyalynn Burrell Child Crisis Center "2300 Sardis Rd North, Ste M" Charlotte NC 28227-7712 277 Biltmore Avenue Asheville NC 28801 Buncombe (877)277-8873 "Family Preservation Services of NC, LLC" 070041 MHL-068-118 "Freedom House Recovery Center, Inc." 10-Nov-05 01-Jan-19 31-Dec-19 Type B 10-Jan-11 - - 8 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Facility Based Crisis Services 104 New Stateside Drive Chapel Hill NC 27516 110 New Stateside Drive Chapel Hill NC 27516 Orange (919)942-2803 Freedom House Recovery Center 952003 MHL-086-006 "Hope Valley, Inc." 01-May-91 01-Jan-19 31-Dec-19 Type A 05-May-14 - - 8 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Hope Valley-Men's Division P.O. Box 467 Dobson NC 27017 105 County Home Road Dobson NC 27017 Surry (336)386-8511 "Hope Valley, Inc." 080350 MHL-060-1206 "McLeod Addictive Disease Center, Inc." 01-Nov-86 01-Jan-19 31-Dec-19 Type A 09-Jul-14 - - 6 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL McLeod Addictive Disease Center-4th Floor 515 Clanton Road Charlotte NC 28217 "515 Clanton Road, 4th Floor" Charlotte NC 28217 Mecklenburg (704)332-9001 "McLeod Addictive Disease Center, Inc." 051025 MHL-078-276 Monarch 01-May-11 01-Jan-19 31-Dec-19 - - - - 1 27G.3100 Non-hospital Medical Detoxification ADOL&A SAS RESIDENTL Tanglewood Arbor "350 Pee Dee Ave., Ste. 101" Albemarle NC 28001 207 West 29th Street Lumberton NC 28358 Robeson (910)618-5606 Monarch 150525 MHL-060-1361 Monarch 22-Dec-17 01-Jan-19 31-Dec-19 Type A 28-Feb-19 - - 1 27G.3100 Non-hospital Medical Detoxification C&ADOL SAS RESIDENTL "SECU Youth Crisis Center, a Monarch Program" "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 1810 Back Creek Drive Charlotte NC 28213 Mecklenburg (704)206-2342 Monach 960642 MHL-075-005 Pavillon International 30-Aug-96 01-Jan-19 31-Dec-19 - - - - 5 27G.3100 Non-hospital Medical Detoxification A SAS DAY&RESL Pavillon International 241 Pavillon Place Mill Spring NC 28756 241 Pavillon Place Mill Spring NC 28756 Polk (828)694-2300 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-19 31-Dec-19 Type B 23-Aug-13 - - 5 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Phoenix Counseling Center-Residential Wing 2505 Court Drive Gastonia NC 28054 "2505 Court Drive, Residential Wing" Gastonia NC 28054 Gaston (704)854-4196 Phoenix Counseling Center 100472 MHL-023-171 Phoenix Counseling Center 24-Jun-11 01-Jan-19 31-Dec-19 - - - - 8 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Cleveland Crisis and Recovery Center 631-407(PMB 207) Brawley School Rd Mooresville NC 28117 609 North Washington Street Shelby NC 28150 Cleveland (704)751-3693 Phoenix Counseling Center 922623 MHL-065-217 "RHA Health Services, Inc." 22-Jun-10 01-Jan-19 31-Dec-19 - - - - 8 27G.3100 Non-hospital Medical Detoxification C&ADOL&A SAS RESIDENTL The Harbor 2023 1A South 17th Street Wilmington NC 28401 2023 1A South 17th Street Wilmington NC 28401 New Hanover (910)632-2191 Molly Daughtry 150238 MHL-014-089 "RHA Health Services, Inc." 06-Apr-17 01-Jan-19 31-Dec-19 - - - - 6 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Foothills Regional Treatment Center 17 Church Street Asheville NC 28801 "2415 Morganton Blvd., Suite 200" Lenior NC 28645 Caldwell (828)394-5585 "RHA Health Services, Inc." 080776 MHL-091-103 "Recovery Innovations, Inc." 01-Jul-14 01-Jan-20 31-Dec-20 - - - - 5 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Recovery Response Center "2701 N 16th St, Ste #103" Pheonix AZ 85006 300 Parkview Drive West Henderson NC 27536 Vance (252)438-4145 Recovery Innovations/DBA RA International 925371 MHL-067-203 "Recovery Innovations, Inc." 06-Jun-19 01-Jan-20 31-Dec-20 - - - - 8 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Dix Crisis Center 2701 N 16th St. Phoenix AZ 85006 215-B Memorial Drive Jacksonville NC 28546 Onslow (910)378-4809 "Recovery Innovations, Inc." 943380 MHL-032-605 "Recovery Innovations, Inc./DBA RI International" 01-Jan-16 01-Jan-20 31-Dec-20 - - - - 6 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Durham Recovery Response Center 309 Crutchfield St Durham NC 27704 309 Crutchfield St Durham NC 27704 Durham (919)560-7305 "Recovery Innovations, Inc./DBA RI International" 942857 MHL-001-016 "Residential Treatment Services of Alamance, Inc." 01-Jun-75 01-Jan-19 31-Dec-19 Type A 29-Jun-10 - - 4 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Hall Avenue Facility P.O. Box 427 Burlington NC 27216-0427 136 Hall Avenue Burlington NC 27217 Alamance (336)227-7417 952368 MHL-097-003 "Synergy Recovery , Inc." 01-Jul-80 01-Jan-19 31-Dec-19 Type A 20-May-11 - - 6 27G.3100 Non-hospital Medical Detoxification C&ADOL SAS RESIDENTL Synergy Recovery at the Bundy Center P.O. Box 26 Wilkesboro NC 28697 118 Peace St. North Wilkesboro NC 28659 Wilkes (336)667-7191 921845 MHL-090-175 The Charlotte-Mecklenburg Hospital Authority 01-Apr-13 01-Jan-19 31-Dec-19 - - - - 4 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL CHS Behavioral Health-First Step PO Box 5003 Monroe NC 28111 1623 E. Sunset Drive Monroe NC 28112 Union (980)993-7700 The Charlotte-Mecklenburg Hospital Authority 130044 MHL-092-867 University of North Carolina Hospitals at Chapel Hill 06-May-13 01-Jan-19 31-Dec-19 - - - - 16 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL UNC Health Care Alcohol&Drug Detoxification @ WakeBrook 107 Sunnybrook Road Raleigh NC 27610 "107 Sunnybrook Road, Suite B" Raleigh NC 27610 Wake (984)974-4850 University of NC Hospital at Chapel Hill 932215 MHL-060-1300 "Anuvia Prevention and Recovery Center, Inc." 01-Sep-15 01-Jan-19 31-Dec-19 - - - - 35 27G.3200 Social Setting Detoxification A SAS RESIDENTL Anuvia Prevention and Recovery Center 100 Billingsley Road Charlotte NC 28211 429 Billingsley Road Charlotte NC 28211 Mecklenburg (704)445-6900 "Anuvia Prevention and Recovery Center, Inc." 921497 MHL-063-002 "Bethesda, Inc." 01-Nov-84 01-Jan-20 31-Dec-20 Type B 17-Apr-19 - - 3 27G.3200 Social Setting Detoxification A SAS RESIDENTL "Bethesda, Inc." 204 N. Pine Street Bldg. A Aberdeen NC 28315 204 N. Pine Street Bldg. A Aberdeen NC 28315 Moore (910)944-7700 Bethesda Inc. 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-19 31-Dec-19 - - - - 11 27G.3200 Social Setting Detoxification ADOL&A SAS RESIDENTL Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 070041 MHL-068-118 "Freedom House Recovery Center, Inc." 10-Nov-05 01-Jan-19 31-Dec-19 Type B 10-Jan-11 - - 0 27G.3200 Social Setting Detoxification A SAS RESIDENTL Facility Based Crisis Services 104 New Stateside Drive Chapel Hill NC 27516 110 New Stateside Drive Chapel Hill NC 27516 Orange (919)942-2803 Freedom House Recovery Center 990948 MHL-092-451 The Healing Place of Wake County 12-Apr-01 01-Jan-19 31-Dec-19 Type A 23-Jun-08 - - 22 27G.3200 Social Setting Detoxification C&A SAS DAY&RESL Healing Transitions 1251 Goode Street Raleigh NC 27603 1251 Goode Street Raleigh NC 27603-2261 Wake (919)838-9800 "Attn: Chris Budnick, Executive Director" 050080 MHL-092-643 The Healing Place of Wake County 24-Apr-06 01-Jan-19 31-Dec-19 - - - - 10 27G.3200 Social Setting Detoxification A SAS RESIDENTL Healing Transitions Women's Facility 1251 Goode Street Raleigh NC 27603 3304 Glen Royal Road Raleigh NC 27603 Wake (919)865-2558 Chris Budnick-Executive Director 150008 MHL-032-572 "Adaptive Integrated Methods, LLC" 22-Mar-12 01-Jan-19 31-Dec-19 - - - - 0 27G.3300 Outpatient Detoxification C&ADOL&A SAS DAY "Adaptive Integrated Methods, LLC" "4411 Ben Franklin Blvd., Ste B" Durham NC 27704 4004 Ben Franklin Blvd. Suite B Durham NC 27704 Durham (919)471-5474 "Adaptive Integrated Methods, LLC" 160530 MHL-002-029 "Addiction Recovery Medical Services, PLLC" 02-May-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3300 Outpatient Detoxification A SAS DAY Addiction Recovery Medical Services PO Box 1545 Statesville NC 28687 31 East Main Avenue Taylorsville NC 28681 Alexander (704)872-0234 "Addiction Recovery Medical Services, LLC" 170551 MHL-036-332 "Aspen Investment Group, LLC" 23-Aug-18 10-May-19 31-Dec-19 - - - - 0 27G.3300 Outpatient Detoxification A SAS DAY Freedom 1089 X-Ray Drive Gastonia NC 28054 1089 X Ray Drive Gastonia NC 28054-7489 Gaston (980)320-1250 "Aspen Investment Group, LLC" 090912 MHL-049-122 "Bobby P. Kearney, M.D., PLCC" 27-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.3300 Outpatient Detoxification A SAS DAY ARMS PO Box 1545 Statesville NC 28687 536 Signal Hill Drive Extension Statesville NC 28625 Iredell (704)818-1117 "Bobby P. Kearney, M.D., P.L.L.C." 091024 MHL-010-071 "Coastal Horizons Center, Inc." 21-May-09 01-Jan-19 31-Dec-19 - - - - 0 27G.3300 Outpatient Detoxification A SAS DAY "Coastal Horizons Center, Inc." 615 Shipyard Boulevard Wilmington NC 28470 120 Coastal Horizons Center Drive Shallotte NC 28470 Brunswick (910)754-4515 "Coastal Horizons Center, Inc." 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-19 31-Dec-19 - - - - 0 27G.3300 Outpatient Detoxification ADOL&A SAS DAY Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 180284 MHL-060-1379 "Harmony Recovery Center, LLC" 10-Jul-18 01-Jan-19 31-Dec-19 - - - - 0 27G.3300 Outpatient Detoxification A SAS DAY Harmony Recovery Center 1611 East 7th St Charlotte NC 28204 1611 East 7th Street Charlotte NC 28204 Mecklenburg (980)256-2273 "Harmony Recovery Center, LLC" 942653 MHL-034-003 "Insight Human Services, Inc." 01-Oct-84 01-Jan-19 31-Dec-19 - - - - 0 27G.3300 Outpatient Detoxification ADOL&A SAS DAY Insight Human Services-Forsyth 665 West Fourth Street Winston Salem NC 27101 665 West Fourth Street Winston Salem NC 27101 Forsyth (336)725-8389 Insight Human Services-Forsyth 922607 MHL-044-001 "Meridian Behavioral Health Services, Inc." 01-Mar-87 01-Jan-19 31-Dec-19 - - - - 0 27G.3300 Outpatient Detoxification ADOL&A SAS DAY Meridian Behavioral Health Services PO Box 2187 Sylva NC 28779 131 Walnut Street Waynesville NC 28786 Haywood (828)456-8604 "Meridian Behavioral Health Services, Inc." 180018 MHL-060-1367 "Midwood Addiction Treatment, LLC" 14-Mar-18 01-Jan-19 31-Dec-19 Type B 25-Oct-18 - - 0 27G.3300 Outpatient Detoxification A SAS DAY "Midwood Addiction Treatment, LLC" 1111 The Plaza Charlotte NC 28205 1111 The Plaza Charlotte NC 28205 Mecklenburg (704)625-2828 "Midwood Addiction Treatment, LLC" 180107 MHL-011-416 "Mountainview Recovery, Inc." 25-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.3300 Outpatient Detoxification A SAS DAY Mountainview Recovery "108 Monticello Rd, Ste 400" Wearverville NC 28787 "108 Monticello Road, Suite 400" Weaverville NC 28787 Buncombe (828)785-5745 "Mountainview Recovery, Inc." 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-19 31-Dec-19 Type B 23-Aug-13 - - 0 27G.3300 Outpatient Detoxification A SAS DAY Phoenix Counseling Center-Residential Wing 2505 Court Drive Gastonia NC 28054 "2505 Court Drive, Residential Wing" Gastonia NC 28054 Gaston (704)854-4196 Phoenix Counseling Center 100472 MHL-023-171 Phoenix Counseling Center 24-Jun-11 01-Jan-19 31-Dec-19 - - - - 0 27G.3300 Outpatient Detoxification A SAS DAY Cleveland Crisis and Recovery Center 631-407(PMB 207) Brawley School Rd Mooresville NC 28117 609 North Washington Street Shelby NC 28150 Cleveland (704)751-3693 Phoenix Counseling Center 060211 MHL-074-167 Sellati Co. Inc. 05-Sep-06 01-Jan-20 31-Dec-20 - - - - 0 27G.3300 Outpatient Detoxification A SAS DAY "Greenville Recovery Center, LLC (GRC)" "1850 Lee Rd., Ste. 115" Winter Park FL 32789 "150 Arlington Boulevard, Suite C" Greenville NC 27858 Pitt (252)353-2555 Sellati & Company 160578 MHL-060-1340 "The Blanchard Institute, LLC" 31-Jan-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3300 Outpatient Detoxification A SAS DAY "The Blanchard Institute, LLC" 10348 Park Road Charlotte NC 28210 10348 Park Road Charlotte NC 28210 Mecklenburg (704)288-1097 "The Blanchard Institute, LLC" 170232 MHL-010-090 "The Palms Health and Wellness, LLC" 29-Nov-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3300 Outpatient Detoxification ADOL&A SAS DAY "The Palms Health and Wellness, LLC" 1 Medical Center Drive Supply NC 28462 1 Medical Center Drive Supply NC 28462 Brunswick (910)754-3388 "The Palms Health and Wellness, LLC" 970220 MHL-041-187 "The Ringer Centers, Inc." 06-Feb-97 01-Jan-19 31-Dec-19 Type B 24-Jun-13 - - 0 27G.3300 Outpatient Detoxification ADOL&A SAS DAY The Ringer Center 213 East Bessemer Avenue Greensboro NC 27401 213 East Bessemer Avenue Greensboro NC 27401 Guilford (336)379-7144 "The Ringer Centers, Inc." 010173 MHL-065-026 "Wilmington Treatment Center, LLC" 01-Jun-90 01-Jan-19 31-Dec-19 - - - - 0 27G.3300 Outpatient Detoxification A SAS DAY Wilmington Treatment Center 2520 Troy Drive Wilmington NC 28401 1524 Harbour Drive Wilmington NC 28401 New Hanover (910)793-5662 921416 MHL-034-004 "Addiction Recovery Care Association, Inc." 01-Oct-75 01-Jan-20 31-Dec-20 Type B 06-Aug-10 - - 36 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL Addiction Recovery Care Association(ARCA) 1931 Union Cross Road Winston Salem NC 27107 1931 Union Cross Road Winston Salem NC 27107 Forsyth (336)784-9470 "Addiction Recovery Care Association, Inc." 932215 MHL-060-1300 "Anuvia Prevention and Recovery Center, Inc." 01-Sep-15 01-Jan-19 31-Dec-19 - - - - 32 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL Anuvia Prevention and Recovery Center 100 Billingsley Road Charlotte NC 28211 429 Billingsley Road Charlotte NC 28211 Mecklenburg (704)445-6900 "Anuvia Prevention and Recovery Center, Inc." 140145 MHL-078-317 "Community Outreach Youth Services, LLC" 12-Dec-16 01-Jan-19 31-Dec-19 - - - - 8 27G.3400 Residential Treatment/Rehabilitation C&ADOL SAS RESIDENTL Community Outreach Youth Services 7935 Hwy 74 West Rowland NC 28383 177 Cardinal Avenue Lumberton NC 28360 Robeson (910)674-4111 "Community Outreach Youth Services, LLC" 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-19 31-Dec-19 - - - - 40 27G.3400 Residential Treatment/Rehabilitation ADOL&A SAS RESIDENTL Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 140175 MHL-041-1032 "Fellowship Hall, Inc." 03-Nov-11 01-May-19 31-Dec-19 - - - - 24 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL Mose Kiser Jr. Lodge P.O. Box 13890 Greensboro NC 27415 5146 Dunstan Road Greensboro NC 27405 Guilford (336)621-3381 "Fellowship Hall, Inc." 150187 MHL-041-1031 "Fellowship Hall, Inc." 03-Nov-11 02-Jan-19 31-Dec-19 - - - - 15 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL Lodge II 5140 Dunstan Raod Greensboro NC 27405 5144 Dunstan Road Greensboro NC 27405 Guilford (336)621-3381 "Fellowship Hall, Inc." 922002 MHL-086-007 "Hope Valley, Inc." 01-May-91 01-Jan-19 31-Dec-19 - - - - 8 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL Hope Valley-Women's Division 152 Hope Valley Road Pilot Mountain NC 27041 152 Hope Valley Road Pilot Mountain NC 27014 Surry (336)368-2427 952003 MHL-086-006 "Hope Valley, Inc." 01-May-91 01-Jan-19 31-Dec-19 Type A 05-May-14 - - 22 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL Hope Valley-Men's Division P.O. Box 467 Dobson NC 27017 105 County Home Road Dobson NC 27017 Surry (336)386-8511 "Hope Valley, Inc." 922482 MHL-011-026 "Insight Human Services, Inc." 08-Jun-88 01-Jan-19 31-Dec-19 Type B 29-Aug-16 - - 22 27G.3400 Residential Treatment/Rehabilitation C&ADOL&A SAS RESIDENTL Robert S. Swain Recovery Center 665 West Fourth Street Winston-Salem NC 27101 932 Old US Highway 70 Black Mountain NC 28711 Buncombe (828)669-4161 080350 MHL-060-1206 "McLeod Addictive Disease Center, Inc." 01-Nov-86 01-Jan-19 31-Dec-19 Type A 09-Jul-14 - - 30 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL McLeod Addictive Disease Center-4th Floor 515 Clanton Road Charlotte NC 28217 "515 Clanton Road, 4th Floor" Charlotte NC 28217 Mecklenburg (704)332-9001 "McLeod Addictive Disease Center, Inc." 941736 MHL-029-006 "Path of Hope, Inc." 01-Jan-89 01-Jan-19 31-Dec-19 Type A 18-Apr-08 - - 12 27G.3400 Residential Treatment/Rehabilitation A SAS DAY&RESL Path of Hope PO Box 1824 Lexington NC 27293-1824 1675 East Center Street Extension Lexington NC 27292 Davidson (336)248-8914 "Path of Hope, Inc." 941737 MHL-029-007 "Path of Hope, Inc." 01-Mar-87 01-Jan-19 31-Dec-19 Type A 18-Apr-08 - - 6 27G.3400 Residential Treatment/Rehabilitation C&ADOL&A SAS RESIDENTL "Path of Hope, Inc." PO Box 1824 Lexington NC 27293 1675 East Center Street Ext. Lexington NC 27292 Davidson (336)248-8914 "Path of Hope, Inc." 960642 MHL-075-005 Pavillon International 30-Aug-96 01-Jan-19 31-Dec-19 - - - - 46 27G.3400 Residential Treatment/Rehabilitation A SAS DAY&RESL Pavillon International 241 Pavillon Place Mill Spring NC 28756 241 Pavillon Place Mill Spring NC 28756 Polk (828)694-2300 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-19 31-Dec-19 Type B 23-Aug-13 - - 6 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL Phoenix Counseling Center-Residential Wing 2505 Court Drive Gastonia NC 28054 "2505 Court Drive, Residential Wing" Gastonia NC 28054 Gaston (704)854-4196 Phoenix Counseling Center 922531 MHL-077-001 Samaritan Colony 01-Dec-84 01-Jan-19 31-Dec-19 - - - - 12 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL Samaritan Colony 136 Samaritan Drive Rockingham NC 28379 136 Samaritan Drive Rockingham NC 28379 Richmond (910)895-3243 952368 MHL-097-003 "Synergy Recovery , Inc." 01-Jul-80 01-Jan-19 31-Dec-19 Type A 20-May-11 - - 4 27G.3400 Residential Treatment/Rehabilitation C&ADOL SAS RESIDENTL Synergy Recovery at the Bundy Center P.O. Box 26 Wilkesboro NC 28697 118 Peace St. North Wilkesboro NC 28659 Wilkes (336)667-7191 921845 MHL-090-175 The Charlotte-Mecklenburg Hospital Authority 01-Apr-13 01-Jan-19 31-Dec-19 - - - - 16 27G.3400 Residential Treatment/Rehabilitation C&ADOL&A SAS RESIDENTL CHS Behavioral Health-First Step PO Box 5003 Monroe NC 28111 1623 E. Sunset Drive Monroe NC 28112 Union (980)993-7700 The Charlotte-Mecklenburg Hospital Authority 110187 MHL-092-870 University of North Carolina Hospitals at Chapel Hill 01-Jul-13 01-Jan-19 31-Dec-19 - - - - 16 27G.3400 Residential Treatment/Rehabilitation A SAS DAY UNC Health Care Facility Based Crisis at WakeBrook "107 Sunnybrook Road, Suite A" Raleigh NC 27610 "107 Sunnybrook Road, Suite A" Raleigh NC 27610 Wake (984)974-4870 University of NC Hospitals at Chapel Hill 041055 MHL-063-065 "ATS of North Carolina, LLC" 22-Jun-05 14-May-19 31-Dec-19 Type A 17-Dec-09 - - 0 27G.3600 Outpatient Methadone A SAS DAY Carolina Treatment Center of Pinehurst 20 Page Drive Pinehurst NC 28374 20 Page Drive Pinehurst NC 28374 Moore (910)235-9090 Advanced Treatment Systems of NC 060880 MHL-096-186 "ATS of North Carolina, LLC" 20-Nov-06 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Carolina Treatment Center of Goldsboro "1700 E. Ash St., Ste 201" Goldsboro NC 27530 "1700 East Ash Street, Suites, 200, 201, 202 & 300" Goldsboro NC 27530-4097 Wayne (919)583-9329 "ATS of North Carolina, LLC" 110603 MHL-026-617 "ATS of North Carolina, LLC" 21-Jun-01 01-Jan-19 31-Dec-19 Type B 09-Feb-18 - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY Carolina Treatment Center of Fayetteville 3427 Melrose Road Fayetteville NC 28304 3427 Melrose Road Fayetteville NC 28304 Cumberland (910)864-8739 "ATS of North Carolina, LLC" 080720 MHL-011-335 "ATS of North Carolina, LLC" 31-Oct-11 01-Jan-19 31-Dec-19 Type A 04-Mar-14 - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY Mountain Health Solutions - Asheville 2 McDowell Street Asheville NC 28801 2 McDowell Street Asheville NC 28801 Buncombe (828)225-6050 Mountain Health Solutions-Asheville 160531 MHL-097-065 "ATS of North Carolina, LLC" 31-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY Mountain Health Solutions-North Wilkesboro 200 Northview Plaza North Wilkesboro NC 28659 200 Northview Plaza North Wilkesboro NC 28659 Wilkes (336)818-0607 "ATS of North Carolina, LLC" 170226 MHL-034-370 "ATS of North Carolina, LLC" 16-May-17 01-Jan-19 31-Dec-19 Type B 12-Dec-18 - - 0 27G.3600 Outpatient Methadone A SAS DAY Winston-Salem Comprehensive Treatment Center 1617 S. Hawthorne Road Winston-Salem NC 27103 1617 S. Hawthorne Road Winston-Salem NC 27103 Forsyth (336)842-6980 "ATS of North Carolina, LLC" 160530 MHL-002-029 "Addiction Recovery Medical Services, PLLC" 02-May-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Addiction Recovery Medical Services PO Box 1545 Statesville NC 28687 31 East Main Avenue Taylorsville NC 28681 Alexander (704)872-0234 "Addiction Recovery Medical Services, LLC" 180305 MHL-041-005 "Alcohol and Drug Services of Guilford, Inc." 01-Apr-86 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Alcohol and Drug Services-East 1101 Carolina Street Greensboro NC 27401 1101 Carolina Street Greensboro NC 27401 Guilford (336)333-6860 "Alcohol and Drug Services of Guilford, Inc." 101222 MHL-011-378 "BHG XXXVI, LLC" 01-Aug-15 12-Jun-19 31-Dec-19 Type B 13-Feb-19 - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY BHG Asheville Treatment Center "5001 Spring Valley Rd, Ste 600E" Dallas TX 75244 18 Wedgefield Drive Asheville NC 28806 Buncombe (828)252-8748 "BHG XXXVI, LLC" 101222 MHL-011-378 "BHG XXXVI, LLC" 01-Aug-15 12-Jun-19 31-Dec-19 Type B 13-Feb-19 - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY BHG Asheville Treatment Center "5001 Spring Valley Rd, Ste 600E" Dallas TX 75244 18 Wedgefield Drive Asheville NC 28806 Buncombe (828)252-8748 "BHG XXXVI, LLC" 080220 MHL-044-062 "BHG XXXVII, LLC" 01-Aug-15 23-Jul-19 31-Dec-19 Type A 17-Dec-18 - - 0 27G.3600 Outpatient Methadone A SAS DAY BHG Clyde Treatment Center "5001 Spring Valley Rd, Ste 600 E" Dallas TX 75244 414 Hospital Drive Clyde NC 28721 Haywood (828)454-0560 "BHG XXXVII, LLC" 160349 MHL-022-017 "BayMark Health Services of North Carolina, Inc." 30-Aug-18 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY MedMark Treatment Centers Murphy "1720 Lakepointe Dr., Ste. 117" Lewisville TX 75057 7540 US Highway 64 Brasstown NC 28902 Clay (828)837-5335 "BayMark Health Services of North Carolina, Inc." 090912 MHL-049-122 "Bobby P. Kearney, M.D., PLCC" 27-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY ARMS PO Box 1545 Statesville NC 28687 536 Signal Hill Drive Extension Statesville NC 28625 Iredell (704)818-1117 "Bobby P. Kearney, M.D., P.L.L.C." 140440 MHL-019-065 "Chatham Recovery, LLC" 23-Jan-15 01-Jan-20 31-Dec-20 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Chatham Recovery "8300 Health Park, Ste. 201" Raleigh NC 27615 "1758 E. 11th Street, Suite E" Siler City NC 27344 Chatham (919)663-3303 "Chatham Recovery, LLC" 011124 MHL-065-011 "Coastal Horizons Center, Inc." 01-Jan-85 01-Jan-19 31-Dec-19 Type A 06-Apr-15 - - 0 27G.3600 Outpatient Methadone A SAS DAY "Coastal Horizons Center, Inc." 615 Shipyard Boulevard Wilmington NC 28412 615 Shipyard Boulevard Wilmington NC 28412 New Hanover (910)343-0145 "Coastal Horizons Center, Inc." 080331 MHL-011-298 "Crossroads Treatment Center of Asheville, PC" 19-Sep-08 01-Jan-19 31-Dec-19 Type A 30-Apr-15 - - 0 27G.3600 Outpatient Methadone A SAS DAY "Crossroads Treatment Center of Asheville, PC" 55 Beattie Place Suite 810 Greenville SC 29601 "6 Roberts Road, Suite 103" Asheville NC 28803 Buncombe (828)505-3086 "Crossroads Treatment Center of Asheville, PC" 180201 MHL-023-213 "Crossroads Treatment Center of Cleveland County, P.C." 08-Jun-18 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY "Crossroads Treatment Center of Cleveland County, P.C." "55 Beattie Place, Ste 810" Greenville SC 29601 1895 East Dixon Boulevard Shelby NC 28150 Cleveland (704)466-3970 "Crossroads Treatment Center of Cleveland County, P" 120370 MHL-041-879 "Crossroads Treatment Center of Greensboro, P.C." 14-Oct-08 01-Jan-19 31-Dec-19 Type A 12-Sep-14 - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY "Crossroads Treatment Center of Greensboro, P.C." "55 Beattie Place, Suite 810" Greenville SC 29601 2706 North Church Street Greensboro NC 27405 Guilford (336)272-9990 "Crossroads Treatment Center of Greensboro, PC" 101190 MHL-011-330 "Crossroads Treatment Center of Weaverville, P.C." 16-Mar-11 01-Jan-19 31-Dec-19 21-May-15 - - 0 27G.3600 Outpatient Methadone A SAS DAY "Crossroads Treatment Center of Weaverville, P.C." "55 Beattie Place, Ste 810" Greenville SC 29601 "901 Old Mars Hill Hwy., Ste. 3" Weaverville NC 28787 Buncombe (828)645-3687 "Crossroads Treatment Center of Weaverville, PC" 090860 MHL-051-177 "HHDM, Inc." 15-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Johnston Recovery Services 1699 Old US Highway 70 West Clayton NC 27520 1699 Old US Highway 70 West Clayton NC 27520 Johnston (919)359-1699 "HHDM, Inc." 190238 MHL-056-033 "Hazelwood Healthcare, PLLC" 15-Aug-19 15-Aug-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY Hazelwood Healthcare of Franklin 3271 Georgia Rd Franklin NC 28734 3271 Georgia Road Franklin NC 28734 Macon (828)595-9000 "Hazelwood Healthcare, PLLC" 170010 MHL-068-159 "Hillsborough Recovery Solutions, PC" 25-Jan-17 01-Jan-20 31-Dec-20 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Hillsborough Recovery Solutions 129 Mayo Street Hillsborough NC 27278 129 Mayo Street Hillsborough NC 27278 Orange (919)643-1739 "Hillsborough Recovery Solutions, PC" 942653 MHL-034-003 "Insight Human Services, Inc." 01-Oct-84 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone ADOL&A SAS DAY Insight Human Services-Forsyth 665 West Fourth Street Winston Salem NC 27101 665 West Fourth Street Winston Salem NC 27101 Forsyth (336)725-8389 Insight Human Services-Forsyth 160081 MHL-011-390 "Intentional Longevity, Inc." 24-Mar-16 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY The Center for Spiritual Emergence & Katharos Sanctuary "370 N. Louisiana Ave., Ste. D3" Asheville NC 28806 "370 North Louisiana Avenue, Suite D3 & D4" Asheville NC 28806 Buncombe (828)412-3688 "Intentional Longevity, Inc." 170004 MHL-070-063 "JK2C, LLC" 22-Mar-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Elizabeth City Treatment Center "109 Wimbledon Square, Suite H" Chesapeake VA 23320 105 Medical Drive Elizabeth City NC 27909 Pasquotank (252)296-1701 "JK2C,LLC" 190162 MHL-046-039 "JK2C, LLC" 15-May-19 15-May-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY "JK2C, LLC DBA Ahoskie Treament Center" 105 Medical Drive Elizabeth City NC 27909 "312 South Academy Street, Suite D" Ahoskie NC 27910 Hertford (252)513-8544 "JK2C, LLC" 080143 MHL-067-166 "Jacksonville Treatment Center, LLC" 06-Jun-06 01-Jan-19 31-Dec-19 Type B 01-Sep-17 - - 0 27G.3600 Outpatient Methadone A SAS DAY "Jacksonville Treatment Center, LLC" 1112 Silver Oaks Court Raleigh NC 27614 806 Bell Fork Road Jacksonville NC 28540 Onslow (910)347-2205 "Jacksonville Treatment Center, LLC" 110374 MHL-078-282 "Lumberton Treatment Center, LLC" 24-Jun-11 01-Jan-19 31-Dec-19 Type A 28-Jun-12 - - 0 27G.3600 Outpatient Methadone A SAS DAY Lumberton Treatment Center 1112 Silver Oaks Court Raleigh NC 27614 2200 Clybourn Church Road Lumberton NC 28358 Robeson (910)739-9160 "Lumberton Treatment Center, LLC" 190183 MHL-079-136 "MAT EDEN, LLC" 12-Jun-19 12-Jun-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY "ALEF Behavioral Group, LLC-Eden" 1520 Bowmore Place McLeansville NC 27301 3580 NC Highway 14 Reidsville NC 27320 Rockingham (336)587-2931 "MAT EDEN, LLC" 070254 MHL-036-100 "McLeod Addictive Disease Center, Inc." 01-Jan-97 01-Jan-19 31-Dec-19 Type A 16-Dec-13 - - 0 27G.3600 Outpatient Methadone A SAS DAY McLeod Addictive Disease Center 515 Clanton Road Charlotte NC 28217 549 Cox Road Gastonia NC 28054 Gaston (704)332-9001 "McLeod Addictive Disease Center, Inc" 030064 MHL-013-101 "McLeod Addictive Disease Center, Inc." 06-Jan-03 01-Jan-19 31-Dec-19 Type A 18-Nov-15 - - 0 27G.3600 Outpatient Methadone ADOL&A SAS DAY McLeod Addicitve Disease Center-Concord 515 Clanton Road Charlotte NC 28217 300 Copperfield Blvd. Suites 105&106 Concord NC 28025 Cabarrus (704)332-9001 McLeod Center 070878 MHL-059-024 "McLeod Addictive Disease Center, Inc." 09-Jul-03 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY McLeod Addictive Disease Center - Marion 515 Clanton Road Charlotte NC 28217 117 West Medical Court Marion NC 28752 McDowell (828)659-3966 "McLeod Addictive Disease Center, Inc." 050395 MHL-090-155 "McLeod Addictive Disease Center, Inc." 18-Jul-05 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY "McLeod Addictive Disease Center, Inc." 515 Clanton Road Charlotte NC 28217 2208 West Roosevelt Blvd. Monroe NC 28110 Union (704)332-9001 McLeod Center 110435 MHL-018-057 "McLeod Addictive Disease Center, Inc." 01-May-01 01-Jan-19 31-Dec-19 Type A 29-May-14 - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY McLeod Addictive Disease Center - Hickory 515 Clanton Road Charlotte NC 28217 1170 Fairgrove Church Road Hickory NC 28601 Catawba (828)464-1172 "McLeod Addictive Disease Center, Inc." 140341 MHL-014-083 "McLeod Addictive Disease Center, Inc." 26-Nov-14 01-Jan-19 31-Dec-19 Type A 29-Jun-16 - - 0 27G.3600 Outpatient Methadone A SAS DAY McLeod Addictive Disease Center-Lenoir 515 Clanton Road Charlotte NC 28217 222 Morganton Boulevard Lenoir NC 28645 Caldwell (828)610-2740 "McLeod Addictive Disease Center, Inc." 120427 MHL-060-1210 "McLeod Addictive Disease Center, Inc." 01-Nov-02 01-Jan-19 31-Dec-19 Type A 24-Jul-18 - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY McLeod Addictive Disease Center 515 Clanton Road Charlotte NC 28217 521 Clanton Road Charlotte NC 28217 Mecklenburg (704)332-9001 "McLeod Addictive Disease Center, Inc." 180067 MHL-095-036 "McLeod Addictive Disease Center, Inc." 30-Jul-02 01-Jan-19 31-Dec-09 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY McLeod Addictive Disease Center-Watauga 515 Clanton Road Charlotte NC 28217 160-A Den Mac Drive Boone NC 28607 Watauga (704)332-9001 "McLeod Addictive Disease Center, Inc." 050311 MHL-049-101 "McLeod Addictive Disease Foundation, Inc." 14-Jun-05 01-Jan-19 31-Dec-19 Type A 16-Nov-07 - - 0 27G.3600 Outpatient Methadone ADOL&A SAS DAY Mcleod Addictive Disease Center 515 Clanton Road Charlotte NC 28217 636 Signal Hill Drive. Ext. Statesville NC 28625 Iredell (704)871-2992 091047 MHL-065-117 Metro Treatment of NC dba New Hanover Treatment Ctr. 22-Nov-99 01-Jan-19 31-Dec-19 Type A 06-Jul-18 - - 0 27G.3600 Outpatient Methadone A SAS DAY New Hanover Treatment Center 2500 Maitland Center Pkwy Ste 250 Maitland FL 32751 "1611 Castle Hayne Road, Unit D4" Wilmington NC 28401 New Hanover (910)251-6644 "Metro Treatment of North Carolina, L.P." 060480 MHL-032-233 "Metro Treatment of NC, LP" 29-Nov-99 01-Jan-19 31-Dec-19 Type A 18-Dec-14 - - 0 27G.3600 Outpatient Methadone A SAS DAY Durham Treatment Center 2500 Maitland Center Pkwy Ste 250 Maitland FL 32751 1913 Lamar Street Durham NC 27705 Durham (919)286-1509 "Colonial Mgmt. Group, LP" 030261 MHL-026-760 "Metro Treatment of NC, LP d/b/a Fayetteville Trtmt Ctr" 26-Feb-03 01-Jan-19 31-Dec-19 Type A 01-Apr-15 - - 0 27G.3600 Outpatient Methadone A SAS DAY Fayetteville Treatment Center 2500 Maitland Center Parkway Maitland FL 32751 418 Person Street Suite 103 Fayetteville NC 28301 Cumberland (910)483-0958 "Metro Treatment of NC, LP" 021096 MHL-060-865 "Metro Treatment of North Carolina, L.P." 02-Oct-02 01-Jan-19 31-Dec-19 Type B 30-Jul-18 - - 0 27G.3600 Outpatient Methadone A SAS DAY "Charlotte Treatment Center, Inc." 2500 Maitland Ctr Parkway Ste 250 Maitland FL 32751 3315 Wilkinson Blvd. Charlotte NC 28208 Mecklenburg (704)697-0044 080281 MHL-041-523 "Metro Treatment of North Carolina, L.P." 21-Dec-98 01-Jan-19 31-Dec-19 Type B 23-Jun-16 - - 0 27G.3600 Outpatient Methadone A SAS DAY Greensboro Treatment Center 2500 Maitland Center Pkwy Suite 250 Maitland FL 32751 "207 South Westgate Drive, Suites G-J" Greensboro NC 27407 Guilford (336)273-9611 "Metro Treatment of North Carolina, LP" 100925 MHL-018-091 "Metro Treatment of North Carolina, L.P." 22-Nov-10 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Hickory Metro Treatment Center 2500 Maitland Center Pkwy Ste 250 Maitland FL 32751 1152 Lenoir Rhyne Boulevard S.E. Hickory NC 28601 Catawba (828)485-1320 "Metro Treatment of North Carolina, LP" 180431 MHL-092-962 "Metro Treatment of North Carolina, L.P." 19-Oct-18 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY "Metro Treatment of NC, L.P. dba New Season Raleigh" "2500 Maitland Center Prkwy, Ste.250" Maitland FL 32751 "3911 New Bern Avenue, Unit A" Raleigh NC 27610 Wake (919)948-0300 "Metro Treatment of North Carolina, L.P." 180446 MHL-060-1386 "Metro Treatment of North Carolina, LP" 26-Oct-18 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY New Season North Charlotte "2500 Maitland Center Pkwy, Ste 250" Maitland FL 32751 "6135 Lakeview Road, Unit 150" Charlotte NC 28269-2635 Mecklenburg (980)729-6200 "Metro Treatment of North Carolina, LP" 180451 MHL-012-143 "Metro Treatment of North Carolina, LP" 01-Nov-18 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY New Season Morganton "2500 Maitland Center Pkwy, Ste 250" Maitland FL 32751 "145 West Parker Road, Suite C" Morganton NC 28655 Burke (828)608-0500 "Metro Treatment of North Carolina, L.P." 954928 MHL-036-320 "Metro Treatment of North Carolina, Limited Partnership" 27-Jan-17 01-Jan-19 31-Dec-19 Type A 19-Jun-17 - - 0 27G.3600 Outpatient Methadone A SAS DAY Gastonia Treatment Center "2500 Maitland Center Prkwy, Ste 250" Maitland FL 32751 238 Wilmot Drive Gastonia NC 28054 Gaston (980)285-2990 "Metro Treatment of North Carolina, Limited Partner" 180194 MHL-016-046 Morehead City Treatment Center LLC 04-Jun-18 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Morehead City Treatment Center 1112 Silver Oaks Court Raleigh NC 27614 403 North 35th Street Morehead City NC 28557 Carteret (252)773-0306 "Morehead City Treatment Center, LLC" 170479 MHL-043-101 Morse Clinic of Dunn PC 27-Nov-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Morse Clinic of Dunn "596 East Jackson Blvd., Bldg. B" Erwin NC 28339 "596 East Jackson Boulevard, Building B" Erwin NC 28339 Harnett (910)897-2008 Morse Clinic of Dunn PC 160170 MHL-092-938 "Morse Clinic of North Raleigh, PC" 11-May-16 01-Jan-20 31-Dec-20 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY The Morse Clinic of North Raleigh "3209 Gresham Lake Rd, Ste 113" Raleigh NC 27615 "3209 Gresham Lake Road, Suite 113" Raleigh NC 27615 Wake (919)977-5993 "Morse Clinic of North Raleigh, PC" 170490 MHL-042-078 "Morse Clinic of Roanoke Rapids, PC" 30-Nov-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY Morse Clinic of Roanoke Rapids "8300 Health Park, Suite 201" Raleigh NC 27615 "608 Jackson Street, Suite 108" Roanoke Rapids NC 27870-2600 Halifax (252)541-4175 "Morse Clinic of Roanoke Rapids, PC" 170148 MHL-092-948 "Morse Clinic of Zebulon, PC" 05-Apr-17 01-Jan-20 31-Dec-20 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Morse Clinic of Zebulon "3209 Gresham Lake Road," Raleigh NC 27615 "877 East Gannon Avenue, Suite 103/104" Zebulon NC 27597 Wake (919)269-7343 "Morse Clinic of Zebulon, PC" 190048 MHL-028-020 "Nags Head Treatment Center, LLC" 12-Mar-19 12-Mar-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Nags Head Treatment Center 1112 Silver Oaks Court Raleigh NC 27614 2224-A South Croatan Highway Nags Head NC 27959-8923 Dare (252)715-6556 "Nags Head Treatment Center, LLC" 040789 MHL-074-146 PORT Health Services 14-Jul-04 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY PORT Health Services-Paladin 4300-110 Sapphire Court Greenville NC 27834 501 Paladin Drive Greenville NC 27834 Pitt (252)353-5346 PORT Health Services 170375 MHL-070-052 PORT Health Services 15-Nov-10 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY PORT Health Services-Elizabeth City 4300-110 Sapphire Court Greenville NC 27834 102 A & B Medical Drive Elizabeth City NC 27909 Pasquotank (252)335-0803 PORT Health Services 170496 MHL-067-201 PORT Health Services 20-Dec-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY PORT Health Services - Jacksonville MMP 4300-110 Sapphire Ct. Greenville NC 27834 224-B Memorial Drive Jacksonville NC 28546 Onslow (910)333-1578 PORT Health Services 160238 MHL-045-134 "Pieridae Treatment Centers, LLC" 17-Jul-18 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Pieridae Treatment Centers PO Box 905 Mountain Home NC 28758 4806 Asheville Highway Hendersonville NC 28791 Henderson (828)595-9300 "Pieridae Treatment Centers, LLC" 100194 MHL-025-208 Port Health Services 31-Oct-06 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY PORT Health Services - New Bern MMP 4300-110 Sapphire Court Greenville NC 27834 1309 Tatum Road New Bern NC 28560 Craven (252)639-7414 PORT Health Services 150523 MHL-045-122 "Premier Treatment Specialists, LLC" 04-Feb-16 01-Jan-19 31-Dec-19 Type A 16-May-17 - - 0 27G.3600 Outpatient Methadone A SAS DAY "Premier Treatment Specialists, LLC" 400 Beverly Hanks Centre Hendersonville NC 28792 400 Beverly Hanks Centre Hendersonville NC 28792 Henderson (828)595-9558 170248 MHL-065-258 "Reflections of Hope, L.L.P." 14-Jun-17 01-Jan-19 31-Dec-19 Type B 16-Nov-17 - - 0 27G.3600 Outpatient Methadone A SAS DAY "Reflections of Hope, L.L.P." 33 Darlington Avenue Wilmington NC 28403 33 Darlington Avenue Wilmington NC 28403 New Hanover (910)782-8752 "Reflectionsof Hope, L.L.P." 080332 MHL-064-089 "Rocky Mount Treatment Center, LLC" 05-Aug-08 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Rocky Mount Treatment Center 1112 Silver Oaks Court Raleigh NC 27614 104 Zebulon Court Rocky Mount NC 27804 Nash (252)972-4357 "Rocky Mount Treatment Center, LLC" 170285 MHL-053-044 "Sanford Treatment Center, LLC" 03-May-04 01-Jan-19 31-Dec-19 Type A 27-May-16 - - 0 27G.3600 Outpatient Methadone A SAS DAY "Sanford Treatment Center, LLC" 1112 Silver Oaks Court Raleigh NC 27614 2800 Industrial Drive Sanford NC 27332 Lee (919)776-0711 "Sanford Treatment Center, LLC" 160247 MHL-092-523 "Sellati & Company, Inc." 25-Feb-03 01-Jan-20 31-Dec-20 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Raleigh Methadone Treatment Center "1850 Lee Road, Ste. 115" Winter Park FL 32789 6118 Saint Giles Street Raleigh NC 27612 Wake (919)781-5507 "Sellati and Company, Inc." 060211 MHL-074-167 Sellati Co. Inc. 05-Sep-06 01-Jan-20 31-Dec-20 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY "Greenville Recovery Center, LLC (GRC)" "1850 Lee Rd., Ste. 115" Winter Park FL 32789 "150 Arlington Boulevard, Suite C" Greenville NC 27858 Pitt (252)353-2555 Sellati & Company 945125 MHL-092-169 Southlight Healthcare 06-Sep-94 01-Jan-19 31-Dec-19 Type A 05-Feb-14 - - 0 27G.3600 Outpatient Methadone A SAS DAY Southlight Healthcare-Garner Road "3125 Poplarwood Ct., Ste 203" Raleigh NC 27604-5445 2101 Garner Road Raleigh NC 27610 Wake (919)832-4453 Southlight Healthcare 091053 MHL-095-046 "Stepping Stone of North Carolina, LLC" 09-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Stepping Stone of Boone PO Box 2318 Boone NC 28607 643-L Greenway Road Boone NC 28607 Watauga (828)265-7078 Stepping Stone of Boone 170151 MHL-029-135 "Treatment Centers, LLC" 02-Oct-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Thomasville Treatment Associates 1301 National Highway Thomasville NC 27360 1301 National Highway Thomasville NC 27360 Davidson (336)472-8230 "Treatment Centers, LLC" 170449 MHL-010-089 "Treatment Centers, LLC" 08-Nov-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Shallotte Treatment Associates 4437 Main St Shalotte NC 28470 4437 Main Street Shallotte NC 28470 Brunswick (910)754-4449 "Treatment Centers, LLC" 080460 MHL-029-136 "Treatment Centers, LLC" 01-Jan-18 26-Apr-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Lexington Treatment Associates "7136 S. Yale Ave., Suite 225" Tulsa OK 74136 310 Murphy Drive Lexington NC 27295 Davidson (336)224-1919 "Treatment Centers, LLC" 010170 MHL-060-1364 "Treatment Centers, LLC" 01-Jan-18 26-Apr-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Queen City Treatment Center "7136 S. Yale Ave., Suite 225" Tulsa OK 74136 6115 Hickory Grove Road Charlotte NC 28215 Mecklenburg (704)532-4262 "Treatment Centers, LLC" 170494 MHL-080-211 "Treatment Centers, LLC" 01-Jan-18 26-Apr-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Rowan Treatment Associates 1504 Jake Alexander Blvd W Salisbury NC 28147 1504 Jake Alexander Boulevard Salisbury NC 28147 Rowan (704)645-8539 "Treatment Centers, LLC" 130287 MHL-091-101 "Vance Recovery, P.C." 23-Aug-13 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY Vance Recovery PO Box 135 Henderson NC 27536 510 - B Dabney Drive Henderson NC 27536 Vance (252)572-2625 "Vance Recovery, P.C." 030085 MHL-011-246 "Western Carolina Treatment Center, Inc." 09-May-03 01-Jan-19 31-Dec-19 Type B Imposed 26-Jun-19 - - 0 27G.3600 Outpatient Methadone A SAS DAY Western Carolina Treatment Center 573 Merrimon Avenue Asheville NC 28804 573 Merrimon Avenue Asheville NC 28804 Buncombe (828)251-1478 150282 MHL-092-918 "Western Wake Treatment Center, LLC" 16-Jun-15 01-Jan-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY "Western Wake Treatment Center, LLC" 1112 Silver Oaks Court Raleigh NC 27614 "2172 North Salem Street, Suite 105" Apex NC 27523 Wake (919)629-4360 "Western Wake Treatment Center, LLC" 140303 MHL-098-190 "Wilson Professional Services Treatment Center, Inc." 11-Mar-14 01-Jan-19 31-Dec-19 Type B 16-Mar-18 - - 0 27G.3600 Outpatient Methadone A SAS DAY Wilson Professional Services Treatment Center 3709 Nash Street NW Wilson NC 27896 3709 Nash Street NW Wilson NC 27896 Wilson (252)206-5799 "Wilson Professional Services Treatment Center, Inc" 170228 MHL-060-1362 "Zenith Hope Center, LLC" 04-Jan-18 26-Jun-19 31-Dec-19 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY "Zenith Hope Center, LLC" PO Box 690852 Charlotte NC 28227 508 Eastway Drive Charlotte NC 28205 Mecklenburg (704)248-2046 "Zenith Hope Center, LLC" 170202 MHL-028-019 "2Coastal Recovery Solutions, Inc." 15-May-17 01-Jan-20 31-Dec-20 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Changing Tides 3512 N. Virginia Dare Trail Kitty Hawk NC 27949 3512 N. Virginia Dare Trail Kitty Hawk NC 27949 Dare (252)715-3905 "Coastal Recovery Solutions, Inc." 922827 MHL-076-083 Alcohol and Drug Services 05-Jul-06 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Alcohol and Drug Services-Walker Center 1101 Carolina St Greensboro NC 27401 842 East Pritchard Street Asheboro NC 27203 Randolph (336)633-7257 Lindsey Downing 060820 MHL-014-050 Alger Laverne Harper 06-Sep-00 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY A New Dimension Substance Abuse Counseling Service PO Box 1026 Lenoir NC 28645 116 Main Street Lenoir NC 28645 Caldwell (828)759-2921 A New Dimension 110255 MHL-036-106 "Alternative Community Penalties Program, Inc." 09-Jun-97 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY "A.C.P.P., Inc./ Restorative Justice Center" PO Box 370 Gastonia NC 28053 "410 West Franklin Blvd., Suite 20" Gastonia NC 28052 Gaston (704)854-8598 "Alternative Community Penalties Program, Inc." 170143 MHL-011-404 "Asheville Recovery Center, LLC" 17-May-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "Asheville Recovery Center, LLC" "9 Old Burnsville Hill Road, Suite 7" Asheville NC 28804 "9 Old Burnsville Hill Road, Suite 7" Asheville NC 28804 Buncombe (828)252-4202 "Asheville Recovery Center, LLC" 100732 MHL-032-553 "CAPS 4 U, Inc." 22-Sep-10 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "CAPS 4 U, Inc." PO Box 16262 Durham NC 27704 "3925 North Duke Street, Suite 123" Durham NC 27704 Durham (919)680-8833 180033 MHL-060-1368 "Carolina Center for Recovery, LLC" 16-Mar-18 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Carolina Center for Recovery 1320 Matthews-Mint Hill Rd Matthews NC 28105 1320 Matthews-Mint Hill Road Matthews NC 28105 Mecklenburg (704)844-6958 "Carolina Center for Recovery, LLC" 160375 MHL-060-1317 "Choices for Recovery, LLC" 01-Aug-16 01-Jan-20 31-Dec-20 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Choices for Recovery "417 S. Sharon Amity Rd., Ste C" Charlotte NC 28211 "200 Queens Road, Suite 102" Charlotte NC 28207 Mecklenburg (980)237-6990 "Choices for Recovery, LLC" 011124 MHL-065-011 "Coastal Horizons Center, Inc." 01-Jan-85 01-Jan-19 31-Dec-19 Type A 06-Apr-15 - - 0 27G.3700 Day Treatment for SA A SAS DAY "Coastal Horizons Center, Inc." 615 Shipyard Boulevard Wilmington NC 28412 615 Shipyard Boulevard Wilmington NC 28412 New Hanover (910)343-0145 "Coastal Horizons Center, Inc." 030577 MHL-060-441 "Community Choices, Inc." 11-Mar-98 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY Community Choices-CASCADE Services 5800 Executive Ctr. Drive Suite 101 Charlotte NC 28212 5800 Executive Ctr. Drive Suite 100 Charlotte NC 28212 Mecklenburg (704)336-4844 "Community Choices, Inc." 080061 MHL-011-387 "Crest View Recovery Center, LLC" 08-Dec-15 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Crest View Recovery Center 90 Asheland Ave Asheville NC 28801 "90 Asheland Avenue, Suites B & D" Asheville NC 28801 Buncombe (828)575-2701 "Crest View Recovery Center, LLC" 180306 MHL-065-262 D & A Assessment Inc. 05-Nov-18 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY Drug and Alcohol Assessment Services 3961-A Market Street Wilmington NC 28403 3961-A Market Street Wilmington NC 28403 New Hanover (910)343-8185 D & A Assessment Inc. 110258 MHL-007-077 "D.R.E.A.M. Provider Care Services, Inc." 20-Apr-04 01-Jan-20 31-Dec-20 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY D.R.E.A.M. Provider Care Svcs. Outpatient Trtmt Ctr. 216 Stewart Parkway Washington NC 27889 216 Stewart Parkway Washington NC 27889 Beaufort (252)946-0585 "D.R.E.A.M. Provider Care Services, Inc." 921395 MHL-062-027 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Montgomery Center 2129 Statesville Blvd Salisbury NC 28147 227 North Main Street Troy NC 27371 Montgomery (910)572-3681 "Daymark Recovery Services, Inc." 921457 MHL-076-091 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Archdale Center 2129 Statesvills Blvd Salisbury NC 28147 205 Balfour Drive Archdale NC 27263 Randolph (336)431-0700 "Daymark Recovery Services, Inc." 922467 MHL-077-053 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Richmond Center 2129 Statesville Blvd Salisbury NC 28147 116 South Lawerence Street Rockingham NC 28580 Richmond (910)895-2462 "Daymark Recovery Services, Inc." 922533 MHL-063-082 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Moore Center 2129 Statesville Blvd Salisbury NC 28147 205 Memorial Drive Pinehurst NC 28370 Moore (910)295-6853 "Daymark Recovery Services, Inc." 922534 MHL-047-119 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Hoke Center 2129 Statesville Blvd Salisbury NC 28147 121 East Elwood Avenue Raeford NC 28376 Hoke (910)875-8156 "Daymark Recovery Services, Inc." 922783 MHL-090-004 "Daymark Recovery Services, Inc." 01-Aug-85 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services-Union Center 2129 Statesville Blvd Salisbury NC 28147 1190 West Rosevelt Blvd Monroe NC 28110 Union (704)296-6200 Daymark Recovery Svcs-Union Ctr. 922922 MHL-076-092 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Randolph Center 2129 Statesville Blvd Salisbury NC 28147 "110 West Walker Avenue, Second Floor" Asheboro NC 27203 Randolph (336)633-7000 "Daymark Recovery Services, Inc." 941394 MHL-084-004 "Daymark Recovery Services, Inc." 01-Oct-85 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services - Stanly Center 2129 Statesville Blvd Salisbury NC 28147 1000-1 North First Street Albemarle NC 28001 Stanly (704)983-2117 951448 MHL-004-017 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Anson Center 2129 Statesville Blvd Salisbury NC 28147 704 Old Lilesville Road Wadesboro NC 28170 Anson (704)694-6588 Daymark Recovery Services 952118 MHL-053-057 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Lee Center 2129 Statesville Blvd Salisbury NC 28147 130 Carbonton Road Sanford NC 27330 Lee (919)774-6521 "Daymark Recovery Services, Inc." 990433 MHL-043-077 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Harnett Center 2129 Statesville Blvd Salisbury NC 28147 5841 US Highway 421 South Lillington NC 27546 Harnett (910)893-5727 "Daymark Recovery Services, Inc." 110008 MHL-080-058 "Daymark Recovery Services, Inc." 01-Oct-91 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY "Daymark Recovery Services, Inc." 2129 Statesville Boulevard Salisbury NC 28147 2129 Statesville Boulevard Salisbury NC 28147 Rowan (704)633-3616 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA ADOL&A SAS DAY Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 971381 MHL-049-134 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY Daymark Recovery Services - Iredell 2129 Statesville Blvd. Salisbury NC 28147 318 Turnersburg Highway Statesville NC 28625 Iredell (704)872-8916 Daymark Recovery Services Inc 921476 MHL-095-047 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY Daymark Recovery Services - Watauga 2129 Statesville Blvd. Salisbury NC 28147 132 Poplar Grove Connector-Ste. B Boone NC 28607 Watauga (828)264-8759 "Daymark Recovery Services, Inc." 180237 MHL-034-154 "Daymark Recovery Services, Inc." 01-Jan-02 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services - Forsyth Center 2129 Statesville Blvd Salisbury NC 28147 "650 Highland Avenue, Suite 100" Winston-Salem NC 27101-4206 Forsyth (336)607-8523 "Daymark Recovery Services, Inc." 050577 MHL-032-159 Durham County Government 07-Mar-97 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY Durham County Criminal Justice Resource Center 326 East Main Street Durham NC 27701 326 East Main Street Durham NC 27701 Durham (919)560-0500 Durham County Government 041183 MHL-074-070 "East Coast Counseling, Inc." 21-Oct-98 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "East Coast Counseling, Inc." 620 Lynndale Court Suite C Greenville NC 27858 620 Lynndale Court Suite C Greenville NC 27858 Pitt (252)752-8602 East Coast Counseling Inc. 921843 MHL-080-027 "First Step Counseling, Inc." 01-Nov-91 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA ADOL&A SAS DAY First Step Counseling P.O. Box 4213 Salisbury NC 28145 100 East Innes Street-Ste. #2 Salisbury NC 28144 Rowan (704)639-9400 030861 MHL-092-495 "First Step Services, LLC" 19-Apr-02 01-Jan-20 31-Dec-20 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "First Step Services, LLC" 211 Six Forks Rd Ste 117 Bldg B Raleigh NC 27609 211 Six Forks Rd Ste 117 Bldg B Raleigh NC 27609 Wake (919)833-8899 130281 MHL-092-879 "First Step Services, LLC" 30-Oct-13 01-Jan-20 31-Dec-20 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "First Step Services, LLC" 211 E Six Forks Rd. Ste 117 Raleigh NC 27609 128 Quade Drive Cary NC 27513 Wake (919)651-8349 "First Step Services, LLC" 140477 MHL-092-572 "First Step Services, LLC" 17-Dec-03 01-Jan-20 31-Dec-20 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY 1st Step Substance Abuse & DWI Services "211 E. Six Forks Rd., Ste. 117" Raleigh NC 27609 "1418 Aversboro Road, Suite 201" Garner NC 27529 Wake (919)329-9400 "First Step Services, LLC" 921887 MHL-068-003 "Freedom House Recovery Center, Inc." 01-Jul-91 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Freedom House Recovery Center 104 New Stateside Drive Chapel Hill NC 27516 104 New Stateside Drive Chapel Hill NC 27516 Orange (919)942-2803 Freedom House Recovery Center Inc. 170212 MHL-092-951 "Green Hill Recovery, LLC" 12-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY Green Hill Recovery "723 W. Johnson Street, Suite 100" Raleigh NC 27603 "723 W. Johnson Street, Suite 100" Raleigh NC 27603 Wake (984)204-1106 "Green Hill Recovery, LLC" 942653 MHL-034-003 "Insight Human Services, Inc." 01-Oct-84 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA NONE SAS DAY Insight Human Services-Forsyth 665 West Fourth Street Winston Salem NC 27101 665 West Fourth Street Winston Salem NC 27101 Forsyth (336)725-8389 Insight Human Services-Forsyth 160081 MHL-011-390 "Intentional Longevity, Inc." 24-Mar-16 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY The Center for Spiritual Emergence & Katharos Sanctuary "370 N. Louisiana Ave., Ste. D3" Asheville NC 28806 "370 North Louisiana Avenue, Suite D3 & D4" Asheville NC 28806 Buncombe (828)412-3688 "Intentional Longevity, Inc." 010079 MHL-010-079 Journeys LLC 20-Jul-12 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY South Brunswick Counseling Service PO Box 10723 Southport NC 28461 5285-22 S. Main Street Shallotte NC 28459 Brunswick (910)754-5887 Journey PLLC 120154 MHL-010-080 Journeys LLC 20-Jul-12 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY South Brunswick Counseling Service PO Box 10723 Southport NC 28461 804 N. Howe Street Southport NC 28461 Brunswick (910)454-4040 Journeys LLC 190149 MHL-026-787 KV Consultants & Associates Inc. 25-May-04 18-Jul-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "KV Consultants & Associates, Inc." "803 Stamper Road, Suite G" Fayetteville NC 28303-4193 "803 Stamper Road, Suite G" Fayetteville NC 28303-4193 Cumberland (910)223-7114 "KV Consultants & Associates, Inc." 041429 MHL-065-071 "Knox Counseling Services, Inc." 13-Dec-96 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY "Knox Counseling Services,Inc. dba Harvest of Wilmington" 773 South Kerr Avenue Wilmington NC 28403 773 South Kerr Avenue Wilmington NC 28403 New Hanover (910)793-0566 "Knox Counseling Services, Inc." 170013 MHL-065-256 "Launch Pad, Inc." 01-Feb-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "Launch Pad Wellness, Inc." 5001 Wrightsville Avenue Wilmington NC 28403 5001 Wrightsville Avenue Wilmington NC 28403 New Hanover (910)769-6053 "Launch Pad, Inc." 091015 MHL-064-129 "MACTA, LLC" 10-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY "MACTA, LLC" PO Box 4532 Rocky Mount NC 27803 209 North Pearl Street Rocky Mount NC 27804 Nash (252)937-3016 922607 MHL-044-001 "Meridian Behavioral Health Services, Inc." 01-Mar-87 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA ADOL&A SAS DAY Meridian Behavioral Health Services PO Box 2187 Sylva NC 28779 131 Walnut Street Waynesville NC 28786 Haywood (828)456-8604 "Meridian Behavioral Health Services, Inc." 061228 MHL-011-272 "October Road, Inc." 15-Dec-06 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "October Road, Inc." 119 Tunnel Road Suite D Asheville NC 28805 "119 Tunnel Road, Suite B" Asheville NC 28805 Buncombe (828)350-1000 Glenn Crider 941736 MHL-029-006 "Path of Hope, Inc." 01-Jan-89 01-Jan-19 31-Dec-19 Type A 18-Apr-08 - - 0 27G.3700 Day Treatment for SA A SAS DAY&RESL Path of Hope PO Box 1824 Lexington NC 27293-1824 1675 East Center Street Extension Lexington NC 27292 Davidson (336)248-8914 "Path of Hope, Inc." 960642 MHL-075-005 Pavillon International 30-Aug-96 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY Pavillon International 241 Pavillon Place Mill Spring NC 28756 241 Pavillon Place Mill Spring NC 28756 Polk (828)694-2300 150334 MHL-081-112 Peace in the City 22-Jan-16 13-Aug-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL SAS DAY Peace In The City - House of Hope P.O. Box 987 Forest City NC 28043 265 Old Castle Lane Forest City NC 28043 Rutherford (828)382-0476 Peace In The City 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-19 31-Dec-19 Type B 23-Aug-13 - - 0 27G.3700 Day Treatment for SA A SAS DAY Phoenix Counseling Center-Residential Wing 2505 Court Drive Gastonia NC 28054 "2505 Court Drive, Residential Wing" Gastonia NC 28054 Gaston (704)854-4196 Phoenix Counseling Center 922449 MHL-043-002 "Program Resource Institute, Inc." 01-Feb-89 01-Jan-20 31-Dec-20 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY PRI Counseling Services of Lillington PO Box 747 Lillington NC 27546 133 West Cornelius Harnett Blvd. Ste B Lillington NC 27546 Harnett (910)814-0394 "Program Resource Institute, Inc." 180393 MHL-011-391 "Pyramid Healthcare, Inc." 30-Mar-16 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "Real Recovery of Asheville, Inc." "119 Tunnel Road, Suite F" Asheville NC 28805 "119 Tunnel Road, Suite F" Asheville NC 28805 Buncombe (828)232-8010 "Pyramid Healthcare, Inc." 190251 MHL-009-050 "RHA Behavioral Health NC, LLC" 03-Jul-19 03-Jul-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY RHA Hilltop Bladen County "503 Covil Avenue, Ste 102" Wilmington NC 28403 106 N. 4th Street Bladenboro NC 28320 Bladen (404)441-9029 "RHA Behavioral Health NC, LLC" 190112 MHL-081-128 "Red Oak Adolescent Recovery, LLC" 18-Apr-19 13-Aug-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL SAS DAY Foothills at Red Oak Recovery 108 Executive Park Asheville NC 28801 515 Cub Creek Road Ellenboro NC 28040 Rutherford (828)333-2281 "Red Oak Adolescent Recovery, LLC" 130596 MHL-011-368 "Red Oak Recovery, LLC" 24-Jan-14 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Red Oak Recovery 108 Executive Park Asheville NC 28801 631 Willow Creek Road Leicester NC 28748 Buncombe (828)318-0148 "Red Oak Recovery, LLC" 971212 MHL-024-053 Rickie G. Rouse 18-Jun-02 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Rouse Counseling & Consulting Services PO Box 732 Whiteville NC 28472 805 North Franklin St. Room #7 Whiteville NC 28472 Columbus (910)642-9008 990812 MHL-078-119 Robeson County Criminal Justice Partnership 17-Aug-99 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Robeson County Offender Resource Center 120 West Sixth Street Lumberton NC 28358 120 West Sixth Street Lumberton NC 28358 Robeson (910)737-5022 Robeson County Offender Resource Center 010692 MHL-063-055 Robeson Health Care Corporation 21-Aug-01 01-Jan-19 31-Dec-19 Type B 24-Jan-11 - - 0 27G.3700 Day Treatment for SA A SAS DAY Crystal Lake Casaworks & Maternal Program P.O. Box 190 Lakeview NC 28350 285 Camp Easter Road Lakeview NC 28350 Moore (910)245-4339 922531 MHL-077-001 Samaritan Colony 01-Dec-84 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Samaritan Colony 136 Samaritan Drive Rockingham NC 28379 136 Samaritan Drive Rockingham NC 28379 Richmond (910)895-3243 945125 MHL-092-169 Southlight Healthcare 06-Sep-94 01-Jan-19 31-Dec-19 Type A 05-Feb-14 - - 0 27G.3700 Day Treatment for SA A SAS DAY Southlight Healthcare-Garner Road "3125 Poplarwood Ct., Ste 203" Raleigh NC 27604-5445 2101 Garner Road Raleigh NC 27610 Wake (919)832-4453 Southlight Healthcare 060125 MHL-092-105 Southlight Healthcare 01-May-92 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY South Light Health Care "3125 Poplarwood Ct., Ste. 203" Raleigh NC 27604 "3125 Poplarwood Court, Suite 150" Raleigh NC 27604 Wake (919)787-6131 SouthLight Healthcare 150207 MHL-092-461 Southlight Healthcare 29-Jun-01 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY SLHC Residential Program for Women and Children 3125 Poplarwood Ct Raleigh NC 27604 "1952 Spring Drive, Several units, 1950 & 1952 (Offices)" Garner NC 27587 Wake (919)557-6967 SouthLight Healthcare 041289 MHL-041-742 Stonebraker's Inc. 22-Nov-04 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY The Insight Program 5110 Old Ellis Point Roswell GA 30076 3714 Alliance Drive Suite 400 Greensboro NC 27407 Guilford (336)852-3033 Stonebraker's Inc. 170052 MHL-092-945 "Stonebraker's, Inc." 01-Mar-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA ADOL&A SAS DAY The Insight Program 103 Towerview Court Cary NC 27513 103 Towerview Court Cary NC 27513 Wake (919)679-7577 "Stonebraker's, Inc." 160036 MHL-060-1253 "Stonebrakers, Inc." 14-Nov-12 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA ADOL&A SAS DAY The Insight Program 920 Blairhill Rd. Ste B103 Charlotte NC 28217 "920 Blairhill Road, Suites B103 & B104" Charlotte NC 28217 Mecklenburg (704)679-9600 "Stonebrakers, Inc." 090071 MHL-036-272 "Sunpath, LLC" 06-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Sunpath-Substance Abuse Services PO Box 864 Gastonia NC 28053 413/415 West Main Street Gastonia NC 28052 Gaston (704)478-6093 "Sunpath, LLC" 952368 MHL-097-003 "Synergy Recovery , Inc." 01-Jul-80 01-Jan-19 31-Dec-19 Type A 20-May-11 - - 0 27G.3700 Day Treatment for SA NONE SAS DAY Synergy Recovery at the Bundy Center P.O. Box 26 Wilkesboro NC 28697 118 Peace St. North Wilkesboro NC 28659 Wilkes (336)667-7191 160578 MHL-060-1340 "The Blanchard Institute, LLC" 31-Jan-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "The Blanchard Institute, LLC" 10348 Park Road Charlotte NC 28210 10348 Park Road Charlotte NC 28210 Mecklenburg (704)288-1097 "The Blanchard Institute, LLC" 921845 MHL-090-175 The Charlotte-Mecklenburg Hospital Authority 01-Apr-13 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY CHS Behavioral Health-First Step PO Box 5003 Monroe NC 28111 1623 E. Sunset Drive Monroe NC 28112 Union (980)993-7700 The Charlotte-Mecklenburg Hospital Authority 970220 MHL-041-187 "The Ringer Centers, Inc." 06-Feb-97 01-Jan-19 31-Dec-19 Type B 24-Jun-13 - - 0 27G.3700 Day Treatment for SA ADOL&A SAS DAY The Ringer Center 213 East Bessemer Avenue Greensboro NC 27401 213 East Bessemer Avenue Greensboro NC 27401 Guilford (336)379-7144 "The Ringer Centers, Inc." 170066 MHL-068-107 The University of North Carolina at Chapel Hill 25-Sep-02 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY UNC Horizons "410 N. Greensboro St., Suite 220" Carrboro NC 27510 "410 North Greensboro Street, Suite 120 and 220" Carrboro NC 27510 Orange (919)966-9803 The University of NC at Chapel Hill/Crystal Royal 160277 MHL-011-399 "The Willows at Red Oak Recovery, LLC" 28-Jul-16 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY The Willows at Red Oak Recovery 108 Executive Park Asheville NC 28801 62 Racking Horse Lane Fletcher NC 28732 Buncombe (828)318-0148 "The Willows at Red Oak Recovery, LLC" 956918 MHL-080-032 Toney Mack Gantt Sr. 01-Sep-95 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY AACD (Alcohol Abuse Chemical Dependency) 425 N Maint St Salisbury NC 28144-4320 309 N. Main Salisbury NC 28144 Rowan (704)630-0026 120655 MHL-027-012 "Treatment Partners, LLC" 26-Jan-11 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY "Two Dreams-Outer Banks, LLC" "610 S. Maple, Suite 3400" Oak Park IL 60304 510 E- Hunt Club Drive Corolla NC 27927 Currituck (252)597-1723 "Treatment Partners, LLC" 160481 MHL-045-129 "Twelve Oaks, LLC" 12-Jan-17 01-Jan-19 31-Dec-19 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Silver Ridge Day Treatment 183 Old Turnpike Rd Mills River NC 28759 "183 Old Turnpike Road, Building B" Mills River NC 28759 Henderson (828)891-5412 "Twelve Oaks, LLC" 041493 MHL-078-167 Virgil Hutchinson 28-Oct-04 01-Jan-19 31-Dec-19 Type A 27-Jul-11 - - 0 27G.3700 Day Treatment for SA A SAS DAY Southeastern Behavioral Healthcare Services LLC P.O. Box 1004 Lumberton NC 28359-1004 3581 Lackey Street Lumberton NC 28360 Robeson (910)738-5023 Virgil L. Hutchinson 130144 MHL-096-161 Waynesboro Family Clinic P.A. 14-Sep-05 01-Jan-20 31-Dec-20 Type A 08-Apr-16 - - 0 27G.3700 Day Treatment for SA C&A SAS DAY Waynesboro Family Clinic P.A. 1706 Wayne Memorial Drive Goldsboro NC 27534 "1103 Gracie Place, Suite B" Goldsboro NC 27534 Wayne (919)734-6676 160436 MHL-032-390 "Community Alternatives, Inc." 11-Jan-07 01-Jan-19 31-Dec-19 Type A 12-Dec-16 - - 14 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&A SAS RESIDENTL "Community Choices, Inc - Cascade @ Durham" 5800 Executive Center Drive Ste 101 Charlotte NC 28212 "1801 Williamsburg Road, Apartment F" Durham NC 27707 Durham (919)403-6108 "Community Choices, Inc." 050120 MHL-060-982 "Community Choices, Inc." 07-Apr-06 01-Jan-19 31-Dec-19 - - - - 50 27G.4100 Therapeutic Homes for Individuals With SA Disorders And A SAS RESIDENTL CASCADE Services 5800 Executive Ctr. Dr. Suite 101 Charlotte NC 28212 "7108 Wallace Road, Apt. 7000A" Charlotte NC 28212 Mecklenburg (704)336-4844 Community Choices Inc. CASCADE Svcs 970647 MHL-060-381 "Hope Haven, Inc." 09-May-97 01-Jan-19 31-Dec-19 Type B 25-Sep-13 - - 37 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&ADOL&A SAS RESIDENTL Villages of Hope Haven 3815 N Tryon Street Charlotte NC 28206 3815 N. Tryon Street Charlotte NC 28206 Mecklenburg (704)372-8809 J. Blackburn 970908 MHL-041-228 "Mary's House, Inc." 14-Jan-98 01-Jan-19 31-Dec-19 Type A 24-Apr-09 - - 24 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&A SAS RESIDENTL Mary's House 520 Guilford Avenue Greensboro NC 27401 520 Guilford Avenue Greensboro NC 27401 Guilford (336)275-0820 945147 MHL-065-226 PORT Health Services 20-Feb-11 01-Jan-19 31-Dec-19 - - - - 12 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&ADOL&A SAS RESIDENTL PORT Health Services - Kelly House 4300-110 Sapphire Court Greenville NC 28434 1507 Martin Street Wilmington NC 28401 New Hanover (910)251-8944 PORT Health Services 955560 MHL-011-384 "RHA Health Services, Inc." 01-Oct-15 01-Jan-19 31-Dec-19 - - - - 12 27G.4100 Therapeutic Homes for Individuals With SA Disorders And A SAS RESIDENTL Mary Benson House 17 Church St Asheville NC 28801 450 Montford Avenue Asheville NC 28801 Buncombe (828)252-5280 "RHA Health Services NC, LLC" 010692 MHL-063-055 Robeson Health Care Corporation 21-Aug-01 01-Jan-19 31-Dec-19 Type B 24-Jan-11 - - 39 27G.4100 Therapeutic Homes for Individuals With SA Disorders And ADOL&A SAS RESIDENTL Crystal Lake Casaworks & Maternal Program P.O. Box 190 Lakeview NC 28350 285 Camp Easter Road Lakeview NC 28350 Moore (910)245-4339 050671 MHL-074-086 Robeson Health Care Corporation 06-Aug-99 19-Mar-19 31-Dec-19 Type A 22-Jun-12 - - 25 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&ADOL&A SAS RESIDENTL The Village II "3362 Frontgate Dr., Ste. 11" Greenville NC 27834 3354/3362 Front Gate Drive(various suites) Greenville NC 27834 Pitt (252)752-5555 The Village 050687 MHL-051-150 Robeson Health Care Corporation 13-Jan-06 01-Jan-19 31-Dec-19 Type A 01-Nov-10 - - 13 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&A SAS RESIDENTL RHCC Cambridge Place Casaworks & Perinatal 109 Cambridge Place Smithfield NC 27577 Cambridge Place - various suites Smithfield NC 27577 Johnston (919)989-8114 RHCC/Cambridge Place 090423 MHL-078-045 Robeson Health Care Corporation 01-Aug-91 01-Jan-19 31-Dec-19 - - - - 10 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&A SAS RESIDENTL Our House 309-B E. Wardell Drive Pembroke NC 28372 309-B E. Wardell Drive Pembroke NC 28372 Robeson (910)521-1464 Robeson Health Care Corporation 090542 MHL-078-229 Robeson Health Care Corporation (RHCC) 16-Jul-09 01-Jan-19 31-Dec-19 Type A 22-Apr-14 - - 8 27G.4100 Therapeutic Homes for Individuals With SA Disorders And A SAS RESIDENTL First Image Inc. Grace Court 3750 Meadowview Rd. Apt A-1 Lumberton NC 28358 3750 Meadowview Rd. Bldg. F1 Lumberton NC 28358 Robeson (910)618-9912 Robeson Health Care Corporation (RHCC) 150207 MHL-092-461 Southlight Healthcare 29-Jun-01 01-Jan-19 31-Dec-19 - - - - 16 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&ADOL&A SAS DAY&RESL SLHC Residential Program for Women and Children 3125 Poplarwood Ct Raleigh NC 27604 "1952 Spring Drive, Several units, 1950 & 1952 (Offices)" Garner NC 27587 Wake (919)557-6967 SouthLight Healthcare 061279 MHL-068-128 University of North Carolina at Chapel Hill 26-Oct-06 01-Jan-19 31-Dec-19 Type B 11-Aug-08 - - 16 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&A SAS RESIDENTL Sunrise CASAWORKS at Horizons "410 N. Greensboro St., Suite 220" Carrboro NC 27510 "207, 209, & 211 Conner Drive, Apartments:..." Chapel Hill NC 27514 Orange (919)960-3775 University of North Carolina at Chapel Hill 180191 MHL-068-145 University of North Carolina at Chapel Hill 15-Apr-10 01-Jan-19 31-Dec-19 - - - - 16 27G.4100 Therapeutic Homes for Individuals With SA Disorders And A SAS RESIDENTL Daybreak at UNC Horizons "410 N. Greensboro St., Suite 220" Carrboro NC 27510 "600 South Churton Street, Apartments:..." Hillsborough NC 27278 Orange (919)928-5000 University of North Carolina at Chapel Hill 991019 MHL-011-264 "FIRST at Blue Ridge, Inc." 25-Oct-05 01-Jan-19 31-Dec-19 Type A 22-Jul-19 - - 85 27G.4300 Supervised Therapeutic Community A SAS RESIDENTL FIRST at Blue Ridge P.O. Box 40 Ridgecrest NC 28770 32 Knox Road Ridgecrest NC 28770 Buncombe (828)669-0011 FIRST at Blue Ridge 090450 MHL-011-339 "FIRST at Blue Ridge, Inc." 18-Oct-11 01-Jan-19 31-Dec-19 - - - - 65 27G.4300 Supervised Therapeutic Community C&A SAS RESIDENTL Women and Children FIRST PO Box 40 Ridgecrest NC 28770 12 Tupper Road Ridgecrest NC 28770 Buncombe (828)669-0011 "FIRST at Blue Ridge, Inc." 970647 MHL-060-381 "Hope Haven, Inc." 09-May-97 01-Jan-19 31-Dec-19 Type B 25-Sep-13 - - 103 27G.4300 Supervised Therapeutic Community C&ADOL&A SAS RESIDENTL Villages of Hope Haven 3815 N Tryon Street Charlotte NC 28206 3815 N. Tryon Street Charlotte NC 28206 Mecklenburg (704)372-8809 J. Blackburn 030866 MHL-059-035 Recovery Ventures Corporation 02-May-07 01-Jan-19 31-Dec-19 - - - - 62 27G.4300 Supervised Therapeutic Community A SAS RESIDENTL Recovery Ventures Corporation PO Box 452 Black Mountain NC 28771 904 Davistown Road Old Fort NC 28762 McDowell (828)668-1000 Recovery Ventures Corporation 030949 MHL-032-363 "Triangle Residential Options for Substance Abusers, In" 27-Feb-06 01-Jan-19 31-Dec-19 Type B 11-Jul-11 - - 178 27G.4300 Supervised Therapeutic Community A SAS RESIDENTL Triangle Residential Options for Substance Abusers 1820 James Street Durham NC 27707 1001 North Street Durham NC 27701 Durham (919)419-1059 Kevin McDonald 030948 MHL-032-361 "Triangle Residential Options for Substance Abusers, Inc" 27-Feb-06 01-Jan-19 31-Dec-19 - - - - 60 27G.4300 Supervised Therapeutic Community A SAS RESIDENTL "Triangle Residential Options for Substance Abusers, Inc" 1820 James Street Durham NC 27707 216 Rigsbee Avenue Durham NC 27701 Durham (919)419-1059 Kevin McDonald 110818 MHL-032-582 "Triangle Residential Options for Substance Abusers, Inc" 04-Jan-13 01-Jan-19 31-Dec-19 - - - - 275 27G.4300 Supervised Therapeutic Community A SAS RESIDENTL "Triangle Residential Options for Substance Abusers, Inc" 1820 James Street Durham NC 27707 1820 James Street Durham NC 27707 Durham (919)419-1059 Triangle Residential Options for Substance Abusers 955648 MHL-034-066 "YWCA of Winston-Salem and Forsyth County, Inc." 24-May-95 01-Jan-19 31-Dec-19 Type A 01-Aug-18 - - 0 27G.4300 Supervised Therapeutic Community A SAS RESIDENTL YWCA-Hawley House 941 West Street Winston Salem NC 27101 941 West Street Winston Salem NC 27101 Forsyth (336)721-0733 Denita Mitchell/YMCA Hawley House 070567 MHL-065-191 "A Helping Hand of Wilmington, LLC" 28-Sep-07 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY A Helping Hand of Wilmington 5013 Wrightsville Avenue Wilmington NC 28403-7045 5013 Wrightsville Avenue Wilmington NC 28403 New Hanover (910)796-6868 Lisa Atkins 120636 MHL-010-082 "A Helping Hand of Wilmington, LLC" 12-Apr-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY A Helping Hand of Wilmington 5013 Wrightsville Avenue Wilmington NC 28403 324-R Village Road Leland NC 28451 Brunswick (910)796-6868 "A Helping Hand of Wilmington, LLC" 090052 MHL-094-007 "A Plus Results Independent Living, Inc." 17-Mar-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "A Plus Results Independent Living, Inc." PO Box 685 Plymouth NC 27962 102 West Water Street Plymouth NC 27962 Washington (252)793-6500 "A Plus Results Independent Living, Inc." 160369 MHL-060-1239 "A Turning Point Counseling and Consulting, LLC" 19-Mar-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY A Turning Point SAIOP 3117 Amesbury Hill Dr Charlotte NC 28269 "5500 Executive Center Drive, Suite 103" Charlotte NC 28212 Mecklenburg (704)379-1960 "A Turning Point Counseling and Consulting, LLC" 160096 MHL-060-1141 "ARJ, LLC" 27-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "ARJ, LLC" 2311 Village Lake Dr Charlotte NC 28212 "3719 Latrobe Drive, Suite 850" Charlotte NC 28205 Mecklenburg (704)910-5395 "ARJ, LLC" 160531 MHL-097-065 "ATS of North Carolina, LLC" 31-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Mountain Health Solutions-North Wilkesboro 200 Northview Plaza North Wilkesboro NC 28659 200 Northview Plaza North Wilkesboro NC 28659 Wilkes (336)818-0607 "ATS of North Carolina, LLC" 140208 MHL-013-181 "Absolute Advocacy, LLC" 15-Jul-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Absolute Advocacy-Cabarrus "1977 J.N. Pease Place, Ste 104" Charlotte NC 28262 "51 Union Street South, Suite 212" Concord NC 28025 Cabarrus (704)215-4095 "Absolute Advocacy, LLC" 150515 MHL-060-1284 "Absolute Advocacy, LLC" 15-Jul-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Absolute Advocacy-Mecklenburg "1977 J.N. Pease Pl., Ste. 104" Charlotte NC 28262 "1977 J.N. Pease Place, Suite 104" Charlotte NC 28262 Mecklenburg (704)215-4095 "Absolute Advocacy, LLC" 150008 MHL-032-572 "Adaptive Integrated Methods, LLC" 22-Mar-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Adaptive Integrated Methods, LLC" "4411 Ben Franklin Blvd., Ste B" Durham NC 27704 4004 Ben Franklin Blvd. Suite B Durham NC 27704 Durham (919)471-5474 "Adaptive Integrated Methods, LLC" 921416 MHL-034-004 "Addiction Recovery Care Association, Inc." 01-Oct-75 01-Jan-20 31-Dec-20 Type B 06-Aug-10 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Addiction Recovery Care Association(ARCA) 1931 Union Cross Road Winston Salem NC 27107 1931 Union Cross Road Winston Salem NC 27107 Forsyth (336)784-9470 "Addiction Recovery Care Association, Inc." 120136 MHL-004-031 "Agape Services, Inc." 03-Apr-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL SAS DAY Next Generation Educational-SAIOP Treatment Center-East PO Box 3319 Monroe NC 28111-3319 201 West Morgan Street Wadesboro NC 28170 Anson (704)465-2221 "Agape Services, Inc." 190077 MHL-090-126 "Agape Services, Inc." 24-Oct-01 02-Apr-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Next Generation Educational & SAIOP Treatment Center 717 East Park Drive Monroe NC 28112 717 East Park Drive Monroe NC 28112 Union (704)289-7889 "Agape Services, Inc." 041030 MHL-083-033 Agyenim Akuamoah-Boateng 28-Jul-04 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Generations Health Services PO Box 1887 Laurinburg NC 28352 911 Atkinson Street Laurinburg NC 28352 Scotland (910)291-9909 Agyenim Akuamoah-Boateng 120506 MHL-001-230 "Alamance Academy, LLC" 12-Apr-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Alamance Academy 530 Rosenwald St Burlington NC 27217 530 Rosenwald Street Burlington NC 27215 Alamance (336)350-8169 "Alamance Academy, LLC" 922827 MHL-076-083 Alcohol and Drug Services 05-Jul-06 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Alcohol and Drug Services-Walker Center 1101 Carolina St Greensboro NC 27401 842 East Pritchard Street Asheboro NC 27203 Randolph (336)633-7257 Lindsey Downing 180305 MHL-041-005 "Alcohol and Drug Services of Guilford, Inc." 01-Apr-86 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Alcohol and Drug Services-East 1101 Carolina Street Greensboro NC 27401 1101 Carolina Street Greensboro NC 27401 Guilford (336)333-6860 "Alcohol and Drug Services of Guilford, Inc." 050467 MHL-091-086 "Alliance Rehabilitative Care, Inc." 24-Oct-08 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Back On Track P.O. Box 748 Henderson NC 27536 510 Dabney Drive Henderson NC 27536 Vance (252)438-5667 "Alliance Rehabilitative Care, Inc." 150004 MHL-041-1027 "Alternative Behavioral Solutions, Inc." 23-Aug-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Alternative Behavioral Solutions "121 South Elm St., Ste. A" Greensboro NC 27401 "121 South Elm Street, Suite A" Greensboro NC 27401 Guilford (336)370-9410 "Alternative Behavioral Solutions, Inc." 110255 MHL-036-106 "Alternative Community Penalties Program, Inc." 09-Jun-97 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "A.C.P.P., Inc./ Restorative Justice Center" PO Box 370 Gastonia NC 28053 "410 West Franklin Blvd., Suite 20" Gastonia NC 28052 Gaston (704)854-8598 "Alternative Community Penalties Program, Inc." 090594 MHL-080-135 "Alternatives Counseling, Inc." 27-Sep-02 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Alternatives Counseling, Inc." 323 North Main Street Salisbury NC 28144 323 North Main Street Salisbury NC 28144 Rowan (704)639-1616 "Alternatives Counseling, Inc." 190142 MHL-029-143 "Another Chance Treatment Center, Inc." 20-May-19 20-May-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Another Chance Treatment Center 236 E Center St. Lexington NC 27292 2 North Church Street Lexington NC 27292 Davidson (336)300-8021 "Another Chance Treatment Center, Inc." 942729 MHL-060-1079 "Anuvia Prevention and Recovery Center, Inc." 01-Oct-08 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Anuvia Prevention and Recovery Center 100 Billingsley Road Charlotte NC 28211 100 Billingsley Road Charlotte NC 28211 Mecklenburg (704)376-7447 Larry Snider 180347 MHL-065-263 "Ariel Community Care, LLC" 05-Feb-19 05-Feb-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Ariel Community Care, LLC" "1047 S. Kerr Avenue, Unit D" Wilmington NC 28403 "1045 S. Kerr Avenue, Unit C" Wilmington NC 28403 New Hanover (910)769-6458 "Ariel Community Care, LLC" 090846 MHL-017-028 "Ariel Community Care, LLC" 13-Feb-19 13-Feb-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Ariel Community Care, LLC" 200 E. Church Street Yancyville NC 27379 200 East Church Street Yanceyville NC 27379 Caswell (336)694-4147 "Ariel Community Care, LLC" 180134 MHL-036-330 "Array of Brighter Beginnings, Inc." 02-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Array of Brighter Beginnings, Inc." "813 S. Oakland St, Unit A" Gastonia NC 28054 "813 South Oakland Street, Unit A" Gastonia NC 28054 Gaston (980)216-6899 "Array of Brighter Beginnings, Inc." 170143 MHL-011-404 "Asheville Recovery Center, LLC" 17-May-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Asheville Recovery Center, LLC" "9 Old Burnsville Hill Road, Suite 7" Asheville NC 28804 "9 Old Burnsville Hill Road, Suite 7" Asheville NC 28804 Buncombe (828)252-4202 "Asheville Recovery Center, LLC" 110186 MHL-043-085 "Aspirations and Miracles Community Support, LLC" 28-Mar-11 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Aspirations and Miracles Community Support, LLC" PO Box 765 Dunn NC 28335 "701 East Broad Street, Suite E" Dunn NC 28334 Harnett (910)892-0000 090935 MHL-032-521 "B & D Integrated Health Services, Inc." 16-Mar-10 01-Jan-19 31-Dec-19 Type A 20-Mar-19 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY B & D Integrated Health Services "249 East NC Hwy 54, Suite 320" Durham NC 27713 "249 East NC Hwy 54, Suite 320" Durham NC 27713 Durham (919)907-3334 170172 MHL-032-412 BAART Community Healthcare 18-Jun-07 01-Jan-19 31-Dec-19 Type A 06-Aug-18 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY BAART Community Healthcare "1145 Market Street, Suite 10F" San Francisco CA 94103 "800 N. Mangum St., Suites 300 & 400" Durham NC 27701-2260 Durham (919)683-1607 BAART Community Healthcare 101222 MHL-011-378 "BHG XXXVI, LLC" 01-Aug-15 12-Jun-19 31-Dec-19 Type B 13-Feb-19 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY BHG Asheville Treatment Center "5001 Spring Valley Rd, Ste 600E" Dallas TX 75244 18 Wedgefield Drive Asheville NC 28806 Buncombe (828)252-8748 "BHG XXXVI, LLC" 080220 MHL-044-062 "BHG XXXVII, LLC" 01-Aug-15 23-Jul-19 31-Dec-19 Type A 17-Dec-18 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY BHG Clyde Treatment Center "5001 Spring Valley Rd, Ste 600 E" Dallas TX 75244 414 Hospital Drive Clyde NC 28721 Haywood (828)454-0560 "BHG XXXVII, LLC" 971215 MHL-026-887 "Behavior Counseling & Psychological Services, PA" 26-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY The DWI Center 916 Hay Street Fayetteville NC 28305 916 Hay Street Fayetteville NC 28302 Cumberland (910)485-1703 "Behavior Counseling & Psychological Services, PA" 180361 MHL-060-1383 "Behavioral Health Intervention Center, LLC" 11-Sep-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Behavioral Health Intervention Center, LLC" "8401 Medical Plaza Dr., Ste 120" Charlotte NC 28262 "8401 Medical Plaza Drive, Suites 120 & 255" Charlotte NC 28262 Mecklenburg (704)458-9292 "Behavioral Health Intervention Center, LLC" 090912 MHL-049-122 "Bobby P. Kearney, M.D., PLCC" 27-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY ARMS PO Box 1545 Statesville NC 28687 536 Signal Hill Drive Extension Statesville NC 28625 Iredell (704)818-1117 "Bobby P. Kearney, M.D., P.L.L.C." 160580 MHL-041-1144 "Body & Soul Total Wellness, PLLC" 16-Mar-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Body & Soul Total Wellness, PLLC" "2411 Penny Road, Suite 102" High Point NC 27265 "2411 Penny Road, Suite 102" High Point NC 27265 Guilford (336)812-9733 "Body & Soul Total Wellness, PLLC" 150234 MHL-098-191 "Bridges of Hope, Inc." 23-Jan-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Bridges of Hope, Inc." "703 Nash St West, Ste A" Wilson NC 27893 "703 Nash Street West, Suite A" Wilson NC 27893 Wilson (252)360-4142 "Bridges of Hope, Inc." 160133 MHL-053-081 "Bridges of Hope, Inc." 04-Apr-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Bridges of Hope "703 Nash St. West, Ste A" Wilson NC 27893 808 North Horner Boulevard Sanford NC 27330 Lee (919)777-2827 "Bridges of Hope, Inc." 170416 MHL-074-252 "Bridges of Hope, Inc." 21-Sep-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Bridges of Hope, Inc." "703 West Nash St., Ste A" Wilson NC 27893 "3219 Landmark Street, Unit 8" Greenville NC 27834 Pitt (252)360-4142 "Bridges of Hope, Inc." 190045 MHL-036-322 "Bridging the Gap of North Carolina, Inc." 24-May-17 13-Feb-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Bridging the Gap of America, Inc." 3050 Riverwood Parkway Gastonia NC 28056 3050 Riverwood Parkway Gastonia NC 28056 Gaston (704)222-2928 "Gridging the Gap of North Carolina, Inc." 100732 MHL-032-553 "CAPS 4 U, Inc." 22-Sep-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "CAPS 4 U, Inc." PO Box 16262 Durham NC 27704 "3925 North Duke Street, Suite 123" Durham NC 27704 Durham (919)680-8833 120230 MHL-041-1047 "CareLink Solutions, Inc." 26-Jun-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "CareLink Solutions, Inc." PO Box 1916 Greensboro NC 27402 1214 Grove Street Greensboro NC 27403 Guilford (336)285-6887 011076 MHL-041-872 "Caring Services, Inc." 13-Jun-08 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Caring Services, Inc." PO Box 6219 High Point NC 27262 102 / 104 Chestnut Street High Point NC 27262 Guilford (336)886-5594 "Caring Services, Inc." 110776 MHL-078-290 "Caring Touch Home & Behavioral Health Care, LLC" 26-Sep-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Caring Touch Home & Behavioral Health Care 799 James Lynn Drive Pembroke NC 28372 "1384 Linkhaw Road, Suite A" Lumberton NC 28358 Robeson (910)521-9175 180033 MHL-060-1368 "Carolina Center for Recovery, LLC" 16-Mar-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Carolina Center for Recovery 1320 Matthews-Mint Hill Rd Matthews NC 28105 1320 Matthews-Mint Hill Road Matthews NC 28105 Mecklenburg (704)844-6958 "Carolina Center for Recovery, LLC" 170096 MHL-004-045 "Carolina Community Behavioral Services, LLC" 19-Apr-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Carolina Community Behavioral Services, LLC" "119 West Wade Street, Suite C & D" Wadesboro NC 28170 "119 West Wade Street, Suite C & D" Wadesboro NC 28170 Anson (704)994-2555 "Carolina Community Behavioral Services, LLC" 180346 MHL-090-196 "Carolina Community Behavioral Services, LLC" 12-Oct-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Carolina Community Behavioral Services, LLC" "119 W. Wade St., 2nd Floor" Wadesboro NC 28170 1106 Skyway Drive Monroe NC 28110 Union (704)635-8091 "Carolina Community Behavioral Services, LLC" 110849 MHL-032-524 "Carolina Community Support Services, Inc." 29-Mar-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Carolina Community Support Services, Inc." "411 Andrews Rd., Ste. #130" Durham NC 27705 "411 Andrews Road, Suite #130" Durham NC 27705 Durham (919)682-5777 080793 MHL-026-945 "Carolina Outreach, LLC" 22-Aug-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Carolina Outreach I 2670 Durham Chapel Hill Blvd. Durham NC 27707 "907 Hay Street, Suite 203" Fayetteville NC 28305 Cumberland (910)438-0939 "Carolina Outreach, LLC" 100158 MHL-098-186 "Carolina Outreach, LLC" 22-Aug-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Carolina Outreach III 2670 Durham Chapel Hill Blvd Durham NC 27707 608 West Nash Street Wilson NC 27893 Wilson (252)291-2200 "Carolina Outreach, LLC" 100658 MHL-051-215 "Carolina Outreach, LLC" 11-Sep-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Carolina Outreach, LLC" 2670 Durham Chapel Hill Boulevard Durham NC 27707 831 South Brightleaf Boulevard Smithfield NC 27577 Johnston (919)300-4315 "Carolina Outreach, LLC" 100849 MHL-060-1190 "Carolina's Creative Counseling, P.A." 01-Nov-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL SAS DAY "Carolina's Creative Counseling, SAIOP" "325 Matthews Mint Hill Rd.,Ste. 105" Matthews NC 28105-2889 "325 Matthews Mint Hill Rd.,Ste. 105" Matthews NC 28105-2889 Mecklenburg (704)332-3634 "Carolina's Creative Counseling, P.A." 130393 MHL-060-1269 "Carolina's Creative Counseling, P.A." 08-Oct-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Carolina's Creative Counseling-SAIOP "4415 Monroe Rd, Ste. 201" Charlotte NC 28205 "4415 Monroe Road, Suite 100" Charlotte NC 28205 Mecklenburg (704)332-3634 "Carolina's Creative Counseling, P.A." 190103 MHL-009-049 "Carter Clinic, P.A." 04-Apr-19 04-Apr-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Carter Clinic, P.A." 6026 Six Forks Road Raleigh NC 27609 1104 West Broad Street Elizabethtown NC 28337 Bladen (910)991-3070 "Carter Clinic, P.A." 050494 MHL-060-973 "Christian Women of Elegance, Inc." 03-Nov-05 12-Feb-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Beatties Ford Road Family Counseling Center "1406 Beatties Ford Rd., 1st Floor" Charlotte NC 28216 "1406 Beatties Ford Rd, 1st Floor & Rm 3, 2nd Floor" Charlotte NC 28216 Mecklenburg (980)349-4067 Frances Hall 050228 MHL-092-681 Clara Downing Bain 30-Apr-07 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY North Carolina Recovery Support Services 1001-GL 103 Navaho Drive Raleigh NC 27609 1001-GL 103 Navaho Drive Raleigh NC 27609 Wake (919)431-9874 Clara Downing Bain 190264 MHL-012-136 "Clay, Wilson & Associates, Inc." 22-Sep-15 24-Jul-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY The Cognitive Connection-Burke 4330 Viola Sipe Dr Conover NC 28613 "301 East Meeting Street,Suite 102" Morganton NC 28655 Burke (828)217-4617 "Clay, Wilson & Associates, Inc." 180384 MHL-018-056 "Clay, Wilson and Associates" 12-Mar-01 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Clay,Wilson & Assoc., Inc. dba The Cognitive Connection" 4330 Viola Sipe Drive Conover NC 28613 "929 15th Street NE, Suites 100,310,320 & 330" Hickory NC 28601 Catawba (828)327-6026 "Clay, Wilson and Associates, Inc." 011124 MHL-065-011 "Coastal Horizons Center, Inc." 01-Jan-85 01-Jan-19 31-Dec-19 Type A 06-Apr-15 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Coastal Horizons Center, Inc." 615 Shipyard Boulevard Wilmington NC 28412 615 Shipyard Boulevard Wilmington NC 28412 New Hanover (910)343-0145 "Coastal Horizons Center, Inc." 091024 MHL-010-071 "Coastal Horizons Center, Inc." 21-May-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Coastal Horizons Center, Inc." 615 Shipyard Boulevard Wilmington NC 28470 120 Coastal Horizons Center Drive Shallotte NC 28470 Brunswick (910)754-4515 "Coastal Horizons Center, Inc." 941583 MHL-071-036 "Coastal Horizons Center, Inc." 03-Dec-12 15-Mar-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Coastal Horizons Center - Pender 309 Progress Dr Burgaw NC 28425 309 Progress Drive Burgaw NC 28425 Pender (910)259-0668 "Coastal Horizons Center, Inc." 190141 MHL-065-265 "Coastal Horizons Center, Inc." 07-Jun-19 07-Jun-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Coastal Horizons Center 615 Shipyard Blvd Wilmington NC 28412 613 Shipyard Boulevard Wilmington NC 28412 New Hanover (910)769-1095 "Coastal Horizons Center, Inc." 110552 MHL-009-042 "Coastal Southeastern United Care, LLC" 22-Jul-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Coastal Southeastern United Care PO Box 1585 Shallotte NC 28459 "818 South Main Street, Unit B" Bladenboro NC 28320 Bladen (910)863-4000 "Coastal Southeastern United Care, LLC" 170181 MHL-010-086 "Coastal Southeastern United Care, LLC" 09-May-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Coastal Southeastern United Care PO Box 1585 Shallotte NC 28459 10 Referendum Drive NE # F115 Bolivia NC 28422 Brunswick (910)253-5801 "Coastal Southeastern United Care, LLC" 140108 MHL-060-1246 Collaborative Hope 01-Apr-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Collaborative Hope SAIOP "9700 Research Dr., Ste.#105" Charlotte NC 28262 "9700 Research Drive, Suite 105" Charlotte NC 28262 Mecklenburg (704)496-9620 Collaborative Hope 030577 MHL-060-441 "Community Choices, Inc." 11-Mar-98 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Community Choices-CASCADE Services 5800 Executive Ctr. Drive Suite 101 Charlotte NC 28212 5800 Executive Ctr. Drive Suite 100 Charlotte NC 28212 Mecklenburg (704)336-4844 "Community Choices, Inc." 051103 MHL-034-217 "Community Choices, Inc." 04-May-07 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Community Choices-Wish 5800 Executive Center Drive Charlotte NC 28212 725 Highland Avenue Winston-Salem NC 27101 Forsyth (336)607-8513 Misty Faulk 180230 MHL-032-391 "Community Choices, Inc." 10-Jan-07 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Community Choices, Inc.-CASCADE @ Durham" "5800 Executive Center Dr., Ste 101" Charlotte NC 28212 "2634 Chapel Hill Boulevard, Suite 11" Durham NC 27707 Durham (919)490-6900 "Community Choices, Inc." 100759 MHL-073-059 "Community Counseling Services, PC" 16-Nov-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Community Counseling Services, PC" 515 Fire Tower Drive Rougemont NC 27572 "105 North Main Street, Suite #102 & 103" Roxboro NC 27573 Person (336)330-0702 100289 MHL-024-088 "Community Support Agency, LLC" 05-May-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Community Support Agency, LLC" PO Box 465 Delco NC 28436 44 Dream Avenue Delco NC 28436 Columbus (910)655-0698 170034 MHL-024-087 "Community Support Agency, LLC" 05-May-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Community Support Agency, LLC" PO Box 465 Delco NC 28436 817-B Madison Street Whiteville NC 28472 Columbus (910)655-0698 "Community Support Agency, LLC" 120046 MHL-077-080 "Compassionate Counseling Services, LLC" 26-Feb-18 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Compassionate Counseling Services, LLC" "1219 Rockingham Rd., Ste 12" Rockingham NC 28379 "1219 Rockingham Road, Suite 12" Rockingham NC 28379 Richmond (910)817-9927 "Compassionate Counseling Services, LLC" 170037 MHL-007-085 "Comprehensive Interventions, Inc." 23-Mar-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Comprehensive Interventions Inc. "607 Washington Street, PO Box 1216" Williamston NC 27892 731 15th Street Washington NC 27889 Beaufort (252)940-0040 Comprehensive Interventions Inc. 110071 MHL-064-158 Corine's Care Management Inc. 21-Dec-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Corine's Care Management, Inc." PO Box 775 Snow Hill NC 28580 3094 Sunset Avenue Rocky Mount NC 27804-3647 Nash (252)443-1299 "Corine's Care Management, Inc." 090664 MHL-040-045 "Corine's Care Management, Inc." 23-Oct-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Corine's Care Management, Inc." 55 Patrick Drive Snow Hill NC 28580 369 B Highway 13 South Snow Hill NC 28580 Greene (252)747-5705 "Corine's Care Management, Inc." 090523 MHL-040-053 "Corine's Care Management, Inc." 23-Oct-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Corine's Care Management, Inc." PO Box 775 Snow Hill NC 28580 1108 A Kingold Boulevard Snow Hill NC 28580 Greene (252)747-5405 "Corine's Care Management, Inc." 140418 MHL-092-777 "Cottage Health Care Services, Inc." 24-May-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Cottage Health Care Services, Inc." 3826 Bland Road Raleigh NC 27609 3826 Bland Road Raleigh NC 27609 Wake (919)872-1441 080061 MHL-011-387 "Crest View Recovery Center, LLC" 08-Dec-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Crest View Recovery Center 90 Asheland Ave Asheville NC 28801 "90 Asheland Avenue, Suites B & D" Asheville NC 28801 Buncombe (828)575-2701 "Crest View Recovery Center, LLC" 080233 MHL-059-058 "Crossroads Recovery Center, Inc." 05-Jun-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Crossroads Recovery Center PO Box 1864 Marion NC 28752-1864 440 East Court Street Marion NC 28752-1864 McDowell (828)659-8626 140017 MHL-026-821 "Cumberland County Communicare, Inc." 15-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Cumberland County Communicare, Inc." PO Box 87830 Fayetteville NC 28304 "109 Bradford Avenue, Rooms 155 & 107" Fayetteville NC 28301 Cumberland (910)829-9017 170260 MHL-033-087 "D-POM, LLC" 13-Sep-10 01-Jan-19 31-Dec-19 Type A 29-Aug-14 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "D-POM, LLC" PO Box 1634 Tarboro NC 27886 "2109 Saint Andrew Street, Suite 15A & 16" Tarboro NC 27886 Edgecombe (252)641-5452 "D-POM, LLC" 110258 MHL-007-077 "D.R.E.A.M. Provider Care Services, Inc." 20-Apr-04 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY D.R.E.A.M. Provider Care Svcs. Outpatient Trtmt Ctr. 216 Stewart Parkway Washington NC 27889 216 Stewart Parkway Washington NC 27889 Beaufort (252)946-0585 "D.R.E.A.M. Provider Care Services, Inc." 922838 MHL-094-012 "D.R.E.A.M. Provider Care Services, Inc." 11-Apr-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Dream Provider Care Services, Inc." 216 Stewart Parkway Washington NC 27889 716 Washington Street Plymouth NC 27962 Washington (252)791-0430 180269 MHL-058-052 "D.R.E.A.M. Provider Care Services, Inc." 11-Apr-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Dream Provider Care Services, Inc." 216 Stewart Parkway Washington NC 27889 1130 Godwin Drive Williamston NC 27892 Martin (252)809-1010 "D.R.E.A.M. Provider Care Services, Inc." 170201 MHL-041-811 "D.R.E.A.M.S. Treatment Services, Inc." 26-Mar-07 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "D.R.E.A.M.S. Treatment Services, Inc." PO Box 5408 Greensboro NC 27435 1033 East Wendover Avenue Greensboro NC 27405 Guilford (336)907-7135 "D.R.E.A.M.S. Treatment Services, Inc." 160263 MHL-060-1156 "Day By Day Family Services, LLC" 03-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Day By Day Substance Abuse Services "4822 Albemarle Rd, Ste 219" Charlotte NC 28205 "4822 Albemarle Road, Suite 219" Charlotte NC 28205 Mecklenburg (704)405-4265 "Day By Day Family Services, LLC" 100168 MHL-004-041 "Day By Day Family Services, LLC" 13-Apr-15 15-May-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Day By Day Family Services, LLC" 4822 Albemarle Rd Charlotte NC 28205 303 East View Street Wadesboro NC 28170 Anson (704)405-4265 "Day by Day Family Services, LLC" 921395 MHL-062-027 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Montgomery Center 2129 Statesville Blvd Salisbury NC 28147 227 North Main Street Troy NC 27371 Montgomery (910)572-3681 "Daymark Recovery Services, Inc." 921457 MHL-076-091 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Archdale Center 2129 Statesvills Blvd Salisbury NC 28147 205 Balfour Drive Archdale NC 27263 Randolph (336)431-0700 "Daymark Recovery Services, Inc." 922467 MHL-077-053 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Richmond Center 2129 Statesville Blvd Salisbury NC 28147 116 South Lawerence Street Rockingham NC 28580 Richmond (910)895-2462 "Daymark Recovery Services, Inc." 922533 MHL-063-082 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Moore Center 2129 Statesville Blvd Salisbury NC 28147 205 Memorial Drive Pinehurst NC 28370 Moore (910)295-6853 "Daymark Recovery Services, Inc." 922534 MHL-047-119 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Hoke Center 2129 Statesville Blvd Salisbury NC 28147 121 East Elwood Avenue Raeford NC 28376 Hoke (910)875-8156 "Daymark Recovery Services, Inc." 922783 MHL-090-004 "Daymark Recovery Services, Inc." 01-Aug-85 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services-Union Center 2129 Statesville Blvd Salisbury NC 28147 1190 West Rosevelt Blvd Monroe NC 28110 Union (704)296-6200 Daymark Recovery Svcs-Union Ctr. 922922 MHL-076-092 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Randolph Center 2129 Statesville Blvd Salisbury NC 28147 "110 West Walker Avenue, Second Floor" Asheboro NC 27203 Randolph (336)633-7000 "Daymark Recovery Services, Inc." 941394 MHL-084-004 "Daymark Recovery Services, Inc." 01-Oct-85 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark Recovery Services - Stanly Center 2129 Statesville Blvd Salisbury NC 28147 1000-1 North First Street Albemarle NC 28001 Stanly (704)983-2117 951448 MHL-004-017 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Anson Center 2129 Statesville Blvd Salisbury NC 28147 704 Old Lilesville Road Wadesboro NC 28170 Anson (704)694-6588 Daymark Recovery Services 952118 MHL-053-057 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Lee Center 2129 Statesville Blvd Salisbury NC 28147 130 Carbonton Road Sanford NC 27330 Lee (919)774-6521 "Daymark Recovery Services, Inc." 080206 MHL-013-056 "Daymark Recovery Services, Inc." 25-Sep-98 25-Mar-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services - Cabarrus Center 2129 Statesville Blvd Salisbury NC 28147 "284 Executive Park Drive, Suite 100" Concord NC 28025 Cabarrus (704)939-1100 "Daymark Recovery Services, Inc." 990433 MHL-043-077 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Harnett Center 2129 Statesville Blvd Salisbury NC 28147 5841 US Highway 421 South Lillington NC 27546 Harnett (910)893-5727 "Daymark Recovery Services, Inc." 110008 MHL-080-058 "Daymark Recovery Services, Inc." 01-Oct-91 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Daymark Recovery Services, Inc." 2129 Statesville Boulevard Salisbury NC 28147 2129 Statesville Boulevard Salisbury NC 28147 Rowan (704)633-3616 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 971381 MHL-049-134 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark Recovery Services - Iredell 2129 Statesville Blvd. Salisbury NC 28147 318 Turnersburg Highway Statesville NC 28625 Iredell (704)872-8916 Daymark Recovery Services Inc 110236 MHL-086-055 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark Recovery Services - Mount Airy 2129 Statesville Blvd. Salisbury NC 28147 847 Westlake Drive Mt. Airy NC 27030 Surry (336)783-6919 "Daymark Recovery Services, Inc." 921476 MHL-095-047 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark Recovery Services - Watauga 2129 Statesville Blvd. Salisbury NC 28147 132 Poplar Grove Connector-Ste. B Boone NC 28607 Watauga (828)264-8759 "Daymark Recovery Services, Inc." 922676 MHL-097-066 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark Recovery Services - Wilkes 2129 Statesville Blvd. Salisbury NC 28147 1400 Willow Lane North Wilkesboro NC 28659 Wilkes (336)667-5151 "Daymark Recovery Services, Inc." 921702 MHL-099-026 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark Recovery Services - Yadkin 2129 Statesville Blvd. Salisbury NC 28147 320 East Lee Street Yadkinville NC 27055 Yadkin (336)679-8805 Daymark Recovery Services Inc 922234 MHL-006-020 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark C.A.R.E.S. 2129 Statesville Blvd Salisbury NC 28147 360 Beech Street Newland NC 28657 Avery (828)733-5889 "Daymark Recovery Services, Inc." 160302 MHL-029-032 "Daymark Recovery Services, Inc." 01-Jan-93 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services-Davidson Center 2129 Statesville Blvd Salisbury NC 28147 1104-A South Main Street Lexington NC 27292 Davidson (336)242-2450 "Daymark Recovery Services, Inc." 921787 MHL-019-069 "Daymark Recovery Services, Inc." 22-Aug-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services-Chatham County Outpatient 2129 Statesville Blvd Salisbury NC 28147 1105 East Cardinal Street Siler City NC 27344 Chatham (910)663-2955 "Daymark Recovery Services, Inc." 180237 MHL-034-154 "Daymark Recovery Services, Inc." 01-Jan-02 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services - Forsyth Center 2129 Statesville Blvd Salisbury NC 28147 "650 Highland Avenue, Suite 100" Winston-Salem NC 27101-4206 Forsyth (336)607-8523 "Daymark Recovery Services, Inc." 110402 MHL-065-192 "Delta Behavioral Health, PLLC" 14-Dec-07 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Delta Behavioral Health, PLLC" "1606 Physicians Dr., Unit 104" Wilmington NC 28401 "1606 Physicians Drive, Suite 103 & 104" Wilmington NC 28401 New Hanover (910)343-6890 051271 MHL-060-087 "Dilworth Center for Chemical Dependency, Inc." 01-Jun-89 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Dilworth Center for Chemical Dependency 2240 Park Road Charlotte NC 28203 2240 Park Road Charlotte NC 28203 Mecklenburg (704)372-6969 Angie Leckie 170182 MHL-054-165 "Dixon Social Interactive Services, Inc." 07-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Dixon Social Interactive Services PO Box 30166 Greenville NC 27833 "301 North Secrest St., classrooms 1-5" Kinston NC 28501 Lenoir (252)353-0100 "Dixon Social Interactive Services, Inc." 070185 MHL-042-005 Edward's Assessments and Counseling 01-Jun-85 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Edward's Assessments and Counseling 321 NC Highway 125 Roanoke Rapids NC 27870 321 Highway 125 Roanoke Rapids NC 27870 Halifax (252)535-1070 Elizabeth P. Edwards 110085 MHL-026-897 "Elite Care Service, Inc." 15-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Elite Care Service Inc. SAIOP Program PO Box 9525 Fayetteville NC 28311 "111 Lamon Street, Suite 110" Fayetteville NC 28301 Cumberland (910)483-0324 "Elite Care Service, Inc." 180296 MHL-060-1176 "Empowerment Quality Care Services, LLC" 30-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Empowerment Quality Care Services "8535 Cliff Cameron Dr., Ste 100" Charlotte NC 28269 "8535 Cliff Cameron Drive, Suites 100 & 112" Charlotte NC 28269 Mecklenburg (704)717-7477 "Empowerment Quality Care Services, LLC" 180060 MHL-060-1186 "Epiphany Family Services, LLC" 18-Oct-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Epiphany Family Services 6900 Farmingdale Dr Charlotte NC 28212 6900 Farmingdale Drive Charlotte NC 28212 Mecklenburg (704)536-6853 "Epiphany Family Services, LLC" 190196 MHL-023-217 "Epiphany Family Services, LLC" 23-May-19 23-May-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Epiphany Family Services 6900 Farmingdale Dr. Charlotte NC 28212 1201 South Post Road Shelby NC 28152 Cleveland (704)481-7001 "Epiphany Family Services, LLC" 100353 MHL-060-1160 "Family First Community Services, LLC" 17-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Family First Community Services, LLC" 3705 Latrobe Drive Suite 340 Charlotte NC 28211 3705 Latrobe Drive Suite 340 Charlotte NC 28211 Mecklenburg (704)364-3989 Attn: Michiko Dowdy 070885 MHL-096-185 "Family First Support Center, Inc." 16-Nov-06 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Family First Support Center 770 Vail Road Pikeville NC 27863-9446 110 SW Center Street Mt. Olive NC 28365-2124 Wayne (919)635-3344 Howard Calhoun 080799 MHL-082-088 "Family First Support Center, Inc." 04-Aug-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Family First Support Center 770 Vail Road Pikeville NC 27863-9446 707 College Street Clinton NC 28328-3503 Sampson (910)592-4507 "Family First Support Center, Inc." 070592 MHL-045-115 "Family Preservation Services of North Carolina, LLC" 01-Jan-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Family Preservation Services of NC-Parkway Green River "2300 Sardis Rd., N. Ste M" Charlotte NC 28227 120 South Grove Street Hendersonville NC 28792 Henderson (828)697-2660 "Family Preservation Srvcs of North Carolina, LLC" 140352 MHL-081-105 "Family Preservation Services of North Carolina, LLC" 01-Jan-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Family Preservation Services of NC-Parkway Rutherford "2300 Sardis Rd., N Suite M" Charlotte NC 28227 356 Charlotte Road Rutherfordton NC 28139 Rutherford (828)288-8773 "FPS of NC, LLC" 180228 MHL-075-030 "Family Preservation Services of North Carolina, LLC" 24-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Family Preservation Services of NC, Inc - Polk" "2300 Sardis Rd., Ste M" Charlotte NC 28227-7712 94 White Drive Columbus NC 28722-2290 Polk (828)894-2290 "Family Preservation of North Carolina, LLC" 180573 MHL-011-367 "Family Preservation Services of North Carolina, LLC" 01-Jan-14 23-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Family Preservation Services of NC-Asheville "2300 Sardis Rd., N, Ste M" Charlotte NC 28227 "1314 Patton Avenue, Suite C" Asheville NC 28806-2648 Buncombe (828)225-3100 "Family Preservation Services of NC, Inc." 160270 MHL-041-1134 Fellowship Hall Inc. 27-Jun-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Outpatient Building PO Box 13890 Greensboro NC 27415 5142 Dunstan Road Greensboro NC 27405 Guilford (336)621-3381 "Fellowship Hall, Inc." 080514 MHL-092-684 "Fellowship Health Resources, Inc." 29-May-07 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Cary Satellite House 5509 Creedmoor Road Raleigh NC 27612 222 East Chatham Street Cary NC 27511 Wake (919)469-4980 "Fellowship Health Resources, Inc." 110200 MHL-092-683 "Fellowship Health Resources, Inc." 29-May-07 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Building Foundations 24 Albion Rd Lincoln RI 02865 5509 Creedmoor Road Raleigh NC 27612 Wake (919)573-6520 "Fellowship Health Resources, Inc." 160615 MHL-032-526 "Fidelity Community Support Group, Inc." 31-Mar-10 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Fidelity Community Support Group, Inc." "4324 South Alston Ave., Ste 203" Durham NC 27713 "4324 South Alston Avenue, Suite 203" Durham NC 27713 Durham (919)806-0009 "Fidelity Community Support Group, Inc." 030861 MHL-092-495 "First Step Services, LLC" 19-Apr-02 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "First Step Services, LLC" 211 Six Forks Rd Ste 117 Bldg B Raleigh NC 27609 211 Six Forks Rd Ste 117 Bldg B Raleigh NC 27609 Wake (919)833-8899 130281 MHL-092-879 "First Step Services, LLC" 30-Oct-13 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "First Step Services, LLC" 211 E Six Forks Rd. Ste 117 Raleigh NC 27609 128 Quade Drive Cary NC 27513 Wake (919)651-8349 "First Step Services, LLC" 140477 MHL-092-572 "First Step Services, LLC" 17-Dec-03 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY 1st Step Substance Abuse & DWI Services "211 E. Six Forks Rd., Ste. 117" Raleigh NC 27609 "1418 Aversboro Road, Suite 201" Garner NC 27529 Wake (919)329-9400 "First Step Services, LLC" 130483 MHL-041-979 "Foster's Care Facility, LLC" 26-Jul-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Foster's Care Facility, LLC" "1320 North Hamilton St., Ste. 107" High Point NC 27262 "1320 North Hamilton St., Ste. 107" High Point NC 27262 Guilford (336)885-0602 "Foster's Care Facility, LLC" 921887 MHL-068-003 "Freedom House Recovery Center, Inc." 01-Jul-91 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Freedom House Recovery Center 104 New Stateside Drive Chapel Hill NC 27516 104 New Stateside Drive Chapel Hill NC 27516 Orange (919)942-2803 Freedom House Recovery Center Inc. 110276 MHL-093-058 "Freedom House Recovery Center, Inc." 25-Jan-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Lake Area Counseling Halfway House 104 New Stateside Drive Chapel Hill NC 27516 519 Walker Street Norlina NC 27563 Warren (252)456-6541 "Freedom House Recovery Center, Inc." 050641 MHL-073-060 "Freedom House Recovery Center, Inc." 03-Feb-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Person Counseling Center of Freedom House 104 New Stateside Dr. Chapel Hill NC 27516 355 C-1 South Madison Boulevard Roxboro NC 27573 Person (336)599-8366 "Freedom House Recovery Center, Inc." 110531 MHL-093-059 "Freedom House Recovery Center, Inc." 20-Jun-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Lake Area Health Care 104 New Stateside Drive Chapel Hill NC 27516 126 North Main Street Warrenton NC 27589 Warren (252)879-0091 "Freedom House Recovery Center, Inc." 120175 MHL-032-607 "Freedom House Recovery Center, Inc." 14-Jan-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Freedom House Outpatient Clinic 104 New Stateside Dr Chapel Hill NC 27516 "400 Crutchfield Street, Suite D" Durham NC 27704 Durham (919)251-8806 "Freedom House Recovery Center, Inc." 160585 MHL-034-360 "Full Life Counseling, PLLC" 24-Jan-17 01-Jan-09 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Full Life Counseling & Recovery-Intensive Outpatient PO Box 360 Pfafftown NC 27040 983 Mar Don Drive Winston Salem NC 27104 Forsyth (336)923-7426 "Full Life Counseling, PLLC" 190040 MHL-080-170 "Genesis....A New Beginning, Inc." 25-Jul-07 08-Mar-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Genesis....A New Beginning "417 N. Main St., Ste. B" Salisbury NC 28144 "417 North Main Street, Suite B" Salisbury NC 28144 Rowan (704)636-0838 "Genesis...A New Beginning, Inc." 180395 MHL-013-124 "Genesis....A New Beginning, Inc." 12-Aug-04 28-Feb-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Genesis....A New Beginning 245 Le Phillip Ct. NE Concord NC 28025 245 Le Phillip Court NE Concord NC 28025 Cabarrus (704)720-7770 "Genesis....A New Beginning, Inc." 180398 MHL-034-386 "Georgia Health Partners, LLC" 27-Feb-19 27-Feb-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY North Carolina Health Partners 2590 Farm Acres Court Winston-Salem NC 27103 "1311 Westbrook Plaza Drive, Suite 109" Winston-Salem NC 27103 Forsyth (336)999-8856 "Georgia Health Partners, LLC" 130228 MHL-098-145 Getting Ready Inc. 23-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Getting Ready Inc. PO Box 355 Black Creek NC 27813 510 Church Street Black Creek NC 27813 Wilson (252)281-1718 160083 MHL-092-970 Gupta Wellness Inc. 18-Mar-19 18-Mar-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Gupta Wellness Inc. 8304 Creedmoor Road Raleigh NC 27613 8304 Creedmoor Road Raleigh NC 27613 Wake (919)870-8409 Gupta Wellness Inc. 180034 MHL-034-340 "HOPE Counseling & Consulting Services, Inc." 04-Jun-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY HOPE Counseling & Consulting Services 326 N. Spring Street Winston Salem NC 27101-2722 326 N. Spring Street Winston Salem NC 27101-2722 Forsyth (336)631-1948 "HOPE Counseling & Counsilting Services, Inc." 180284 MHL-060-1379 "Harmony Recovery Center, LLC" 10-Jul-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Harmony Recovery Center 1611 East 7th St Charlotte NC 28204 1611 East 7th Street Charlotte NC 28204 Mecklenburg (980)256-2273 "Harmony Recovery Center, LLC" 170134 MHL-092-781 "Healing Interventions, Inc." 16-Jul-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Healing Interventions, Inc" "1001 Navaho Drive, GL 100" Raleigh NC 27609 "1001 Navaho Drive, GL 100" Raleigh NC 27609 Wake (919)896-7055 "Healing Interventions, Inc." 170134 MHL-092-781 "Healing Interventions, Inc." 16-Jul-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Healing Interventions, Inc" "1001 Navaho Drive, GL 100" Raleigh NC 27609 "1001 Navaho Drive, GL 100" Raleigh NC 27609 Wake (919)896-7055 "Healing Interventions, Inc." 160019 MHL-098-182 "Higher Heights Family Services, Inc." 27-Dec-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Higher Heights Family Services, Inc." 1209 Justin Lane Lithonia GA 30058 2404-C Montgomery Drive Wilson NC 27893 Wilson (252)243-0100 110192 MHL-060-003 "Inner Vision, Inc." 01-Jan-86 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Inner Vision PO Box 31083 Charlotte NC 28231 415 E. 4th Street Charlotte NC 28202 Mecklenburg (704)377-5047 "Inner Vision, Inc." 120167 MHL-060-1242 "InnerVision, Inc." 16-May-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY InnerVision II PO Box 31083 Charlotte NC 28231 1000 Baxter Street Charlotte NC 28204 Mecklenburg (704)377-5042 "InnerVision, Inc." 942653 MHL-034-003 "Insight Human Services, Inc." 01-Oct-84 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Insight Human Services-Forsyth 665 West Fourth Street Winston Salem NC 27101 665 West Fourth Street Winston Salem NC 27101 Forsyth (336)725-8389 Insight Human Services-Forsyth 130363 MHL-079-126 "Insight Human Services, Inc." 05-Dec-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Insight Human Services-Rockingham 665 West Fourth Street Winston-Salem NC 27101 405 NC Highway 65 Rm. 23 & 24 Wentworth NC 27375 Rockingham (336)342-8440 170354 MHL-011-249 "Insight Human Services, Inc." 01-Dec-03 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Women's Recovery Center 665 W. 4th Street Winston-Salem NC 27101 "723 Faiview Road, Building #1" Asheville NC 28803 Buncombe (828)350-8343 "Insight Human Services, Inc." 150366 MHL-026-969 "Integrated Behavioral Healthcare Services, Inc. #3" 15-Aug-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Integrated Behavioral Healthcare Services, Inc. #3" 2577 Ravenhill Drive Fayetteville NC 28303 2577 Ravenhill Drive Fayetteville NC 28303 Cumberland (910)438-0947 "Integrated Behavioral Healthcare Services, Inc." 010881 MHL-055-126 "Integrated Care of Greater Hickory, Inc." 16-Aug-18 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Integrated Care of Greater Hickory, Inc." "425 7th Avenue, SW" Hickory NC 28602 1228 North Flint Street Lincolnton NC 28092 Lincoln (704)240-3066 "Integrated Care of Greater Hickory, Inc." 180292 MHL-018-097 "Integrated Care of Greater Hickory, Inc." 16-Aug-18 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Intergrated Care of Greater Hickory, Inc." 425 7th Avenue SW Hickory NC 28602 "741 5th Street SW, Annex Bldg." Hickory NC 28602 Catawba (828)322-5915 "Integrated Care of Greater Hickory, Inc." 160081 MHL-011-390 "Intentional Longevity, Inc." 24-Mar-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY The Center for Spiritual Emergence & Katharos Sanctuary "370 N. Louisiana Ave., Ste. D3" Asheville NC 28806 "370 North Louisiana Avenue, Suite D3 & D4" Asheville NC 28806 Buncombe (828)412-3688 "Intentional Longevity, Inc." 160009 MHL-064-151 "KAN Enterprise, Inc." 09-Jun-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY The Right Step PO Box 1690 Spring Hope NC 27882 "600 North Grace Street, Suite E" Rocky Mount NC 27804 Nash (252)407-8055 "KAN Enterprise, Inc." 190149 MHL-026-787 KV Consultants & Associates Inc. 25-May-04 18-Jul-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "KV Consultants & Associates, Inc." "803 Stamper Road, Suite G" Fayetteville NC 28303-4193 "803 Stamper Road, Suite G" Fayetteville NC 28303-4193 Cumberland (910)223-7114 "KV Consultants & Associates, Inc." 160607 MHL-076-104 Kimesha K Spinks 28-Feb-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&A SAS DAY Steps for Change Behavioral Health Care 103 South Brady St. Ramseur NC 27316 103 South Brady Street Ramseur NC 27316 Randolph (336)824-1735 Kimesha Spinks 070497 MHL-065-249 "Launch Pad Wellness, LLC" 03-Feb-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Launch Pad Wellness 3121 Wrightsville Ave Wilmington NC 28403 3121 Wrightsville Avenue Wilmington NC 28403 New Hanover (910)769-6053 "Launch Pad Wellness, LLC" 170013 MHL-065-256 "Launch Pad, Inc." 01-Feb-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Launch Pad Wellness, Inc." 5001 Wrightsville Avenue Wilmington NC 28403 5001 Wrightsville Avenue Wilmington NC 28403 New Hanover (910)769-6053 "Launch Pad, Inc." 140301 MHL-016-045 "Le'Chris Counseling Services, Inc." 08-Jun-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Le'Chris Counseling Services, Inc." "1822 S. Glenburnie Rd, Ste.352" New Bern NC 28562 3332-A Bridges Street Moorehead City NC 28557 Carteret (252)726-9006 "Le'Chris Counseling Services, Inc." 150148 MHL-009-045 "Life Bridge Drug and Substance Abuse, Inc." 29-Oct-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Life Bridge Drug and Substance Abuse, Inc." 2443 NC Hwy 20 St. Pauls NC 28384-8652 200 West Broad Street Elizabethtown NC 28337 Bladen (910)738-7880 150146 MHL-024-107 "Life Bridge Drug and Substance Abuse, Inc." 29-Oct-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Life Bridge Drug and Substance Abuse, Inc." 2501 Elizabethtown Rd Lumberton NC 28358 "908 Pinckney Street, Suite A" Whiteville NC 28472 Columbus (910)207-6426 150147 MHL-043-096 "Life Bridge Drug and Substance Abuse, Inc." 29-Oct-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Life Bridge Drug and Substance Abuse, Inc." 2281 Ray Road Spring Lake NC 28390 2281 Ray Road Spring Lake NC 28390 Harnett (910)436-1610 180087 MHL-026-968 "Life Net Services, LLC" 26-Jul-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Life Net Services PO Box 87024 Fayetteville NC 28304 "2149 Valley Gate Drive, Suite 101" Fayetteville NC 28304 Cumberland (910)745-8895 "Life Net Services, LLC" 080577 MHL-054-152 "Life Touch, LLC" 13-May-11 15-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Life Touch, LLC" 400 Glenwood Avenue Kinston NC 28501 "400 Glenwood Avenue, Suite 2" Kinston NC 28501 Lenoir (252)208-7252 "Life Touch, LLC" 190007 MHL-096-274 "Life Touch, LLC" 28-Sep-18 28-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Life Touch, LLC" "200 W. Ash Street, Ste 207" Goldsboro NC 27530 405 East Walnut Street Goldsboro NC 27530 Wayne (919)330-4090 Life Touch LLC 010382 MHL-078-305 LifeBridges Drug & Substance Abuse Inc. 12-Apr-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY LifeBridges Drug & Substance Abuse Inc. 2501 Elizabethtown Road Lumberton NC 28358 2501 Elizabethtown Road Lumberton NC 28358 Robeson (910)738-7880 180078 MHL-065-253 "Lifeline Treatment Center, Inc." 27-Jul-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Lifeline Treatment Center "5710 Oleander Dr., Ste. 100" Wilmington NC 28403 "5710 Oleander Drive, Suite 100" Wilmington NC 28403 New Hanover (888)600-5147 "Lifeline Treatment Center, Inc." 091015 MHL-064-129 "MACTA, LLC" 10-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "MACTA, LLC" PO Box 4532 Rocky Mount NC 27803 209 North Pearl Street Rocky Mount NC 27804 Nash (252)937-3016 070254 MHL-036-100 "McLeod Addictive Disease Center, Inc." 01-Jan-97 01-Jan-19 31-Dec-19 Type A 16-Dec-13 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY McLeod Addictive Disease Center 515 Clanton Road Charlotte NC 28217 549 Cox Road Gastonia NC 28054 Gaston (704)332-9001 "McLeod Addictive Disease Center, Inc" 100121 MHL-060-1209 "McLeod Addictive Disease Center, Inc." 09-Mar-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY McLeod Addictive Disease Center - 1st Floor 515 Clanton Road Charlotte NC 28217 "515 Clanton Road, 1st Floor" Charlotte NC 28217 Mecklenburg (704)332-9001 "McLeod Addictive Disease Center, Inc." 110435 MHL-018-057 "McLeod Addictive Disease Center, Inc." 01-May-01 01-Jan-19 31-Dec-19 Type A 29-May-14 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY McLeod Addictive Disease Center - Hickory 515 Clanton Road Charlotte NC 28217 1170 Fairgrove Church Road Hickory NC 28601 Catawba (828)464-1172 "McLeod Addictive Disease Center, Inc." 180067 MHL-095-036 "McLeod Addictive Disease Center, Inc." 30-Jul-02 01-Jan-19 31-Dec-09 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY McLeod Addictive Disease Center-Watauga 515 Clanton Road Charlotte NC 28217 160-A Den Mac Drive Boone NC 28607 Watauga (704)332-9001 "McLeod Addictive Disease Center, Inc." 050311 MHL-049-101 "McLeod Addictive Disease Foundation, Inc." 14-Jun-05 01-Jan-19 31-Dec-19 Type A 16-Nov-07 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Mcleod Addictive Disease Center 515 Clanton Road Charlotte NC 28217 636 Signal Hill Drive. Ext. Statesville NC 28625 Iredell (704)871-2992 050236 MHL-060-722 Mecklenburg County Community Support Services 15-Oct-01 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Adult Homeless Substance Abuse Trtmt Offsite(women' s) 700 North Tryon Street Charlotte NC 28202 534 Spratt Street Charlotte NC 28206 Mecklenburg (704)617-3401 Mecklenburg County Community Support Services 922557 MHL-060-144 Mecklenburg County Community Support Services 01-Nov-91 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Adult Homeless Substance Abuse Treatment-offsite(Men's) 700 North Tryon Street Charlotte NC 28202 1210 North Tryon Street Charlotte NC 28206 Mecklenburg (980)314-8947 Mecklenburg County Community Support Services 922607 MHL-044-001 "Meridian Behavioral Health Services, Inc." 01-Mar-87 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Meridian Behavioral Health Services PO Box 2187 Sylva NC 28779 131 Walnut Street Waynesville NC 28786 Haywood (828)456-8604 "Meridian Behavioral Health Services, Inc." 922610 MHL-044-002 "Meridian Behavioral Health Services, Inc." 01-Mar-87 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Smoky Mountain House PO Box 2187 Sylva NC 28779 307 Broadview Street Waynesville NC 28786 Haywood (828)456-9258 Meridian Behavioral Health Services 180287 MHL-088-038 "Meridian Behavioral Health Services, Inc." 10-Sep-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Meridian Behavioral Health Services-Brevard SAIOP PO Box 2187 Sylva NC 28779 65 North Broad Street Brevard NC 28712 Transylvania (828)883-2708 "Meridian Behavioral Health Services, Inc." 170215 MHL-041-1147 Michael A. Walker 19-Mar-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Walkers Day Program 18869 John Connor Road Cornelius NC 28031 "107 Wade Street, Suite A" Jamestown NC 27282 Guilford (336)410-4850 Michael A. Walker 160364 MHL-026-962 Michael R. Trout 31-Jan-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Thrive Addictions Services 1611-B Owen Drive Fayetteville NC 28304 1611-B Owen Drive Fayetteville NC 28304 Cumberland (910)483-8500 Michael R. Trout 941859 MHL-012-117 Michael Walker 29-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Walkers Day Program 18869 John Connor Road Cornelius NC 28031 2130 Highway 18/US 64 Morganton NC 28655 Burke (828)639-3576 Miachael and Helen Walker 180344 MHL-004-037 Michael Walker 18-Dec-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Walkers Day Program 18869 John Connor Rd Cornelius NC 28031 117 Wortham Street Wadesboro NC 28170 Anson (704)984-3010 Michael Walker 180343 MHL-049-149 Michael Walker 24-Jul-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Walkers Day Program 18869 John Connor Road Cornelius NC 28031 "211 S. Center Street, Suite 421" Statesville NC 28677 Iredell (704)380-2446 Michael Walker 180018 MHL-060-1367 "Midwood Addiction Treatment, LLC" 14-Mar-18 01-Jan-19 31-Dec-19 Type B 25-Oct-18 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Midwood Addiction Treatment, LLC" 1111 The Plaza Charlotte NC 28205 1111 The Plaza Charlotte NC 28205 Mecklenburg (704)625-2828 "Midwood Addiction Treatment, LLC" 180194 MHL-016-046 Morehead City Treatment Center LLC 04-Jun-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Morehead City Treatment Center 1112 Silver Oaks Court Raleigh NC 27614 403 North 35th Street Morehead City NC 28557 Carteret (252)773-0306 "Morehead City Treatment Center, LLC" 180107 MHL-011-416 "Mountainview Recovery, Inc." 25-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Mountainview Recovery "108 Monticello Rd, Ste 400" Wearverville NC 28787 "108 Monticello Road, Suite 400" Weaverville NC 28787 Buncombe (828)785-5745 "Mountainview Recovery, Inc." 190016 MHL-026-973 "Murray Fork Clinic, P.C." 28-Jun-19 28-Jun-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Murray Fork Clinic, P.C." 6020 Morganton Road Fayetteville NC 28314 6020 Morganton Road Fayetteville NC 28314 Cumberland (910)764-4750 Murray Fork Clinic P.C. 160010 MHL-092-939 NABXS Inc. 31-May-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Welwynn Outpatient Center "7200 Falls of the Neuse Rd, Ste 300" Raleigh NC 27615 "7200 Falls of the Neuse Road, Suite 300" Raleigh NC 27615 Wake (984)200-2780 NABXS Inc. 922608 MHL-056-032 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Recovery Options - Macon P.O. Box 11247 Richmond VA 23230-1247 100 Thomas Heights Road Franklin NC 28734 Macon (828)524-9385 "NCG Acquisition, LLC" 922958 MHL-044-068 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY The Balsam Center Adult Recovery Unit PO Box 11247 Richmond VA 23230-1247 91 Timberlane Road Waynesville NC 28786 Haywood (828)454-1098 "NCG Acquisition, LLC" 090412 MHL-020-084 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY SA Recovery PO Box 11247 Richmond VA 23230-1247 750 Highway 64 Murphy NC 28906 Cherokee (828)837-0071 "NCG Acquisition, LLC" 170139 MHL-055-125 "NSC Behavioral Concepts, LLC" 25-Apr-17 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY NSC Behavioral Concepts "507 W. Innes Street, Suite 105" Salisbury NC 28144 1047 Gaston Street Lincolnton NC 28092 Lincoln (704)603-6156 "NSC Behavioral Concepts, LLC" 190013 MHL-080-203 "NSC Behavioral Concepts, LLC" 19-Nov-15 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY NSC Behavioral Concepts "507 West Innes St., Ste 105" Salisbury NC 28144 "507 West Innes Street, Suite 105" Salisbury NC 28144 Rowan (704)603-6156 "NSC Behavioral Concepts, LLC" 190048 MHL-028-020 "Nags Head Treatment Center, LLC" 12-Mar-19 12-Mar-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Nags Head Treatment Center 1112 Silver Oaks Court Raleigh NC 27614 2224-A South Croatan Highway Nags Head NC 27959-8923 Dare (252)715-6556 "Nags Head Treatment Center, LLC" 150120 MHL-029-133 "Nazareth Children's Home, Inc." 22-May-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Lexington IOP (Nazareth Children's Home) 165 Mahaley Avenue Salisbury NC 28144 16 East Center Street Lexington NC 27292 Davidson (336)300-7614 "Nazareth Children's Home, Inc." 922308 MHL-080-205 "Nazareth Children's Home, Inc." 21-Apr-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY (Nazareth Children's Home) Salisbury IOP PO Box 1438 Rockwell NC 28138 165 Mahaley Avenue Salisbury NC 28744 Rowan (704)636-5522 "Nazareth Children's Home, Inc." 922863 MHL-031-071 "New Dimension Group, LLC" 25-Mar-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY New Dimension Group PO Box 880 Rose Hill NC 28458 416 West Ridge Street Rose Hill NC 28458 Duplin (910)289-2610 "New Dimension Group, LLC" 170176 MHL-011-407 "Next Step Recovery, LLC" 26-Jun-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Next Step Recovery "900 Hendersonville Road, Suite 203" Asheville NC 28803 "900 Hendersonville Road, Suite 203" Asheville NC 28803 Buncombe (828)350-9960 "Next Step Recovery, LLC" 170216 MHL-060-1355 "No Bounds Care, Inc." 16-Aug-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "No Bounds Care, Inc." 10820 Tradition View Drive Charlotte NC 28269 "610 E. 7th Street, Suites 103 & 112" Charlotte NC 28202 Mecklenburg (704)663-5052 "No Bounds Care, Inc." 170459 MHL-004-046 "No Bounds Care, Inc." 13-Feb-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "No Bounds Care, Inc." 10820 Tradition View Drive Charlotte NC 28269 "514 North Washington Street, Rm 251" Wadesboro NC 28170 Anson (704)663-5052 "No Bounds Care, Inc." 180562 MHL-011-423 "Oasis Recovery Centers, Inc." 19-Dec-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Oasis Recovery Treatment Center 191 Charlotte St. Ste. #200 Asheville NC 28801 191 Charlotte Street Suite #200 Asheville NC 28801 Buncombe (828)348-7394 "Oasis Recovery Centers, Inc." 061228 MHL-011-272 "October Road, Inc." 15-Dec-06 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "October Road, Inc." 119 Tunnel Road Suite D Asheville NC 28805 "119 Tunnel Road, Suite B" Asheville NC 28805 Buncombe (828)350-1000 Glenn Crider 170291 MHL-041-1023 "Open Arms Treatment Center, Inc." 02-Jun-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Open Arms Treatment Center "1 Centerview Drive, Suite 300" Greensboro NC 27407 "1 Centerview Drive, Suite 300" Greensboro NC 27407 Guilford (336)617-0469 "Open Arms Treatment Center, Inc." 090477 MHL-036-271 "Outreach Management Services, LLC" 15-Jun-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Outreach Management Services-SAIOP Program "1723 Armstrong Park Drive, Suite D" Gastonia NC 28054 "1723 Armstrong Drive, Ste D and F" Gastonia NC 28054 Gaston (704)854-9828 Outreach Management Services 160051 MHL-036-317 "Outreach Management Services, LLC" 30-Mar-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL SAS DAY Outreach Management Services 2 830 Summit Crossing Place Gastonia NC 28054 830 Summit Crossing Place Gastonia NC 28052 Gaston (704)917-7610 "Outreach Management Services, LLC" 040789 MHL-074-146 PORT Health Services 14-Jul-04 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY PORT Health Services-Paladin 4300-110 Sapphire Court Greenville NC 27834 501 Paladin Drive Greenville NC 27834 Pitt (252)353-5346 PORT Health Services 110957 MHL-074-237 PORT Health Services 21-Nov-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY PORT Health Services-Beacon-Winterville 4300-110 Sapphire Court Greenville NC 27834 "154 Beacon Street, Suite I" Winterville NC 28590 Pitt (252)353-1114 PORT Health Services 110956 MHL-028-018 PORT Health Services 16-Dec-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY PORT Health Services-New Horizons-Nags Head 4300-110 Sapphire Ct. Greenville NC 27834 "2808 South Croatan Highway, Suite B" Nags Head NC 27959 Dare (252)441-2324 PORT Health Services 050604 MHL-046-037 PORT Health Services 10-May-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY PORT Health Services - Ahoskie 4300-110 Sapphire Court Greenville NC 27834 144-B Community College Road Ahoskie NC 27910 Hertford (252)332-5086 PORT Health Services 090433 MHL-074-157 PORT Health Services 13-Jul-05 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY PORT Health Services - Adult Outpatient 4300-110 Sapphire Ct Greenville NC 27834 2602 Courtier Drive Greenville NC 27834 Pitt (252)215-0259 PORT Health Services 922759 MHL-007-081 PORT Health Services 21-Mar-14 01-Jan-19 31-Dec-19 Type A 18-Oct-16 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY PORT Health Services-Ray G. Silverthorne Crisis Center 4300-110 Sapphire Court Greenville NC 27834 1379 Cowell Farm Road Washington NC 27889 Beaufort (252)975-8852 PORT Health Services 140343 MHL-067-200 PORT Health Services 01-Oct-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY PORT Health Services - Jacksonville 4300-110 Sapphire Court Greenville NC 27834 231 Memorial Drive Jacksonville NC 28546 Onslow (910)353-5354 Port Health Services 100010 MHL-025-204 PORT Health Services 10-May-06 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY PORT Health Services-New Bern 4300-110 Sapphire Court Greenville NC 27834 "1309 Tatum Road, Suite A & B" New Bern NC 28560 Craven (252)633-6431 PORT Health Services 160114 MHL-016-044 PORT Health Services 07-Apr-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY PORT Health Services - Morehead City 4300-110 Sapphire Court Greenville NC 27834 3715 Guardian Avenue Morehead City NC 28557 Carteret (252)222-3144 PORT Health Services 170207 MHL-065-244 PORT Health Services 29-Mar-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY PORT Health Services-Wilmington 4300-1100 Sapphire Court Greenville NC 27834 2206A Wrightsville Avenue Wilmington NC 28403 New Hanover (910)251-5326 PORT Health Services 170375 MHL-070-052 PORT Health Services 15-Nov-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY PORT Health Services-Elizabeth City 4300-110 Sapphire Court Greenville NC 27834 102 A & B Medical Drive Elizabeth City NC 27909 Pasquotank (252)335-0803 PORT Health Services 180605 MHL-064-159 PORT Health Services 23-Jan-19 15-Aug-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY PORT Health Services-Rocky Mount 4300-110 Sapphire Court Greenville NC 27834 132 Foy Drive Rocky Mount NC 27804 Nash (252)210-3118 Port Health Services 190139 MHL-024-113 PORT Health Services 10-Apr-19 10-Apr-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY PORT Health-Whiteville 4300-110 Sapphire Court Greenville NC 27834 706 North Thompson Street Whiteville NC 28472-3428 Columbus (910)353-0109 PORT Health Services 945018 MHL-074-039 "PORT Health Services, Inc." 25-Jul-94 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY PORT Health Services-Greenville Day Treatment 4300-110 Sapphire Court Greenville NC 27834 116 Health Drive Greenville NC 27834 Pitt (252)413-1950 PORT Health Services 941736 MHL-029-006 "Path of Hope, Inc." 01-Jan-89 01-Jan-19 31-Dec-19 Type A 18-Apr-08 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Path of Hope PO Box 1824 Lexington NC 27293-1824 1675 East Center Street Extension Lexington NC 27292 Davidson (336)248-8914 "Path of Hope, Inc." 180376 MHL-051-219 "Pathways to Life, Inc." 25-Oct-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Pathways to Life, Inc." 150 East Arlington Blvd. Ste. E Greenville NC 27858 1420-A South Pollock Street Selma NC 27576 Johnston (919)351-0428 "Pathways to Life, Inc." 150358 MHL-074-258 "Pathways to Life, Inc." 06-May-19 06-May-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Pathways to Life, Inc." "150 E Arlington Blvd., Ste E" Greenville NC 27858 "150 East Arlington Blvd., Suite E" Greenville NC 27858 Pitt (252)695-0269 "Pathways to Life, Inc." 130456 MHL-065-255 Pavillon International 21-Oct-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Pavillon By The Sea 241 Pavillon Place Mill Spring NC 28756 3420 A Wrightsville Avenue Wilmington NC 28403 New Hanover (910)260-4050 Pavillon International 180492 MHL-060-1251 "Person-Centered Partnerships, Inc." 27-Sep-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Recovery Works PO Box 32301 Charlotte NC 28232 5100 Monroe Road Charlotte NC 28205 Mecklenburg (704)567-0790 "Person-Centered Partnerships, Inc." 180564 MHL-060-587 "Person-Centered Partnerships, Inc." 01-Feb-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Amara Wellness PO Box 32301 Charlotte NC 28232 "5108 Reagan Drive, Suite 9" Charlotte NC 28206-1394 Mecklenburg (704)567-0790 "Person-Centered Partnerships, Inc." 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-19 31-Dec-19 Type B 23-Aug-13 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Phoenix Counseling Center-Residential Wing 2505 Court Drive Gastonia NC 28054 "2505 Court Drive, Residential Wing" Gastonia NC 28054 Gaston (704)854-4196 Phoenix Counseling Center 101098 MHL-055-098 Phoenix Counseling Center 29-Mar-06 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Phoenix Counseling Center 631 PMB 301 Brawley School Road Mooresville NC 28117 510 South Aspen Street Lincolnton NC 28092 Lincoln (704)735-7325 140105 MHL-036-306 Phoenix Counseling Center 15-Apr-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Phoenix Counseling Center-Outpatient Wing 2505 Court Drive Gastonia NC 28054 2505 Court Drive-Outpatient Wing & Classrooms A & B Gastonia NC 28054 Gaston (704)842-6359 Phoenix Counseling Center 160071 MHL-023-147 Phoenix Counseling Center 03-Nov-08 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Phoenix Counseling Center 200-2 S Post Rd Shelby NC 28150 200-2 South Post Road Shelby NC 28150 Cleveland (704)476-4106 Phoenix Counseling Center 170345 MHL-086-057 "Pinnacle Therapeutic Services, LLC" 25-Sep-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Pinnacle Therapeutic Services PO Box 593 Huntersville NC 28070 "983 US Highway 21, Suite 200" State Road NC 28676 Surry (336)874-2475 "Pinnacle Therapeutic Services, LLC" 922122 MHL-054-144 Port Health Services 07-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Port Health Services-Kinston Clinic 4300-110 Sapphire Ct. Greenville NC 27834 2901 North Herritage Street Kinston NC 28501 Lenoir (252)233-2383 Port Health Services 170261 MHL-033-111 "Positive Generation In Christ, Incorporated" 25-May-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Positive Generation In Christ PO Box 1634 Tarboro NC 27886 "2109 Saint Andrew Street, Suite 15" Tarboro NC 27886 Edgecombe (252)641-4485 "Positive Generation In Christ, Incorporated" 120114 MHL-067-196 "Positive Influences, Inc." 21-Mar-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Positive Influences, Inc." PO Box 1332 Greenville NC 27835 "825 Gum Branch Road, Suite 121" Jacksonville NC 28540 Onslow (910)939-5923 160141 MHL-096-247 "Positive Influences, Inc." 07-Mar-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL SAS DAY Positive Influences - Goldsboro PO Box 1332 Greenville NC 27835 "1600 Wayne Memorial Boulevard, Suite E" Goldsboro NC 27530 Wayne (919)988-9198 "Positive Influences, Inc." 101029 MHL-023-187 "Preferred Choice Healthcare, Inc." 27-Jun-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Preferred Choice Healthcare "1243 East Dixon Blvd., Ste. 4" Shelby NC 28152 "1243 East Dixon Boulevard, Suite 4" Shelby NC 28152 Cleveland (704)487-4000 "Preferred Choice Healthcare, Inc." 180471 MHL-081-124 "Preferred Choice Healthcare, Inc." 15-Nov-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Preferred Choice Healthcare 1243-4 East Dixon Blvd Shelby NC 28152 182 West Court Street Rutherfordton NC 28139 Rutherford (828)287-7806 "Preferred Choice Healthcare, Inc." 100221 MHL-078-251 "Premier Behavioral Services, Inc." 26-Mar-10 01-Jan-19 31-Dec-19 Type A 14-Aug-19 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Premier Behavioral Services, Inc." "2003 Godwin Avenue, Suite B" Lumberton NC 28358 "2003 Godwin Avenue, Suite B" Lumberton NC 28358 Robeson (910)671-1111 "Premier Behavioral Services, Inc." 922449 MHL-043-002 "Program Resource Institute, Inc." 01-Feb-89 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY PRI Counseling Services of Lillington PO Box 747 Lillington NC 27546 133 West Cornelius Harnett Blvd. Ste B Lillington NC 27546 Harnett (910)814-0394 "Program Resource Institute, Inc." 150380 MHL-001-226 "Psychotherapeutic Services, Inc." 31-Jan-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Psychotherapeutic Services, Inc." "2260 South Church St,, Ste. 303" Burlington NC 27215 "2260 South Church Street, Suite 303" Burlington NC 27215 Alamance (336)538-6990 "Psychotherapeutic Services, Inc." 180393 MHL-011-391 "Pyramid Healthcare, Inc." 30-Mar-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Real Recovery of Asheville, Inc." "119 Tunnel Road, Suite F" Asheville NC 28805 "119 Tunnel Road, Suite F" Asheville NC 28805 Buncombe (828)232-8010 "Pyramid Healthcare, Inc." 060958 MHL-092-965 "Quality Care Solutions, Inc." 12-Dec-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY QCS SAIOP Program "3824 Barrett Dr., Ste. 105" Raleigh NC 27609 "3824 Barrett Drive, Suite 105" Raleigh NC 27609 Wake (919)790-7774 "Quality Care Solutions, Inc." 100686 MHL-060-1199 Quality Home Care Services 12-Jan-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Safe Harbor Community Advocates 3552 Beatties Ford Rd Charlotte NC 28216 3552 Beatties Ford Road Charlotte NC 28216 Mecklenburg (704)394-8968 Quality Home Care Services 090458 MHL-083-056 "R & C Consulting Group, Inc." 19-Jul-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "R & C Consulting Group, Inc." PO Box 2153 Laurinburg NC 28352 524 Atkinson Street Laurinburg NC 28352 Scotland (910)361-4653 "R & C Conulting Group, Inc." 150308 MHL-060-1302 R.O.P.E.S. (Rights of Passage & Engagement for Success) 24-Sep-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "ROPES, Inc." 10721 Glenluce Avenue Charlotte NC 28213 "10617 Kettering Drive, Suite 216" Charlotte NC 28226 Mecklenburg (704)595-3335 "Rights of Passage and Engagement for Success, Inc." 100745 MHL-078-307 RHA Behavioral Health NC LLC 01-May-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY RHA Innovations PSR Robeson 2003 Godwin Avenue Suite A Lumberton NC 28358 "2003 Godwin Avenue, Suite A" Lumberton NC 28358 Robeson (910)739-8849 RHA Behavioral Health NC LLC 140246 MHL-042-074 "RHA Behavioral Health NC, LLC" 29-Jul-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY RHA Roanoke Rapids Treatment Center 60 North Highway 125 Roanoke Rapids NC 27870 60 North Highway 125 Roanoke Rapids NC 27870 Halifax (252)537-6619 "RHA Behavioral Health NC, LLC" 090559 MHL-001-238 "RHA Behavioral Health NC, LLC" 08-Jan-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY RHA Burlington Behavioral Health Center 2732 Anne Elizabeth Dr Burlington NC 27215 2732 Anne Elizabeth Drive Burlington NC 27215 Alamance (336)229-5905 "RHA Behavioral Health NC, LLC" 150309 MHL-013-151 "RHA Behavioral Health NC, LLC" 25-May-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY RHA - Cabarrus Treatment Center "219 LePhillip Court, NE" Concord NC 28025 "219 LePhillip Court, NE" Concord NC 28025 Cabarrus (704)721-5551 "RHA Behavioral Health NC, LLC" 091060 MHL-024-112 "RHA Behavioral Health NC, LLC" 05-Jun-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "RHA Behavioral Health NC, LLC" 603 Pecan Lane Whiteville NC 28472 603 Pecan Lane Whiteville NC 28472-2949 Columbus (910)640-1400 "RHA Behavioral Health NC, LLC" 030380 MHL-016-047 "RHA Behavioral Health NC, LLC" 05-Mar-19 05-Mar-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "RHA Behavioral Health NC, LLC" "3820 Bridges St., Ste B" Morehead City NC 28557 3820 Bridges Street Suite B Morehead City NC 28557 Carteret (252)648-3124 "RHA Behavioral Health NC, LLC" 190251 MHL-009-050 "RHA Behavioral Health NC, LLC" 03-Jul-19 03-Jul-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY RHA Hilltop Bladen County "503 Covil Avenue, Ste 102" Wilmington NC 28403 106 N. 4th Street Bladenboro NC 28320 Bladen (404)441-9029 "RHA Behavioral Health NC, LLC" 050672 MHL-014-078 "RHA Health Services, Inc." 01-Jul-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY RHA - Caldwell County 17 Church Street Asheville NC 28801 2415 Morganton Blvd. Suite 100 Lenoir NC 28645 Caldwell (828)394-5563 "RHA Health Services, Inc." 110403 MHL-059-052 "RHA Health Services, Inc." 29-Jul-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY RHA Health Services - McDowell County 17 Church Street Asheville NC 28801 "486 Spaulding Road, Suite B" Marion NC 28752 McDowell (828)652-2919 "RHA Health Services, Inc." 130188 MHL-065-241 "RHA Health Services, Inc." 21-May-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY RHA Behavioral Health Services 2023-1 S. 17th St. Wilmington NC 28401 2023-1B South 17th Street Wilmington NC 28401 New Hanover (910)632-2191 "RHA Health Services, Inc." 060516 MHL-061-013 "RHA Health Services, Inc." 19-May-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY RHA Health Services-Spruce Pine 17 Church St Asheville NC 28801 129 Skyview Circle Spruce Pine NC 28777 Mitchell (828)765-0894 "RHA Health Services, Inc." 140067 MHL-057-031 "RHA Health Services, Inc." 09-Jul-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY RHA Health Services-Marshall 17 Church St Asheville NC 28801 "13 South Main Street, 2nd Floor" Marshall NC 28753 Madison (828)649-9174 "RHA Health Services, Inc." 970614 MHL-011-050 "RHA Health Services, Inc." 01-Jul-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY RHA Health Services 17 Church Street Asheville NC 28801 "356 Biltmore Avenue, Suite 200" Asheville NC 28801 Buncombe (828)254-2700 "RHA Health Services, Inc." 140068 MHL-100-026 "RHA Health Services, Inc." 10-Jan-19 10-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY RHA Health Services-Burnsville 17 Church Street Asheville NC 28801 72 Blue Ridge Lane Burnsville NC 28714 Yancey (828)682-2111 "RHA Health Services, Inc." 190033 MHL-049-153 "ROPES, Inc." 19-Feb-19 19-Feb-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Recovery Oriented Practices & Engagement for Success," "10617 Kettering Drive, #216" Charlotte NC 28226 "207 South Broad Street, #6" Mooresville NC 28115 Iredell (704)595-3335 "ROPES, Inc." 180272 MHL-036-333 "Radiant Light Behavioral Concepts, LLC" 04-Oct-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Radiant Light Behavioral Concepts "301 West Main Ave, Ste 2752" Gastonia NC 28052 625 East 2nd Avenue Gastonia NC 28054 Gaston (980)888-0182 "Radiant Light Behavioral Concepts, LLC" 050751 MHL-076-089 Randolph County 02-Mar-08 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Randolph County Day Reporting Center 145 Worth Street Asheboro NC 27203 145 Worth Street Asheboro NC 27203 Randolph (336)683-8211 180006 MHL-032-615 "Rapha Healthcare Services, LLC" 27-Apr-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Rapha Healthcare Services-Durham 4411 Ben Franklin Blvd Durham NC 27704 "4411 Ben Franklin Boulevard, Suite A" Durham NC 27704 Durham (919)471-5474 "Rapha Healthcare Services, LLC" 180233 MHL-049-147 "Rapha Healthcare Services, LLC" 15-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY RAPHA Healthcare Services-Mooresville "4411 Ben Franklin Blvd., Suite A" Durham NC 27704 "207 South Broad Street, Suites 4 & 5" Mooresville NC 28115 Iredell (704)912-1426 "Rapha Healthcare Services, LLC" 150373 MHL-041-1069 "Ready4Change, Inc." 21-Dec-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Ready 4 Change, Inc." "5 Centerview Dr., Ste. 100 & 101" Greensboro NC 27407 "5 Centerview Drive, Suite 100 & 101" Greensboro NC 27407 Guilford (336)907-7819 "Ready4Change, Inc." 190112 MHL-081-128 "Red Oak Adolescent Recovery, LLC" 18-Apr-19 13-Aug-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL SAS DAY Foothills at Red Oak Recovery 108 Executive Park Asheville NC 28801 515 Cub Creek Road Ellenboro NC 28040 Rutherford (828)333-2281 "Red Oak Adolescent Recovery, LLC" 160124 MHL-041-1137 Reginald Center of Turn Around/Restoration for Life 28-Jul-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Reginald Center of Turn Around/Restoration for Life 2302 West Meadowview Rd Ste 221 Greensboro NC 27407 "2302 West Meadowview Road, Suite 221" Greensboro NC 27407 Guilford (336)378-7334 Reginald Center of Turn Around 090826 MHL-046-038 "Rehoboth Counseling Services, Inc." 10-Mar-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL SAS DAY Rehoboth Counseling Services PO Box 57 Ahoskie NC 27910 415 East Holloman Avenue Ahoskie NC 27910-2314 Hertford (252)332-8700 "Reboth Counseling Services, PLLC" 170210 MHL-019-071 "Renaissance Wellness Services, LLC" 04-Mar-19 04-Mar-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Renaissance Wellness Services, LLC" "288 East St.,Ste. 1001-F7" Pittsboro NC 27312 "288 East St, Stes 1001-F7, 2001, 1007 & 1st Fl. Conf." Pittsboro NC 27312 Chatham (919)704-8449 "Renaissance Wellness Services, LLC" 160022 MHL-026-954 "Renew Counseling Center of NC, LLC" 05-May-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Renew Counseling Center 2212 Hope Mills Rd Fayetteville NC 28304 2212 Hope Mills Road Fayetteville NC 28304 Cumberland (910)779-0454 "Renew Counseling Center of NC, LLC" 180608 MHL-060-1395 "Resourceful Solutions 2, LLC" 23-Jan-19 23-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Resourceful Solutions II PO Box 43345 Charlotte NC 28215 5412 #A Central Avenue Charlotte NC 28212 Mecklenburg (980)213-5501 "Resourceful Solutions 2, LLC" 180549 MHL-051-186 "Restoration Family Services, Inc." 12-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Restoration Family Services, Inc." 714 Wilkins Street Smithfield NC 27577 "712 Wilkins Street, Unit D" Smithfield NC 27577 Johnston (919)938-9502 "Restoration Family Services, Inc." 971212 MHL-024-053 Rickie G. Rouse 18-Jun-02 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Rouse Counseling & Consulting Services PO Box 732 Whiteville NC 28472 805 North Franklin St. Room #7 Whiteville NC 28472 Columbus (910)642-9008 140233 MHL-034-368 "Rising Hope Clinical Assistance, LLC" 19-Apr-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Rising Hope Clinical Assistance, LLC" P O Box 567 Greensboro NC 27402 510 Northgate Park Drive Winston-Salem NC 27106-3486 Forsyth (336)276-2076 "Rising Hope Clinical Assistance, LLC" 990812 MHL-078-119 Robeson County Criminal Justice Partnership 17-Aug-99 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Robeson County Offender Resource Center 120 West Sixth Street Lumberton NC 28358 120 West Sixth Street Lumberton NC 28358 Robeson (910)737-5022 Robeson County Offender Resource Center 010692 MHL-063-055 Robeson Health Care Corporation 21-Aug-01 01-Jan-19 31-Dec-19 Type B 24-Jan-11 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Crystal Lake Casaworks & Maternal Program P.O. Box 190 Lakeview NC 28350 285 Camp Easter Road Lakeview NC 28350 Moore (910)245-4339 990068 MHL-078-111 Robeson Health Care Corporation 19-Jan-99 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Grace Court 3750 Meadow View Road Apt. A-1 Lumberton NC 28358 3750 Meadow View Road Apt. A-1/Day Lumberton NC 28358 Robeson (910)618-9912 Robeson Health Care Corporation 050688 MHL-051-172 Robeson Health Care Corporation 25-Oct-07 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY RHCC Cambridge Place Casaworks & Perinatal 109 Cambridge Place Smithfield NC 27577 109 Cambridge Place Smithfield NC 27577 Johnston (919)989-8114 RHCC Cambridge Place 120122 MHL-078-297 Robeson Health Care Corporation 04-Apr-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Lumberton Health Center Outpatient Services 60 Commerce Plaza Pembroke NC 28372 600 West 5th Street Lumberton NC 28358 Robeson (910)738-5204 Robeson Health Care Corporation 120568 MHL-078-062 Robeson Health Care Corporation 18-Feb-94 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Robeson Health Care Corp./Our House 2nd Step Bldg. 309-A E. Wardell Drive Pembroke NC 28372 309-A E. Wardell Drive Pembroke NC 28372 Robeson (910)521-1464 Robeson Health Care Corporation 180535 MHL-074-117 Robeson Health Care Corporation 24-Aug-01 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY The Village "3362 Frontgate Dr., Ste 11" Greenville NC 27834 "3354 Ste 11 & 3362 Frontgate Drive, Stes 8, 9, 10 & 11" Greenville NC 27834 Pitt (252)752-5555 Robeson Health Care Corporation 150066 MHL-080-195 "S & H Youth and Adult Services, Inc." 14-Jan-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY S&H Youth and Adult Alcohol and Drug Treatment Services 714 S. Main Street Salisbury NC 28144 714 S. Main Street Salisbury NC 28144 Rowan (704)603-8285 "S & H Youth and Adult Services, Inc." 100430 MHL-060-1163 "S.T.E.P's Developmental Academy, Inc." 22-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY S.T.E.P.'s to Sobriety PO Box 2007 Indian Trail NC 28079 "4822 Albemarle Road, Suite 112B" Charlotte NC 28205 Mecklenburg (704)532-5757 "S.T.E.P.S.'s Developmental Academy, Inc." 100638 MHL-077-063 Sandhills Alternative Academy LLC 07-Jul-10 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Sandhills Alternative Academy, LLC" PO Box 1192 Hamlet NC 28345-1192 121 Pine Needle Lane Hamlet NC 28345-8803 Richmond (910)417-4922 "Sandhills Alternative Academy, LLC" 180583 MHL-083-061 "Sandhills Behavioral Center, Inc." 18-Apr-13 18-Apr-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Sandhills Behavioral Center, Inc." 721 Green Street Raeford NC 28376 124 East Cronly Street Laurinburg NC 28352 Scotland (910)361-4785 "Sandhills Behavorial Center, Inc." 110234 MHL-047-165 "Saving Grace Outreach, LLC" 01-Jan-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Saving Grace Outreach 318 Harris Avenue Raeford NC 28376 318 Harris Avenue Raeford NC 28376 Hoke (910)964-8051 "Saving Grace Outreach, LLC" 130209 MHL-036-176 "Self Concepts Clinical Counseling Services, Inc." 26-Sep-01 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Self Concepts Clinical Counseling Services 1305 E. Garrison Blvd. Gastonia NC 28054 1305 East Garrison Boulevard Gastonia NC 28054 Gaston (704)852-3874 180037 MHL-041-1164 "Serenity Rehabilitation Services, LLC" 14-Mar-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Serenity Rehabilitation Services "2216 W. Meadowview Rd., Ste. 201" Greensboro NC 27406 "2216 West Meadowview Road, Suite 201" Greensboro NC 27406 Guilford (336)617-7337 "Serenty Rehabilitation Services, LLC" 160445 MHL-092-776 "Sigma Health Services, LLC" 28-May-10 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Sigma Health Services, LLC" "2321 Crabtree Blvd, Ste 250" Raleigh NC 27604 "2321 Crabtree Boulevard, Suite 250" Raleigh NC 27604 Wake (919)848-9108 "Sigma Health Services, LLC" 080571 MHL-078-302 "Southeastern Behavioral Healthcare Services, LLC" 16-Nov-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Southeastern Behavioral Healthcare Services, LLC" PO Box 1004 Lumberton NC 28359-1004 109 West Central Street Maxton NC 28364 Robeson (910)844-2267 050501 MHL-047-162 "Southeastern Behavioral Healthcare Services, LLC" 09-Feb-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Southeastern Behavioral Healthcare Services, LLC" PO Box 1004 Lumberton NC 28359-1004 310 Harris Avenue Raeford NC 28376 Hoke (910)848-2267 190227 MHL-078-323 "Southeastern Integrated Care, LLC" 24-Jun-19 24-Jun-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL SAS DAY "Southeastern Integrated Care, LLC" PO Box 8251 Concord NC 28027 86-B Three Hunts Drive Pembroke NC 28372 Robeson (910)522-0408 "Southeastern Integrated Care, LLC" 190236 MHL-078-324 "Southeastern Integrated Care, LLC" 24-Jun-19 24-Jun-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Southeastern Integrated Care, LLC" PO Box 8251 Concord NC 28027 "42 Three Hunts Drive, Suite A & Suite C" Pembroke NC 28372 Robeson (910)522-0408 "Souotheastern Integrated Care, LLC" 945125 MHL-092-169 Southlight Healthcare 06-Sep-94 01-Jan-19 31-Dec-19 Type A 05-Feb-14 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Southlight Healthcare-Garner Road "3125 Poplarwood Ct., Ste 203" Raleigh NC 27604-5445 2101 Garner Road Raleigh NC 27610 Wake (919)832-4453 Southlight Healthcare 060125 MHL-092-105 Southlight Healthcare 01-May-92 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY South Light Health Care "3125 Poplarwood Ct., Ste. 203" Raleigh NC 27604 "3125 Poplarwood Court, Suite 150" Raleigh NC 27604 Wake (919)787-6131 SouthLight Healthcare 150207 MHL-092-461 Southlight Healthcare 29-Jun-01 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY SLHC Residential Program for Women and Children 3125 Poplarwood Ct Raleigh NC 27604 "1952 Spring Drive, Several units, 1950 & 1952 (Offices)" Garner NC 27587 Wake (919)557-6967 SouthLight Healthcare 160623 MHL-053-080 "Spectrum Recovery, Inc." 24-Jan-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Spectrum Recovery, Inc." 822 South Horner Blvd Sanford NC 27330 822 South Horner Boulevard Sanford NC 27330 Lee (919)708-5063 "Spectrum Recovery, Inc." 100933 MHL-067-181 "Spirit of Excellence Community Outreach, Inc." 20-Apr-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Bridge of Hope PO Box 752 Jacksonville NC 28540 123-B Henderson Drive Jacksonville NC 28540 Onslow (910)939-4663 "Spirit of Excellence Community Outreach, Inc." 130465 MHL-042-072 "Spring Life Behavioral Care, LLC" 18-Nov-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Spring Life Behavioral Care, LLC" 109 Long Circle Roanoke Rapids NC 27870 109 Long Circle Roanoke Rapids NC 27870 Halifax (252)535-6400 "Spring Life Behavioral Care, LLC" 100854 MHL-041-1013 "Step By Step Care, Inc." 21-Apr-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Step By Step Care, Inc." "709 East Market Street, Suite 100-B" Greensboro NC 27401 "709 East Market Street, Suite 100-B" Greensboro NC 27401 Guilford (336)378-0109 180148 MHL-078-320 "Stephens Outreach Center, Inc." 17-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Stephens Outreach Center, Inc." 2105-B East Elizabethtown Road Lumberton NC 28358 2105-B East Elizabethtown Road Lumberton NC 28358 Robeson (910)738-7865 "Stephens Outreach Center, Inc." 130506 MHL-098-187 Stepping Stones Community Resources Incorporated 22-Jun-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Stepping Stones Community Resources Incorporated P.O. Box 2071 Wendell NC 27591 "3904 Airport Drive, Bldg. 1, Suite A" Wilson NC 27896 Wilson (919)269-9300 "Stepping Stones Community Resources, Inc." 160205 MHL-098-193 "Stepping Stones Community Resources, Inc." 09-Jun-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Stepping Stones Community Resources, Inc." 3904-A Airport Dr. Wilson NC 27896 2501 Airport Boulevard NW Wilson NC 27896 Wilson (919)269-9300 "Stepping Stones Community Resources, Inc." 922360 MHL-064-150 "Straight Walk Family Services, Inc." 06-Apr-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Straight Walk Family Services 3208-B Sunset Ave Rocky Mount NC 27804 3208-B Sunset Avenue Rocky Mount NC 27804 Nash (252)212-5524 "Straight Walk Family Services, Inc." 180561 MHL-079-135 "Successful Transitions, LLC" 26-Feb-19 26-Feb-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY New Hope Solutions & Wellness Center "247 West Kings Highway, Suite A" Eden NC 27288 "247 West Kings Highway, Suite A" Eden NC 27288 Rockingham (336)637-8329 "Successful Transitions, LLC" 090071 MHL-036-272 "Sunpath, LLC" 06-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Sunpath-Substance Abuse Services PO Box 864 Gastonia NC 28053 413/415 West Main Street Gastonia NC 28052 Gaston (704)478-6093 "Sunpath, LLC" 130320 MHL-032-528 "Sunrise Clinical Associates, PLLC" 09-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Sunrise Clinical Associates, PLLC" "3500 Westgate Dr, Stes 603&604" Durham NC 27707 "3500 Westgate Drive, Suites 603 & 604" Durham NC 27707 Durham (919)493-5013 "Sunrise Clinical Associates, PLLC" 190044 MHL-049-154 "Sunrise Clinical Associates, PLLC" 02-May-19 02-May-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Sunrise Clinical Associates, PLLC" "3500 Westgate Dr., Ste 604" Durham NC 27707 "708 Hartness Road, #708" Statesville NC 28677 Iredell (704)885-5581 "Sunrise Clinical Associates, PLLC" 921703 MHL-036-292 "Support, Inc." 26-Jul-11 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL SAS DAY "Support, Inc.-Gastonia" PO Box 4003 Gastonia NC 28054 708 South Chestnut Street Gastonia NC 28054 Gaston (704)865-3525 "Support, Inc." 952368 MHL-097-003 "Synergy Recovery , Inc." 01-Jul-80 01-Jan-19 31-Dec-19 Type A 20-May-11 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Synergy Recovery at the Bundy Center P.O. Box 26 Wilkesboro NC 28697 118 Peace St. North Wilkesboro NC 28659 Wilkes (336)667-7191 090701 MHL-078-248 "TT & T Services, Inc." 01-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "TT and T Services, Inc. - Lumberton" PO Box 1685 Raeford NC 28376 4719 Fayetteville Road Lumberton NC 28358 Robeson (910)739-0050 "TT and T Services, Inc." 111000 MHL-078-295 "TT & T Services, Inc." 20-Jan-12 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "TT & T Services, Inc." 126 N. Main Street Raeford NC 28376 106 McCabe Street Maxton NC 28364 Robeson (910)844-1189 170213 MHL-047-163 "TT & T Services, Inc." 22-May-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "TT & T Services, Inc." 126 N. Main Street Raeford NC 28376 126 N. Main Street Raeford NC 28376 Hoke (910)904-1189 "TT & T Services, Inc." 160578 MHL-060-1340 "The Blanchard Institute, LLC" 31-Jan-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "The Blanchard Institute, LLC" 10348 Park Road Charlotte NC 28210 10348 Park Road Charlotte NC 28210 Mecklenburg (704)288-1097 "The Blanchard Institute, LLC" 160007 MHL-060-577 The Charlotte-Mecklenberg Hospital Authority 14-Feb-00 01-Apr-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Atrium Health Addiction Services Ballantyne 7825 Ballantyne Commons Pkwy Charlotte NC 28277 "7825 Ballantyne Commons Parkway, Suite 110" Charlotte NC 28277 Mecklenburg (704)446-0391 Charlotte Mecklenburg Hospital Authority 921845 MHL-090-175 The Charlotte-Mecklenburg Hospital Authority 01-Apr-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY CHS Behavioral Health-First Step PO Box 5003 Monroe NC 28111 1623 E. Sunset Drive Monroe NC 28112 Union (980)993-7700 The Charlotte-Mecklenburg Hospital Authority 120551 MHL-063-102 "The M.E. Green House, LLC" 20-Nov-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "The M.E. Green House, LLC" "139 Pinehurst Ave., Ste. A" Southern Pines NC 28305 "139 Pinehurst Avenue, Suite A & B" Southern Pines NC 28305 Moore (910)725-1246 170232 MHL-010-090 "The Palms Health and Wellness, LLC" 29-Nov-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "The Palms Health and Wellness, LLC" 1 Medical Center Drive Supply NC 28462 1 Medical Center Drive Supply NC 28462 Brunswick (910)754-3388 "The Palms Health and Wellness, LLC" 170066 MHL-068-107 The University of North Carolina at Chapel Hill 25-Sep-02 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY UNC Horizons "410 N. Greensboro St., Suite 220" Carrboro NC 27510 "410 North Greensboro Street, Suite 120 and 220" Carrboro NC 27510 Orange (919)966-9803 The University of NC at Chapel Hill/Crystal Royal 130467 MHL-034-317 "Top Priority Care Services, LLC" 18-Nov-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY The Center for Lifelong Learning & Enrichment 4401 Providence Lane Winston-Salem NC 27106 4401 Providence Lane Winston-Salem NC 27106 Forsyth (336)896-1323 "Top Priority Care Services, LLC" 160251 MHL-041-1057 "Top Priority Care Services, LLC" 16-Aug-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY """My Friend's House""" 4401 Providence Lane Winston Salem NC 27106 "308 Pomona Drive, Suites M & N" Greensboro NC 27407 Guilford (336)294-5611 "Top Priority Care Services, LLC" 100250 MHL-082-082 "Tri County Community Health Council, Inc." 29-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Harvest House 1480 Maple Grove Church Rd Dunn NC 28334 1480 Maple Grove Church Road Dunn NC 28334 Sampson (910)567-5020 "Tri-County Community Health Council, Inc." 180532 MHL-034-349 "Triad Family and Children's Services, LLC" 18-Nov-15 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Triad Family and Children's Services 3614 Running Cedar Trail High Point NC 27265 "111 North Chestnut Street, Suites 200 & 209 Office 19" Winston-Salem NC 27101 Forsyth (336)986-9787 "Triad Family and Children's Services, LLC" 170246 MHL-041-1148 "Triad Medical Group, PA" 20-Jun-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Total Access Care SAIOP 2031 Martin Luther King Jr. Drive Greensboro NC 27406 "2031 Martin Luther King Jr. Drive, Suite A" Greensboro NC 27406 Guilford (336)271-5888 "Triad Medical Group, PA" 180032 MHL-076-127 "Triad Medical Group, PA" 07-Feb-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Total Access Care White Oak 2031 Martin Luther King Jr. Dr Greensboro NC 27406 525 White Oak Street Asheboro NC 27203 Randolph (336)271-5888 "Triad Medical Group, PA" 190121 MHL-076-105 "Triad Therapy Mental Health Center, LLC" 01-Apr-11 28-Mar-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Triad Therapy Mental Health Center, LLC" "350 N Cox St., Unit 15 & 16" Asheboro NC 27203 "350 North Cox Street, Unit 15 & 16" Asheboro NC 27203 Randolph (336)629-7774 "Triad Therapy Mental Health Center, LLC" 140483 MHL-001-236 Trinity Behavioral Healthcare PC 30-Nov-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Trinity Behavioral Healthcare PC 2716 Troxler Road Burlington NC 27215 2716 Troxler Road Burlington NC 27215 Alamance (336)570-0104 "Trinity Behavioral Healthcare, PC" 160595 MHL-032-402 "Turning Point Family Care, LLC" 20-Mar-07 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL SAS DAY "Turning Point Family Care, LLC" 2000 Yonkers Road Raleigh NC 27604 "3209 Yorktown Avenue, Suite 172" Durham NC 27713 Durham (919)493-0959 "Turning Point Family Care, LLC" 180328 MHL-049-150 "Turning Point Homes, LLC" 16-Aug-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Turning Point Homes, LLC" 919 N. Main Street Mooresville NC 28115 919 North Main Street Mooresville NC 28115 Iredell (704)660-6854 "Turning Point Homes, LLC" 150444 MHL-041-983 "United Quest Care Services, LLC" 11-Aug-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "United Quest Care Services, LLC" 708 Summit Ave Greensboro NC 27405 708 Summit Avenue Greensboro NC 27405 Guilford (336)279-1227 "United Quest Care Services, LLC" 180076 MHL-060-1373 "United Quest Care Services, LLC" 02-Apr-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "United Quest Care Services, LLC" 708 Summit Avenue Greensboro NC 27405 "3707 Latrobe Drive, Suites 440 & 450" Charlotte NC 28211 Mecklenburg (980)299-3959 "United Quest Care Services, LLC" 090948 MHL-041-1111 "United Youth Care Services, Inc." 22-Jan-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "United Youth Care Services, Inc." 1207 4th Street Greensboro NC 27405 1207 4th Street Greensboro NC 27405 Guilford (336)370-9232 "United Youth Care Services, Inc." 041493 MHL-078-167 Virgil Hutchinson 28-Oct-04 01-Jan-19 31-Dec-19 Type A 27-Jul-11 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Southeastern Behavioral Healthcare Services LLC P.O. Box 1004 Lumberton NC 28359-1004 3581 Lackey Street Lumberton NC 28360 Robeson (910)738-5023 Virgil L. Hutchinson 110127 MHL-035-056 "Vision Behavorial Health Services, LLC" 21-Mar-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Vision Behavioral Health Services, LLC" "104 N. Main St., Ste 200" Louisburg NC 27549 "104 North Main Street, Suite 200" Louisburg NC 27549 Franklin (919)496-7781 120525 MHL-032-511 "Visions Counseling Studio, PLLC" 13-Nov-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Visions Counseling Studio, PLLC" 401 E. Lakewood Ave Ste E Durham NC 27707 "401 E. Lakewood Ave., Suite E" Durham NC 27701 Durham (919)908-6371 130361 MHL-078-212 W & B Health Care 01-Oct-08 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Nu-Image PO Box 168 Red Springs NC 28377 127 Main Street Red Springs NC 28377 Robeson (910)843-1291 W & B Healthcare 100662 MHL-078-213 W&B Health Care Inc. 02-Oct-08 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Community Outreach PO Box 168 Red Springs NC 28377 108 East 5th Avenue Red Springs NC 28377 Robeson (910)843-1997 "W&B Health Care, Inc." 130523 MHL-034-179 Wake Forest University Health Sciences 05-Feb-04 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Wake Forest Health Sciences SA Program 791 Jonestown Road Winston Salem NC 27103 "791 Jonestown Rd., Suites 122,124,125 & 217" Winston Salem NC 27103 Forsyth (336)716-7678 Wake Forest University Health Sciences 130144 MHL-096-161 Waynesboro Family Clinic P.A. 14-Sep-05 01-Jan-20 31-Dec-20 Type A 08-Apr-16 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Waynesboro Family Clinic P.A. 1706 Wayne Memorial Drive Goldsboro NC 27534 "1103 Gracie Place, Suite B" Goldsboro NC 27534 Wayne (919)734-6676 150353 MHL-011-366 "Willow Place II, Inc." 23-Sep-13 01-Jan-20 31-Dec-20 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Willow Place "30 Garfield St., Ste. A" Asheville NC 28803 "30 Garfield Street, Suite A" Asheville NC 28803 Buncombe (828)254-3484 "Willow Place II, Inc." 010173 MHL-065-026 "Wilmington Treatment Center, LLC" 01-Jun-90 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Wilmington Treatment Center 2520 Troy Drive Wilmington NC 28401 1524 Harbour Drive Wilmington NC 28401 New Hanover (910)793-5662 160392 MHL-092-924 "Yelverton's Enrichment Services, Inc." 01-Aug-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY YES Program Services "5809 Departure Dr., Ste 106" Raleigh NC 27616 "5809 Departure Drive, Suite 106" Raleigh NC 27616 Wake (919)872-6220 "Yelverton's Enrichment Services, Inc." 180219 MHL-085-041 "Youth Haven Services, LLC" 29-Jun-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Youth Haven Services-Stokes SAIOP 229 Turner Drive Reidsville NC 27320 131 Plant Street Walnut Cove NC 27052 Stokes (336)536-1024 "Youth Haven Services, LLC" 170228 MHL-060-1362 "Zenith Hope Center, LLC" 04-Jan-18 26-Jun-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Zenith Hope Center, LLC" PO Box 690852 Charlotte NC 28227 508 Eastway Drive Charlotte NC 28205 Mecklenburg (704)248-2046 "Zenith Hope Center, LLC" 130203 MHL-041-1079 "Zephaniah Services, PLLC" 12-Jun-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Zephaniah Services, PLLC" PO Box 41167 Greensboro NC 27404 "3405 West Wendover Avenue, Suite F" Greensboro NC 27407 Guilford (336)323-1385 180483 MHL-018-099 "genisys Complete Recovery, LLC" 03-Dec-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY genisys Complete Recovery "10 3rd Ave NE, Suite 400" Hickory NC 28601 "10 3rd Avenue Northeast, Suite 400" Hickory NC 28601 Catawba (828)855-9829 "genisys Complete Recovery, LLC" 090052 MHL-094-007 "A Plus Results Independent Living, Inc." 17-Mar-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "A Plus Results Independent Living, Inc." PO Box 685 Plymouth NC 27962 102 West Water Street Plymouth NC 27962 Washington (252)793-6500 "A Plus Results Independent Living, Inc." 140208 MHL-013-181 "Absolute Advocacy, LLC" 15-Jul-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Absolute Advocacy-Cabarrus "1977 J.N. Pease Place, Ste 104" Charlotte NC 28262 "51 Union Street South, Suite 212" Concord NC 28025 Cabarrus (704)215-4095 "Absolute Advocacy, LLC" 150515 MHL-060-1284 "Absolute Advocacy, LLC" 15-Jul-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Absolute Advocacy-Mecklenburg "1977 J.N. Pease Pl., Ste. 104" Charlotte NC 28262 "1977 J.N. Pease Place, Suite 104" Charlotte NC 28262 Mecklenburg (704)215-4095 "Absolute Advocacy, LLC" 150008 MHL-032-572 "Adaptive Integrated Methods, LLC" 22-Mar-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Adaptive Integrated Methods, LLC" "4411 Ben Franklin Blvd., Ste B" Durham NC 27704 4004 Ben Franklin Blvd. Suite B Durham NC 27704 Durham (919)471-5474 "Adaptive Integrated Methods, LLC" 921416 MHL-034-004 "Addiction Recovery Care Association, Inc." 01-Oct-75 01-Jan-20 31-Dec-20 Type B 06-Aug-10 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Addiction Recovery Care Association(ARCA) 1931 Union Cross Road Winston Salem NC 27107 1931 Union Cross Road Winston Salem NC 27107 Forsyth (336)784-9470 "Addiction Recovery Care Association, Inc." 922827 MHL-076-083 Alcohol and Drug Services 05-Jul-06 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Alcohol and Drug Services-Walker Center 1101 Carolina St Greensboro NC 27401 842 East Pritchard Street Asheboro NC 27203 Randolph (336)633-7257 Lindsey Downing 150004 MHL-041-1027 "Alternative Behavioral Solutions, Inc." 23-Aug-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY Alternative Behavioral Solutions "121 South Elm St., Ste. A" Greensboro NC 27401 "121 South Elm Street, Suite A" Greensboro NC 27401 Guilford (336)370-9410 "Alternative Behavioral Solutions, Inc." 090594 MHL-080-135 "Alternatives Counseling, Inc." 27-Sep-02 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Alternatives Counseling, Inc." 323 North Main Street Salisbury NC 28144 323 North Main Street Salisbury NC 28144 Rowan (704)639-1616 "Alternatives Counseling, Inc." 942729 MHL-060-1079 "Anuvia Prevention and Recovery Center, Inc." 01-Oct-08 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Anuvia Prevention and Recovery Center 100 Billingsley Road Charlotte NC 28211 100 Billingsley Road Charlotte NC 28211 Mecklenburg (704)376-7447 Larry Snider 110186 MHL-043-085 "Aspirations and Miracles Community Support, LLC" 28-Mar-11 01-Jan-20 31-Dec-20 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Aspirations and Miracles Community Support, LLC" PO Box 765 Dunn NC 28335 "701 East Broad Street, Suite E" Dunn NC 28334 Harnett (910)892-0000 090935 MHL-032-521 "B & D Integrated Health Services, Inc." 16-Mar-10 01-Jan-19 31-Dec-19 Type A 20-Mar-19 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY B & D Integrated Health Services "249 East NC Hwy 54, Suite 320" Durham NC 27713 "249 East NC Hwy 54, Suite 320" Durham NC 27713 Durham (919)907-3334 170172 MHL-032-412 BAART Community Healthcare 18-Jun-07 01-Jan-19 31-Dec-19 Type A 06-Aug-18 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY BAART Community Healthcare "1145 Market Street, Suite 10F" San Francisco CA 94103 "800 N. Mangum St., Suites 300 & 400" Durham NC 27701-2260 Durham (919)683-1607 BAART Community Healthcare 971215 MHL-026-887 "Behavior Counseling & Psychological Services, PA" 26-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY The DWI Center 916 Hay Street Fayetteville NC 28305 916 Hay Street Fayetteville NC 28302 Cumberland (910)485-1703 "Behavior Counseling & Psychological Services, PA" 160580 MHL-041-1144 "Body & Soul Total Wellness, PLLC" 16-Mar-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Body & Soul Total Wellness, PLLC" "2411 Penny Road, Suite 102" High Point NC 27265 "2411 Penny Road, Suite 102" High Point NC 27265 Guilford (336)812-9733 "Body & Soul Total Wellness, PLLC" 150234 MHL-098-191 "Bridges of Hope, Inc." 23-Jan-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Bridges of Hope, Inc." "703 Nash St West, Ste A" Wilson NC 27893 "703 Nash Street West, Suite A" Wilson NC 27893 Wilson (252)360-4142 "Bridges of Hope, Inc." 160133 MHL-053-081 "Bridges of Hope, Inc." 04-Apr-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Bridges of Hope "703 Nash St. West, Ste A" Wilson NC 27893 808 North Horner Boulevard Sanford NC 27330 Lee (919)777-2827 "Bridges of Hope, Inc." 190045 MHL-036-322 "Bridging the Gap of North Carolina, Inc." 24-May-17 13-Feb-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Bridging the Gap of America, Inc." 3050 Riverwood Parkway Gastonia NC 28056 3050 Riverwood Parkway Gastonia NC 28056 Gaston (704)222-2928 "Gridging the Gap of North Carolina, Inc." 170096 MHL-004-045 "Carolina Community Behavioral Services, LLC" 19-Apr-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Carolina Community Behavioral Services, LLC" "119 West Wade Street, Suite C & D" Wadesboro NC 28170 "119 West Wade Street, Suite C & D" Wadesboro NC 28170 Anson (704)994-2555 "Carolina Community Behavioral Services, LLC" 180346 MHL-090-196 "Carolina Community Behavioral Services, LLC" 12-Oct-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Carolina Community Behavioral Services, LLC" "119 W. Wade St., 2nd Floor" Wadesboro NC 28170 1106 Skyway Drive Monroe NC 28110 Union (704)635-8091 "Carolina Community Behavioral Services, LLC" 190103 MHL-009-049 "Carter Clinic, P.A." 04-Apr-19 04-Apr-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Carter Clinic, P.A." 6026 Six Forks Road Raleigh NC 27609 1104 West Broad Street Elizabethtown NC 28337 Bladen (910)991-3070 "Carter Clinic, P.A." 050494 MHL-060-973 "Christian Women of Elegance, Inc." 03-Nov-05 12-Feb-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Beatties Ford Road Family Counseling Center "1406 Beatties Ford Rd., 1st Floor" Charlotte NC 28216 "1406 Beatties Ford Rd, 1st Floor & Rm 3, 2nd Floor" Charlotte NC 28216 Mecklenburg (980)349-4067 Frances Hall 050228 MHL-092-681 Clara Downing Bain 30-Apr-07 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY North Carolina Recovery Support Services 1001-GL 103 Navaho Drive Raleigh NC 27609 1001-GL 103 Navaho Drive Raleigh NC 27609 Wake (919)431-9874 Clara Downing Bain 190264 MHL-012-136 "Clay, Wilson & Associates, Inc." 22-Sep-15 24-Jul-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY The Cognitive Connection-Burke 4330 Viola Sipe Dr Conover NC 28613 "301 East Meeting Street,Suite 102" Morganton NC 28655 Burke (828)217-4617 "Clay, Wilson & Associates, Inc." 180384 MHL-018-056 "Clay, Wilson and Associates" 12-Mar-01 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Clay,Wilson & Assoc., Inc. dba The Cognitive Connection" 4330 Viola Sipe Drive Conover NC 28613 "929 15th Street NE, Suites 100,310,320 & 330" Hickory NC 28601 Catawba (828)327-6026 "Clay, Wilson and Associates, Inc." 091024 MHL-010-071 "Coastal Horizons Center, Inc." 21-May-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Coastal Horizons Center, Inc." 615 Shipyard Boulevard Wilmington NC 28470 120 Coastal Horizons Center Drive Shallotte NC 28470 Brunswick (910)754-4515 "Coastal Horizons Center, Inc." 110552 MHL-009-042 "Coastal Southeastern United Care, LLC" 22-Jul-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Coastal Southeastern United Care PO Box 1585 Shallotte NC 28459 "818 South Main Street, Unit B" Bladenboro NC 28320 Bladen (910)863-4000 "Coastal Southeastern United Care, LLC" 170181 MHL-010-086 "Coastal Southeastern United Care, LLC" 09-May-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Coastal Southeastern United Care PO Box 1585 Shallotte NC 28459 10 Referendum Drive NE # F115 Bolivia NC 28422 Brunswick (910)253-5801 "Coastal Southeastern United Care, LLC" 030577 MHL-060-441 "Community Choices, Inc." 11-Mar-98 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Community Choices-CASCADE Services 5800 Executive Ctr. Drive Suite 101 Charlotte NC 28212 5800 Executive Ctr. Drive Suite 100 Charlotte NC 28212 Mecklenburg (704)336-4844 "Community Choices, Inc." 051103 MHL-034-217 "Community Choices, Inc." 04-May-07 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Community Choices-Wish 5800 Executive Center Drive Charlotte NC 28212 725 Highland Avenue Winston-Salem NC 27101 Forsyth (336)607-8513 Misty Faulk 180230 MHL-032-391 "Community Choices, Inc." 10-Jan-07 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Community Choices, Inc.-CASCADE @ Durham" "5800 Executive Center Dr., Ste 101" Charlotte NC 28212 "2634 Chapel Hill Boulevard, Suite 11" Durham NC 27707 Durham (919)490-6900 "Community Choices, Inc." 170034 MHL-024-087 "Community Support Agency, LLC" 05-May-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Community Support Agency, LLC" PO Box 465 Delco NC 28436 817-B Madison Street Whiteville NC 28472 Columbus (910)655-0698 "Community Support Agency, LLC" 120046 MHL-077-080 "Compassionate Counseling Services, LLC" 26-Feb-18 01-Jan-20 31-Dec-20 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Compassionate Counseling Services, LLC" "1219 Rockingham Rd., Ste 12" Rockingham NC 28379 "1219 Rockingham Road, Suite 12" Rockingham NC 28379 Richmond (910)817-9927 "Compassionate Counseling Services, LLC" 150185 MHL-041-1036 "Continuum Care Services, Inc." 16-Dec-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Continuum Care Services, Inc." P.O. Box 6331 Concord NC 28027 "409 East Fairfield Road, Suites C, D & E" High Point NC 27263 Guilford (336)854-2560 "Continuum Care Services, Inc." 140418 MHL-092-777 "Cottage Health Care Services, Inc." 24-May-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Cottage Health Care Services, Inc." 3826 Bland Road Raleigh NC 27609 3826 Bland Road Raleigh NC 27609 Wake (919)872-1441 170260 MHL-033-087 "D-POM, LLC" 13-Sep-10 01-Jan-19 31-Dec-19 Type A 29-Aug-14 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "D-POM, LLC" PO Box 1634 Tarboro NC 27886 "2109 Saint Andrew Street, Suite 15A & 16" Tarboro NC 27886 Edgecombe (252)641-5452 "D-POM, LLC" 110258 MHL-007-077 "D.R.E.A.M. Provider Care Services, Inc." 20-Apr-04 01-Jan-20 31-Dec-20 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY D.R.E.A.M. Provider Care Svcs. Outpatient Trtmt Ctr. 216 Stewart Parkway Washington NC 27889 216 Stewart Parkway Washington NC 27889 Beaufort (252)946-0585 "D.R.E.A.M. Provider Care Services, Inc." 180269 MHL-058-052 "D.R.E.A.M. Provider Care Services, Inc." 11-Apr-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Dream Provider Care Services, Inc." 216 Stewart Parkway Washington NC 27889 1130 Godwin Drive Williamston NC 27892 Martin (252)809-1010 "D.R.E.A.M. Provider Care Services, Inc." 170201 MHL-041-811 "D.R.E.A.M.S. Treatment Services, Inc." 26-Mar-07 01-Jan-20 31-Dec-20 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "D.R.E.A.M.S. Treatment Services, Inc." PO Box 5408 Greensboro NC 27435 1033 East Wendover Avenue Greensboro NC 27405 Guilford (336)907-7135 "D.R.E.A.M.S. Treatment Services, Inc." 160263 MHL-060-1156 "Day By Day Family Services, LLC" 03-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Day By Day Substance Abuse Services "4822 Albemarle Rd, Ste 219" Charlotte NC 28205 "4822 Albemarle Road, Suite 219" Charlotte NC 28205 Mecklenburg (704)405-4265 "Day By Day Family Services, LLC" 100168 MHL-004-041 "Day By Day Family Services, LLC" 13-Apr-15 15-May-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Day By Day Family Services, LLC" 4822 Albemarle Rd Charlotte NC 28205 303 East View Street Wadesboro NC 28170 Anson (704)405-4265 "Day by Day Family Services, LLC" 921395 MHL-062-027 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Montgomery Center 2129 Statesville Blvd Salisbury NC 28147 227 North Main Street Troy NC 27371 Montgomery (910)572-3681 "Daymark Recovery Services, Inc." 921457 MHL-076-091 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Archdale Center 2129 Statesvills Blvd Salisbury NC 28147 205 Balfour Drive Archdale NC 27263 Randolph (336)431-0700 "Daymark Recovery Services, Inc." 922467 MHL-077-053 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Richmond Center 2129 Statesville Blvd Salisbury NC 28147 116 South Lawerence Street Rockingham NC 28580 Richmond (910)895-2462 "Daymark Recovery Services, Inc." 922533 MHL-063-082 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Moore Center 2129 Statesville Blvd Salisbury NC 28147 205 Memorial Drive Pinehurst NC 28370 Moore (910)295-6853 "Daymark Recovery Services, Inc." 922534 MHL-047-119 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Hoke Center 2129 Statesville Blvd Salisbury NC 28147 121 East Elwood Avenue Raeford NC 28376 Hoke (910)875-8156 "Daymark Recovery Services, Inc." 922783 MHL-090-004 "Daymark Recovery Services, Inc." 01-Aug-85 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services-Union Center 2129 Statesville Blvd Salisbury NC 28147 1190 West Rosevelt Blvd Monroe NC 28110 Union (704)296-6200 Daymark Recovery Svcs-Union Ctr. 922922 MHL-076-092 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Randolph Center 2129 Statesville Blvd Salisbury NC 28147 "110 West Walker Avenue, Second Floor" Asheboro NC 27203 Randolph (336)633-7000 "Daymark Recovery Services, Inc." 941394 MHL-084-004 "Daymark Recovery Services, Inc." 01-Oct-85 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services - Stanly Center 2129 Statesville Blvd Salisbury NC 28147 1000-1 North First Street Albemarle NC 28001 Stanly (704)983-2117 951448 MHL-004-017 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Anson Center 2129 Statesville Blvd Salisbury NC 28147 704 Old Lilesville Road Wadesboro NC 28170 Anson (704)694-6588 Daymark Recovery Services 952118 MHL-053-057 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Lee Center 2129 Statesville Blvd Salisbury NC 28147 130 Carbonton Road Sanford NC 27330 Lee (919)774-6521 "Daymark Recovery Services, Inc." 080206 MHL-013-056 "Daymark Recovery Services, Inc." 25-Sep-98 25-Mar-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services - Cabarrus Center 2129 Statesville Blvd Salisbury NC 28147 "284 Executive Park Drive, Suite 100" Concord NC 28025 Cabarrus (704)939-1100 "Daymark Recovery Services, Inc." 990433 MHL-043-077 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Harnett Center 2129 Statesville Blvd Salisbury NC 28147 5841 US Highway 421 South Lillington NC 27546 Harnett (910)893-5727 "Daymark Recovery Services, Inc." 110008 MHL-080-058 "Daymark Recovery Services, Inc." 01-Oct-91 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Daymark Recovery Services, Inc." 2129 Statesville Boulevard Salisbury NC 28147 2129 Statesville Boulevard Salisbury NC 28147 Rowan (704)633-3616 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 971381 MHL-049-134 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Daymark Recovery Services - Iredell 2129 Statesville Blvd. Salisbury NC 28147 318 Turnersburg Highway Statesville NC 28625 Iredell (704)872-8916 Daymark Recovery Services Inc 921702 MHL-099-026 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Daymark Recovery Services - Yadkin 2129 Statesville Blvd. Salisbury NC 28147 320 East Lee Street Yadkinville NC 27055 Yadkin (336)679-8805 Daymark Recovery Services Inc 160302 MHL-029-032 "Daymark Recovery Services, Inc." 01-Jan-93 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services-Davidson Center 2129 Statesville Blvd Salisbury NC 28147 1104-A South Main Street Lexington NC 27292 Davidson (336)242-2450 "Daymark Recovery Services, Inc." 180237 MHL-034-154 "Daymark Recovery Services, Inc." 01-Jan-02 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services - Forsyth Center 2129 Statesville Blvd Salisbury NC 28147 "650 Highland Avenue, Suite 100" Winston-Salem NC 27101-4206 Forsyth (336)607-8523 "Daymark Recovery Services, Inc." 170182 MHL-054-165 "Dixon Social Interactive Services, Inc." 07-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Dixon Social Interactive Services PO Box 30166 Greenville NC 27833 "301 North Secrest St., classrooms 1-5" Kinston NC 28501 Lenoir (252)353-0100 "Dixon Social Interactive Services, Inc." 110085 MHL-026-897 "Elite Care Service, Inc." 15-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Elite Care Service Inc. SAIOP Program PO Box 9525 Fayetteville NC 28311 "111 Lamon Street, Suite 110" Fayetteville NC 28301 Cumberland (910)483-0324 "Elite Care Service, Inc." 180060 MHL-060-1186 "Epiphany Family Services, LLC" 18-Oct-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Epiphany Family Services 6900 Farmingdale Dr Charlotte NC 28212 6900 Farmingdale Drive Charlotte NC 28212 Mecklenburg (704)536-6853 "Epiphany Family Services, LLC" 190196 MHL-023-217 "Epiphany Family Services, LLC" 23-May-19 23-May-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Epiphany Family Services 6900 Farmingdale Dr. Charlotte NC 28212 1201 South Post Road Shelby NC 28152 Cleveland (704)481-7001 "Epiphany Family Services, LLC" 030861 MHL-092-495 "First Step Services, LLC" 19-Apr-02 01-Jan-20 31-Dec-20 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "First Step Services, LLC" 211 Six Forks Rd Ste 117 Bldg B Raleigh NC 27609 211 Six Forks Rd Ste 117 Bldg B Raleigh NC 27609 Wake (919)833-8899 130281 MHL-092-879 "First Step Services, LLC" 30-Oct-13 01-Jan-20 31-Dec-20 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "First Step Services, LLC" 211 E Six Forks Rd. Ste 117 Raleigh NC 27609 128 Quade Drive Cary NC 27513 Wake (919)651-8349 "First Step Services, LLC" 140477 MHL-092-572 "First Step Services, LLC" 17-Dec-03 01-Jan-20 31-Dec-20 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY 1st Step Substance Abuse & DWI Services "211 E. Six Forks Rd., Ste. 117" Raleigh NC 27609 "1418 Aversboro Road, Suite 201" Garner NC 27529 Wake (919)329-9400 "First Step Services, LLC" 921887 MHL-068-003 "Freedom House Recovery Center, Inc." 01-Jul-91 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Freedom House Recovery Center 104 New Stateside Drive Chapel Hill NC 27516 104 New Stateside Drive Chapel Hill NC 27516 Orange (919)942-2803 Freedom House Recovery Center Inc. 050641 MHL-073-060 "Freedom House Recovery Center, Inc." 03-Feb-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Person Counseling Center of Freedom House 104 New Stateside Dr. Chapel Hill NC 27516 355 C-1 South Madison Boulevard Roxboro NC 27573 Person (336)599-8366 "Freedom House Recovery Center, Inc." 110531 MHL-093-059 "Freedom House Recovery Center, Inc." 20-Jun-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Lake Area Health Care 104 New Stateside Drive Chapel Hill NC 27516 126 North Main Street Warrenton NC 27589 Warren (252)879-0091 "Freedom House Recovery Center, Inc." 120175 MHL-032-607 "Freedom House Recovery Center, Inc." 14-Jan-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Freedom House Outpatient Clinic 104 New Stateside Dr Chapel Hill NC 27516 "400 Crutchfield Street, Suite D" Durham NC 27704 Durham (919)251-8806 "Freedom House Recovery Center, Inc." 160083 MHL-092-970 Gupta Wellness Inc. 18-Mar-19 18-Mar-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Gupta Wellness Inc. 8304 Creedmoor Road Raleigh NC 27613 8304 Creedmoor Road Raleigh NC 27613 Wake (919)870-8409 Gupta Wellness Inc. 180034 MHL-034-340 "HOPE Counseling & Consulting Services, Inc." 04-Jun-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY HOPE Counseling & Consulting Services 326 N. Spring Street Winston Salem NC 27101-2722 326 N. Spring Street Winston Salem NC 27101-2722 Forsyth (336)631-1948 "HOPE Counseling & Counsilting Services, Inc." 180284 MHL-060-1379 "Harmony Recovery Center, LLC" 10-Jul-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Harmony Recovery Center 1611 East 7th St Charlotte NC 28204 1611 East 7th Street Charlotte NC 28204 Mecklenburg (980)256-2273 "Harmony Recovery Center, LLC" 170134 MHL-092-781 "Healing Interventions, Inc." 16-Jul-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Healing Interventions, Inc" "1001 Navaho Drive, GL 100" Raleigh NC 27609 "1001 Navaho Drive, GL 100" Raleigh NC 27609 Wake (919)896-7055 "Healing Interventions, Inc." 170134 MHL-092-781 "Healing Interventions, Inc." 16-Jul-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Healing Interventions, Inc" "1001 Navaho Drive, GL 100" Raleigh NC 27609 "1001 Navaho Drive, GL 100" Raleigh NC 27609 Wake (919)896-7055 "Healing Interventions, Inc." 030779 MHL-032-617 "Healing With CAARE, Inc." 28-Mar-19 28-Mar-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Healing with CAARE, Inc." 214 Broadway Street Durham NC 27701 214 Broadway Street Durham NC 27701 Durham (919)683-5300 "Healing with CAARE, Inc." 160019 MHL-098-182 "Higher Heights Family Services, Inc." 27-Dec-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Higher Heights Family Services, Inc." 1209 Justin Lane Lithonia GA 30058 2404-C Montgomery Drive Wilson NC 27893 Wilson (252)243-0100 942653 MHL-034-003 "Insight Human Services, Inc." 01-Oct-84 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY Insight Human Services-Forsyth 665 West Fourth Street Winston Salem NC 27101 665 West Fourth Street Winston Salem NC 27101 Forsyth (336)725-8389 Insight Human Services-Forsyth 170354 MHL-011-249 "Insight Human Services, Inc." 01-Dec-03 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Women's Recovery Center 665 W. 4th Street Winston-Salem NC 27101 "723 Faiview Road, Building #1" Asheville NC 28803 Buncombe (828)350-8343 "Insight Human Services, Inc." 010881 MHL-055-126 "Integrated Care of Greater Hickory, Inc." 16-Aug-18 01-Jan-20 31-Dec-20 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Integrated Care of Greater Hickory, Inc." "425 7th Avenue, SW" Hickory NC 28602 1228 North Flint Street Lincolnton NC 28092 Lincoln (704)240-3066 "Integrated Care of Greater Hickory, Inc." 180292 MHL-018-097 "Integrated Care of Greater Hickory, Inc." 16-Aug-18 01-Jan-20 31-Dec-20 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Intergrated Care of Greater Hickory, Inc." 425 7th Avenue SW Hickory NC 28602 "741 5th Street SW, Annex Bldg." Hickory NC 28602 Catawba (828)322-5915 "Integrated Care of Greater Hickory, Inc." 100314 MHL-054-147 "Joseph's Community Support Services, Inc" 17-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL SAS DAY Joseph's Empowerment Center PO Box 1444 Kinston NC 28503 2005 N Queen Street (East side) Kinston NC 28501 Lenoir (252)208-2005 160009 MHL-064-151 "KAN Enterprise, Inc." 09-Jun-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY The Right Step PO Box 1690 Spring Hope NC 27882 "600 North Grace Street, Suite E" Rocky Mount NC 27804 Nash (252)407-8055 "KAN Enterprise, Inc." 070497 MHL-065-249 "Launch Pad Wellness, LLC" 03-Feb-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Launch Pad Wellness 3121 Wrightsville Ave Wilmington NC 28403 3121 Wrightsville Avenue Wilmington NC 28403 New Hanover (910)769-6053 "Launch Pad Wellness, LLC" 150148 MHL-009-045 "Life Bridge Drug and Substance Abuse, Inc." 29-Oct-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Life Bridge Drug and Substance Abuse, Inc." 2443 NC Hwy 20 St. Pauls NC 28384-8652 200 West Broad Street Elizabethtown NC 28337 Bladen (910)738-7880 150146 MHL-024-107 "Life Bridge Drug and Substance Abuse, Inc." 29-Oct-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Life Bridge Drug and Substance Abuse, Inc." 2501 Elizabethtown Rd Lumberton NC 28358 "908 Pinckney Street, Suite A" Whiteville NC 28472 Columbus (910)207-6426 150147 MHL-043-096 "Life Bridge Drug and Substance Abuse, Inc." 29-Oct-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Life Bridge Drug and Substance Abuse, Inc." 2281 Ray Road Spring Lake NC 28390 2281 Ray Road Spring Lake NC 28390 Harnett (910)436-1610 180087 MHL-026-968 "Life Net Services, LLC" 26-Jul-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Life Net Services PO Box 87024 Fayetteville NC 28304 "2149 Valley Gate Drive, Suite 101" Fayetteville NC 28304 Cumberland (910)745-8895 "Life Net Services, LLC" 080577 MHL-054-152 "Life Touch, LLC" 13-May-11 15-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Life Touch, LLC" 400 Glenwood Avenue Kinston NC 28501 "400 Glenwood Avenue, Suite 2" Kinston NC 28501 Lenoir (252)208-7252 "Life Touch, LLC" 190007 MHL-096-274 "Life Touch, LLC" 28-Sep-18 28-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Life Touch, LLC" "200 W. Ash Street, Ste 207" Goldsboro NC 27530 405 East Walnut Street Goldsboro NC 27530 Wayne (919)330-4090 Life Touch LLC 010382 MHL-078-305 LifeBridges Drug & Substance Abuse Inc. 12-Apr-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY LifeBridges Drug & Substance Abuse Inc. 2501 Elizabethtown Road Lumberton NC 28358 2501 Elizabethtown Road Lumberton NC 28358 Robeson (910)738-7880 180078 MHL-065-253 "Lifeline Treatment Center, Inc." 27-Jul-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Lifeline Treatment Center "5710 Oleander Dr., Ste. 100" Wilmington NC 28403 "5710 Oleander Drive, Suite 100" Wilmington NC 28403 New Hanover (888)600-5147 "Lifeline Treatment Center, Inc." 091015 MHL-064-129 "MACTA, LLC" 10-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "MACTA, LLC" PO Box 4532 Rocky Mount NC 27803 209 North Pearl Street Rocky Mount NC 27804 Nash (252)937-3016 100121 MHL-060-1209 "McLeod Addictive Disease Center, Inc." 09-Mar-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY McLeod Addictive Disease Center - 1st Floor 515 Clanton Road Charlotte NC 28217 "515 Clanton Road, 1st Floor" Charlotte NC 28217 Mecklenburg (704)332-9001 "McLeod Addictive Disease Center, Inc." 180343 MHL-049-149 Michael Walker 24-Jul-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Walkers Day Program 18869 John Connor Road Cornelius NC 28031 "211 S. Center Street, Suite 421" Statesville NC 28677 Iredell (704)380-2446 Michael Walker 180018 MHL-060-1367 "Midwood Addiction Treatment, LLC" 14-Mar-18 01-Jan-19 31-Dec-19 Type B 25-Oct-18 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Midwood Addiction Treatment, LLC" 1111 The Plaza Charlotte NC 28205 1111 The Plaza Charlotte NC 28205 Mecklenburg (704)625-2828 "Midwood Addiction Treatment, LLC" 180402 MHL-065-257 "Momentum Recovery, LLC" 15-Feb-17 01-Jan-20 31-Dec-20 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Momentum Recovery, LLC" 2301 Delaney Avenue Wilmington NC 28403 2301 Delaney Avenue Wilmington NC 28403 New Hanover (888)815-5502 "Momentum Recovery, LLC" 180107 MHL-011-416 "Mountainview Recovery, Inc." 25-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Mountainview Recovery "108 Monticello Rd, Ste 400" Wearverville NC 28787 "108 Monticello Road, Suite 400" Weaverville NC 28787 Buncombe (828)785-5745 "Mountainview Recovery, Inc." 190016 MHL-026-973 "Murray Fork Clinic, P.C." 28-Jun-19 28-Jun-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Murray Fork Clinic, P.C." 6020 Morganton Road Fayetteville NC 28314 6020 Morganton Road Fayetteville NC 28314 Cumberland (910)764-4750 Murray Fork Clinic P.C. 922863 MHL-031-071 "New Dimension Group, LLC" 25-Mar-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY New Dimension Group PO Box 880 Rose Hill NC 28458 416 West Ridge Street Rose Hill NC 28458 Duplin (910)289-2610 "New Dimension Group, LLC" 170216 MHL-060-1355 "No Bounds Care, Inc." 16-Aug-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "No Bounds Care, Inc." 10820 Tradition View Drive Charlotte NC 28269 "610 E. 7th Street, Suites 103 & 112" Charlotte NC 28202 Mecklenburg (704)663-5052 "No Bounds Care, Inc." 170459 MHL-004-046 "No Bounds Care, Inc." 13-Feb-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "No Bounds Care, Inc." 10820 Tradition View Drive Charlotte NC 28269 "514 North Washington Street, Rm 251" Wadesboro NC 28170 Anson (704)663-5052 "No Bounds Care, Inc." 180562 MHL-011-423 "Oasis Recovery Centers, Inc." 19-Dec-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Oasis Recovery Treatment Center 191 Charlotte St. Ste. #200 Asheville NC 28801 191 Charlotte Street Suite #200 Asheville NC 28801 Buncombe (828)348-7394 "Oasis Recovery Centers, Inc." 061228 MHL-011-272 "October Road, Inc." 15-Dec-06 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "October Road, Inc." 119 Tunnel Road Suite D Asheville NC 28805 "119 Tunnel Road, Suite B" Asheville NC 28805 Buncombe (828)350-1000 Glenn Crider 040789 MHL-074-146 PORT Health Services 14-Jul-04 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY PORT Health Services-Paladin 4300-110 Sapphire Court Greenville NC 27834 501 Paladin Drive Greenville NC 27834 Pitt (252)353-5346 PORT Health Services 090433 MHL-074-157 PORT Health Services 13-Jul-05 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY PORT Health Services - Adult Outpatient 4300-110 Sapphire Ct Greenville NC 27834 2602 Courtier Drive Greenville NC 27834 Pitt (252)215-0259 PORT Health Services 100010 MHL-025-204 PORT Health Services 10-May-06 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY PORT Health Services-New Bern 4300-110 Sapphire Court Greenville NC 27834 "1309 Tatum Road, Suite A & B" New Bern NC 28560 Craven (252)633-6431 PORT Health Services 170207 MHL-065-244 PORT Health Services 29-Mar-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY PORT Health Services-Wilmington 4300-1100 Sapphire Court Greenville NC 27834 2206A Wrightsville Avenue Wilmington NC 28403 New Hanover (910)251-5326 PORT Health Services 170375 MHL-070-052 PORT Health Services 15-Nov-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY PORT Health Services-Elizabeth City 4300-110 Sapphire Court Greenville NC 27834 102 A & B Medical Drive Elizabeth City NC 27909 Pasquotank (252)335-0803 PORT Health Services 170496 MHL-067-201 PORT Health Services 20-Dec-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY PORT Health Services - Jacksonville MMP 4300-110 Sapphire Ct. Greenville NC 27834 224-B Memorial Drive Jacksonville NC 28546 Onslow (910)333-1578 PORT Health Services 180605 MHL-064-159 PORT Health Services 23-Jan-19 15-Aug-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY PORT Health Services-Rocky Mount 4300-110 Sapphire Court Greenville NC 27834 132 Foy Drive Rocky Mount NC 27804 Nash (252)210-3118 Port Health Services 941736 MHL-029-006 "Path of Hope, Inc." 01-Jan-89 01-Jan-19 31-Dec-19 Type A 18-Apr-08 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Path of Hope PO Box 1824 Lexington NC 27293-1824 1675 East Center Street Extension Lexington NC 27292 Davidson (336)248-8914 "Path of Hope, Inc." 180376 MHL-051-219 "Pathways to Life, Inc." 25-Oct-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Pathways to Life, Inc." 150 East Arlington Blvd. Ste. E Greenville NC 27858 1420-A South Pollock Street Selma NC 27576 Johnston (919)351-0428 "Pathways to Life, Inc." 150358 MHL-074-258 "Pathways to Life, Inc." 06-May-19 06-May-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Pathways to Life, Inc." "150 E Arlington Blvd., Ste E" Greenville NC 27858 "150 East Arlington Blvd., Suite E" Greenville NC 27858 Pitt (252)695-0269 "Pathways to Life, Inc." 180564 MHL-060-587 "Person-Centered Partnerships, Inc." 01-Feb-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Amara Wellness PO Box 32301 Charlotte NC 28232 "5108 Reagan Drive, Suite 9" Charlotte NC 28206-1394 Mecklenburg (704)567-0790 "Person-Centered Partnerships, Inc." 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-19 31-Dec-19 Type B 23-Aug-13 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Phoenix Counseling Center-Residential Wing 2505 Court Drive Gastonia NC 28054 "2505 Court Drive, Residential Wing" Gastonia NC 28054 Gaston (704)854-4196 Phoenix Counseling Center 101098 MHL-055-098 Phoenix Counseling Center 29-Mar-06 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Phoenix Counseling Center 631 PMB 301 Brawley School Road Mooresville NC 28117 510 South Aspen Street Lincolnton NC 28092 Lincoln (704)735-7325 140105 MHL-036-306 Phoenix Counseling Center 15-Apr-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Phoenix Counseling Center-Outpatient Wing 2505 Court Drive Gastonia NC 28054 2505 Court Drive-Outpatient Wing & Classrooms A & B Gastonia NC 28054 Gaston (704)842-6359 Phoenix Counseling Center 160071 MHL-023-147 Phoenix Counseling Center 03-Nov-08 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Phoenix Counseling Center 200-2 S Post Rd Shelby NC 28150 200-2 South Post Road Shelby NC 28150 Cleveland (704)476-4106 Phoenix Counseling Center 922122 MHL-054-144 Port Health Services 07-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Port Health Services-Kinston Clinic 4300-110 Sapphire Ct. Greenville NC 27834 2901 North Herritage Street Kinston NC 28501 Lenoir (252)233-2383 Port Health Services 170261 MHL-033-111 "Positive Generation In Christ, Incorporated" 25-May-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Positive Generation In Christ PO Box 1634 Tarboro NC 27886 "2109 Saint Andrew Street, Suite 15" Tarboro NC 27886 Edgecombe (252)641-4485 "Positive Generation In Christ, Incorporated" 100221 MHL-078-251 "Premier Behavioral Services, Inc." 26-Mar-10 01-Jan-19 31-Dec-19 Type A 14-Aug-19 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Premier Behavioral Services, Inc." "2003 Godwin Avenue, Suite B" Lumberton NC 28358 "2003 Godwin Avenue, Suite B" Lumberton NC 28358 Robeson (910)671-1111 "Premier Behavioral Services, Inc." 100686 MHL-060-1199 Quality Home Care Services 12-Jan-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY Safe Harbor Community Advocates 3552 Beatties Ford Rd Charlotte NC 28216 3552 Beatties Ford Road Charlotte NC 28216 Mecklenburg (704)394-8968 Quality Home Care Services 090458 MHL-083-056 "R & C Consulting Group, Inc." 19-Jul-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "R & C Consulting Group, Inc." PO Box 2153 Laurinburg NC 28352 524 Atkinson Street Laurinburg NC 28352 Scotland (910)361-4653 "R & C Conulting Group, Inc." 150308 MHL-060-1302 R.O.P.E.S. (Rights of Passage & Engagement for Success) 24-Sep-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "ROPES, Inc." 10721 Glenluce Avenue Charlotte NC 28213 "10617 Kettering Drive, Suite 216" Charlotte NC 28226 Mecklenburg (704)595-3335 "Rights of Passage and Engagement for Success, Inc." 100745 MHL-078-307 RHA Behavioral Health NC LLC 01-May-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY RHA Innovations PSR Robeson 2003 Godwin Avenue Suite A Lumberton NC 28358 "2003 Godwin Avenue, Suite A" Lumberton NC 28358 Robeson (910)739-8849 RHA Behavioral Health NC LLC 091060 MHL-024-112 "RHA Behavioral Health NC, LLC" 05-Jun-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "RHA Behavioral Health NC, LLC" 603 Pecan Lane Whiteville NC 28472 603 Pecan Lane Whiteville NC 28472-2949 Columbus (910)640-1400 "RHA Behavioral Health NC, LLC" 190251 MHL-009-050 "RHA Behavioral Health NC, LLC" 03-Jul-19 03-Jul-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY RHA Hilltop Bladen County "503 Covil Avenue, Ste 102" Wilmington NC 28403 106 N. 4th Street Bladenboro NC 28320 Bladen (404)441-9029 "RHA Behavioral Health NC, LLC" 970614 MHL-011-050 "RHA Health Services, Inc." 01-Jul-11 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY RHA Health Services 17 Church Street Asheville NC 28801 "356 Biltmore Avenue, Suite 200" Asheville NC 28801 Buncombe (828)254-2700 "RHA Health Services, Inc." 190033 MHL-049-153 "ROPES, Inc." 19-Feb-19 19-Feb-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Recovery Oriented Practices & Engagement for Success," "10617 Kettering Drive, #216" Charlotte NC 28226 "207 South Broad Street, #6" Mooresville NC 28115 Iredell (704)595-3335 "ROPES, Inc." 180006 MHL-032-615 "Rapha Healthcare Services, LLC" 27-Apr-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY Rapha Healthcare Services-Durham 4411 Ben Franklin Blvd Durham NC 27704 "4411 Ben Franklin Boulevard, Suite A" Durham NC 27704 Durham (919)471-5474 "Rapha Healthcare Services, LLC" 180233 MHL-049-147 "Rapha Healthcare Services, LLC" 15-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY RAPHA Healthcare Services-Mooresville "4411 Ben Franklin Blvd., Suite A" Durham NC 27704 "207 South Broad Street, Suites 4 & 5" Mooresville NC 28115 Iredell (704)912-1426 "Rapha Healthcare Services, LLC" 150373 MHL-041-1069 "Ready4Change, Inc." 21-Dec-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Ready 4 Change, Inc." "5 Centerview Dr., Ste. 100 & 101" Greensboro NC 27407 "5 Centerview Drive, Suite 100 & 101" Greensboro NC 27407 Guilford (336)907-7819 "Ready4Change, Inc." 170210 MHL-019-071 "Renaissance Wellness Services, LLC" 04-Mar-19 04-Mar-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Renaissance Wellness Services, LLC" "288 East St.,Ste. 1001-F7" Pittsboro NC 27312 "288 East St, Stes 1001-F7, 2001, 1007 & 1st Fl. Conf." Pittsboro NC 27312 Chatham (919)704-8449 "Renaissance Wellness Services, LLC" 160022 MHL-026-954 "Renew Counseling Center of NC, LLC" 05-May-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Renew Counseling Center 2212 Hope Mills Rd Fayetteville NC 28304 2212 Hope Mills Road Fayetteville NC 28304 Cumberland (910)779-0454 "Renew Counseling Center of NC, LLC" 010692 MHL-063-055 Robeson Health Care Corporation 21-Aug-01 01-Jan-19 31-Dec-19 Type B 24-Jan-11 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Crystal Lake Casaworks & Maternal Program P.O. Box 190 Lakeview NC 28350 285 Camp Easter Road Lakeview NC 28350 Moore (910)245-4339 990068 MHL-078-111 Robeson Health Care Corporation 19-Jan-99 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Grace Court 3750 Meadow View Road Apt. A-1 Lumberton NC 28358 3750 Meadow View Road Apt. A-1/Day Lumberton NC 28358 Robeson (910)618-9912 Robeson Health Care Corporation 050688 MHL-051-172 Robeson Health Care Corporation 25-Oct-07 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY RHCC Cambridge Place Casaworks & Perinatal 109 Cambridge Place Smithfield NC 27577 109 Cambridge Place Smithfield NC 27577 Johnston (919)989-8114 RHCC Cambridge Place 120122 MHL-078-297 Robeson Health Care Corporation 04-Apr-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Lumberton Health Center Outpatient Services 60 Commerce Plaza Pembroke NC 28372 600 West 5th Street Lumberton NC 28358 Robeson (910)738-5204 Robeson Health Care Corporation 120568 MHL-078-062 Robeson Health Care Corporation 18-Feb-94 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Robeson Health Care Corp./Our House 2nd Step Bldg. 309-A E. Wardell Drive Pembroke NC 28372 309-A E. Wardell Drive Pembroke NC 28372 Robeson (910)521-1464 Robeson Health Care Corporation 180535 MHL-074-117 Robeson Health Care Corporation 24-Aug-01 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY The Village "3362 Frontgate Dr., Ste 11" Greenville NC 27834 "3354 Ste 11 & 3362 Frontgate Drive, Stes 8, 9, 10 & 11" Greenville NC 27834 Pitt (252)752-5555 Robeson Health Care Corporation 150066 MHL-080-195 "S & H Youth and Adult Services, Inc." 14-Jan-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY S&H Youth and Adult Alcohol and Drug Treatment Services 714 S. Main Street Salisbury NC 28144 714 S. Main Street Salisbury NC 28144 Rowan (704)603-8285 "S & H Youth and Adult Services, Inc." 180583 MHL-083-061 "Sandhills Behavioral Center, Inc." 18-Apr-13 18-Apr-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Sandhills Behavioral Center, Inc." 721 Green Street Raeford NC 28376 124 East Cronly Street Laurinburg NC 28352 Scotland (910)361-4785 "Sandhills Behavorial Center, Inc." 130209 MHL-036-176 "Self Concepts Clinical Counseling Services, Inc." 26-Sep-01 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Self Concepts Clinical Counseling Services 1305 E. Garrison Blvd. Gastonia NC 28054 1305 East Garrison Boulevard Gastonia NC 28054 Gaston (704)852-3874 080571 MHL-078-302 "Southeastern Behavioral Healthcare Services, LLC" 16-Nov-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Southeastern Behavioral Healthcare Services, LLC" PO Box 1004 Lumberton NC 28359-1004 109 West Central Street Maxton NC 28364 Robeson (910)844-2267 050501 MHL-047-162 "Southeastern Behavioral Healthcare Services, LLC" 09-Feb-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Southeastern Behavioral Healthcare Services, LLC" PO Box 1004 Lumberton NC 28359-1004 310 Harris Avenue Raeford NC 28376 Hoke (910)848-2267 190236 MHL-078-324 "Southeastern Integrated Care, LLC" 24-Jun-19 24-Jun-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Southeastern Integrated Care, LLC" PO Box 8251 Concord NC 28027 "42 Three Hunts Drive, Suite A & Suite C" Pembroke NC 28372 Robeson (910)522-0408 "Souotheastern Integrated Care, LLC" 150207 MHL-092-461 Southlight Healthcare 29-Jun-01 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY SLHC Residential Program for Women and Children 3125 Poplarwood Ct Raleigh NC 27604 "1952 Spring Drive, Several units, 1950 & 1952 (Offices)" Garner NC 27587 Wake (919)557-6967 SouthLight Healthcare 160623 MHL-053-080 "Spectrum Recovery, Inc." 24-Jan-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Spectrum Recovery, Inc." 822 South Horner Blvd Sanford NC 27330 822 South Horner Boulevard Sanford NC 27330 Lee (919)708-5063 "Spectrum Recovery, Inc." 180148 MHL-078-320 "Stephens Outreach Center, Inc." 17-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Stephens Outreach Center, Inc." 2105-B East Elizabethtown Road Lumberton NC 28358 2105-B East Elizabethtown Road Lumberton NC 28358 Robeson (910)738-7865 "Stephens Outreach Center, Inc." 130506 MHL-098-187 Stepping Stones Community Resources Incorporated 22-Jun-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY Stepping Stones Community Resources Incorporated P.O. Box 2071 Wendell NC 27591 "3904 Airport Drive, Bldg. 1, Suite A" Wilson NC 27896 Wilson (919)269-9300 "Stepping Stones Community Resources, Inc." 160205 MHL-098-193 "Stepping Stones Community Resources, Inc." 09-Jun-16 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Stepping Stones Community Resources, Inc." 3904-A Airport Dr. Wilson NC 27896 2501 Airport Boulevard NW Wilson NC 27896 Wilson (919)269-9300 "Stepping Stones Community Resources, Inc." 922360 MHL-064-150 "Straight Walk Family Services, Inc." 06-Apr-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Straight Walk Family Services 3208-B Sunset Ave Rocky Mount NC 27804 3208-B Sunset Avenue Rocky Mount NC 27804 Nash (252)212-5524 "Straight Walk Family Services, Inc." 180561 MHL-079-135 "Successful Transitions, LLC" 26-Feb-19 26-Feb-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY New Hope Solutions & Wellness Center "247 West Kings Highway, Suite A" Eden NC 27288 "247 West Kings Highway, Suite A" Eden NC 27288 Rockingham (336)637-8329 "Successful Transitions, LLC" 090071 MHL-036-272 "Sunpath, LLC" 06-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Sunpath-Substance Abuse Services PO Box 864 Gastonia NC 28053 413/415 West Main Street Gastonia NC 28052 Gaston (704)478-6093 "Sunpath, LLC" 190044 MHL-049-154 "Sunrise Clinical Associates, PLLC" 02-May-19 02-May-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Sunrise Clinical Associates, PLLC" "3500 Westgate Dr., Ste 604" Durham NC 27707 "708 Hartness Road, #708" Statesville NC 28677 Iredell (704)885-5581 "Sunrise Clinical Associates, PLLC" 090701 MHL-078-248 "TT & T Services, Inc." 01-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "TT and T Services, Inc. - Lumberton" PO Box 1685 Raeford NC 28376 4719 Fayetteville Road Lumberton NC 28358 Robeson (910)739-0050 "TT and T Services, Inc." 170213 MHL-047-163 "TT & T Services, Inc." 22-May-17 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "TT & T Services, Inc." 126 N. Main Street Raeford NC 28376 126 N. Main Street Raeford NC 28376 Hoke (910)904-1189 "TT & T Services, Inc." 120551 MHL-063-102 "The M.E. Green House, LLC" 20-Nov-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "The M.E. Green House, LLC" "139 Pinehurst Ave., Ste. A" Southern Pines NC 28305 "139 Pinehurst Avenue, Suite A & B" Southern Pines NC 28305 Moore (910)725-1246 170066 MHL-068-107 The University of North Carolina at Chapel Hill 25-Sep-02 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY UNC Horizons "410 N. Greensboro St., Suite 220" Carrboro NC 27510 "410 North Greensboro Street, Suite 120 and 220" Carrboro NC 27510 Orange (919)966-9803 The University of NC at Chapel Hill/Crystal Royal 130467 MHL-034-317 "Top Priority Care Services, LLC" 18-Nov-13 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY The Center for Lifelong Learning & Enrichment 4401 Providence Lane Winston-Salem NC 27106 4401 Providence Lane Winston-Salem NC 27106 Forsyth (336)896-1323 "Top Priority Care Services, LLC" 100250 MHL-082-082 "Tri County Community Health Council, Inc." 29-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Harvest House 1480 Maple Grove Church Rd Dunn NC 28334 1480 Maple Grove Church Road Dunn NC 28334 Sampson (910)567-5020 "Tri-County Community Health Council, Inc." 190121 MHL-076-105 "Triad Therapy Mental Health Center, LLC" 01-Apr-11 28-Mar-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Triad Therapy Mental Health Center, LLC" "350 N Cox St., Unit 15 & 16" Asheboro NC 27203 "350 North Cox Street, Unit 15 & 16" Asheboro NC 27203 Randolph (336)629-7774 "Triad Therapy Mental Health Center, LLC" 140483 MHL-001-236 Trinity Behavioral Healthcare PC 30-Nov-14 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY Trinity Behavioral Healthcare PC 2716 Troxler Road Burlington NC 27215 2716 Troxler Road Burlington NC 27215 Alamance (336)570-0104 "Trinity Behavioral Healthcare, PC" 180328 MHL-049-150 "Turning Point Homes, LLC" 16-Aug-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Turning Point Homes, LLC" 919 N. Main Street Mooresville NC 28115 919 North Main Street Mooresville NC 28115 Iredell (704)660-6854 "Turning Point Homes, LLC" 150444 MHL-041-983 "United Quest Care Services, LLC" 11-Aug-12 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "United Quest Care Services, LLC" 708 Summit Ave Greensboro NC 27405 708 Summit Avenue Greensboro NC 27405 Guilford (336)279-1227 "United Quest Care Services, LLC" 180076 MHL-060-1373 "United Quest Care Services, LLC" 02-Apr-18 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "United Quest Care Services, LLC" 708 Summit Avenue Greensboro NC 27405 "3707 Latrobe Drive, Suites 440 & 450" Charlotte NC 28211 Mecklenburg (980)299-3959 "United Quest Care Services, LLC" 090948 MHL-041-1111 "United Youth Care Services, Inc." 22-Jan-15 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "United Youth Care Services, Inc." 1207 4th Street Greensboro NC 27405 1207 4th Street Greensboro NC 27405 Guilford (336)370-9232 "United Youth Care Services, Inc." 041493 MHL-078-167 Virgil Hutchinson 28-Oct-04 01-Jan-19 31-Dec-19 Type A 27-Jul-11 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Southeastern Behavioral Healthcare Services LLC P.O. Box 1004 Lumberton NC 28359-1004 3581 Lackey Street Lumberton NC 28360 Robeson (910)738-5023 Virgil L. Hutchinson 120525 MHL-032-511 "Visions Counseling Studio, PLLC" 13-Nov-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Visions Counseling Studio, PLLC" 401 E. Lakewood Ave Ste E Durham NC 27707 "401 E. Lakewood Ave., Suite E" Durham NC 27701 Durham (919)908-6371 120525 MHL-032-511 "Visions Counseling Studio, PLLC" 13-Nov-09 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Visions Counseling Studio, PLLC" 401 E. Lakewood Ave Ste E Durham NC 27707 "401 E. Lakewood Ave., Suite E" Durham NC 27701 Durham (919)908-6371 130361 MHL-078-212 W & B Health Care 01-Oct-08 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Nu-Image PO Box 168 Red Springs NC 28377 127 Main Street Red Springs NC 28377 Robeson (910)843-1291 W & B Healthcare 100662 MHL-078-213 W&B Health Care Inc. 02-Oct-08 01-Jan-19 31-Dec-19 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Community Outreach PO Box 168 Red Springs NC 28377 108 East 5th Avenue Red Springs NC 28377 Robeson (910)843-1997 "W&B Health Care, Inc." 130144 MHL-096-161 Waynesboro Family Clinic P.A. 14-Sep-05 01-Jan-20 31-Dec-20 Type A 08-Apr-16 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Waynesboro Family Clinic P.A. 1706 Wayne Memorial Drive Goldsboro NC 27534 "1103 Gracie Place, Suite B" Goldsboro NC 27534 Wayne (919)734-6676 150353 MHL-011-366 "Willow Place II, Inc." 23-Sep-13 01-Jan-20 31-Dec-20 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Willow Place "30 Garfield St., Ste. A" Asheville NC 28803 "30 Garfield Street, Suite A" Asheville NC 28803 Buncombe (828)254-3484 "Willow Place II, Inc." 921416 MHL-034-004 "Addiction Recovery Care Association, Inc." 01-Oct-75 01-Jan-20 31-Dec-20 Type B 06-Aug-10 - - 12 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Addiction Recovery Care Association(ARCA) 1931 Union Cross Road Winston Salem NC 27107 1931 Union Cross Road Winston Salem NC 27107 Forsyth (336)784-9470 "Addiction Recovery Care Association, Inc." 922513 MHL-026-914 Cumberland Co Hsp Sys Inc. dba Cape Fear Valley Hlh Sys 21-Jan-11 01-Jan-19 31-Dec-19 - - - - 9 27G.5000 Facility Crisis Svcs. for all Disability Groups C&ADOL&A MI RESIDENTL Roxie Avenue Center 1638 Owen Drive Fayetteville NC 28304 1724 Roxie Avenue Fayetteville NC 28304 Cumberland (910)484-1212 "Cumberland Co. Hospital Systems, Inc." 960556 MHL-090-169 "Daymark Recovery Services, Inc." 15-Jan-10 01-Jan-19 31-Dec-19 - - - - 16 27G.5000 Facility Crisis Svcs. for all Disability Groups A MD RESIDENTL Monroe Crisis Recovery Center 2129 Statesville Blvd Salisbury NC 28147 1408 East Franklin Street Monroe NC 28112 Union (704)635-2080 050036 MHL-049-135 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-19 31-Dec-19 Type A 10-Feb-15 - - 16 27G.5000 Facility Crisis Svcs. for all Disability Groups C&ADOL&A MI RESIDENTL Daymark Recovery C.R.C. Statesville 2129 Statesville Blvd Salisbury NC 28147 524 Signal Hill Drive Extension Statesville NC 28625 Iredell (704)871-1045 "Daymark Recovery Services, Inc." 160123 MHL-013-140 "Daymark Recovery Services, Inc." 01-Dec-06 01-Jan-19 31-Dec-19 - - - - 16 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Facility Based Crisis of Cabarrus 2129 Statesville Blvd Salisbury NC 28147 "280 Executive Park Drive, Suite 160" Concord NC 28025 Cabarrus (704)933-3212 "Daymark Recovery Services, Inc." 160471 MHL-029-134 "Daymark Recovery Services, Inc." 12-Sep-17 01-Jan-19 31-Dec-19 - - - - 16 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Davidson Crisis Center 2129 Statesville Blvd Salisbury NC 28147 1104 B S. Main Street Lexington NC 27292 Davidson (704)647-9494 "Daymark Recovery Services, Inc." 922268 MHL-011-421 "Family Preservation Services of North Carolina, LLC" 22-Jun-18 01-Jan-19 31-Dec-19 - - - - 10 27G.5000 Facility Crisis Svcs. for all Disability Groups C&ADOL MD RESIDENTL Caiyalynn Burrell Child Crisis Center "2300 Sardis Rd North, Ste M" Charlotte NC 28227-7712 277 Biltmore Avenue Asheville NC 28801 Buncombe (877)277-8873 "Family Preservation Services of NC, LLC" 070041 MHL-068-118 "Freedom House Recovery Center, Inc." 10-Nov-05 01-Jan-19 31-Dec-19 Type B 10-Jan-11 - - 8 27G.5000 Facility Crisis Svcs. for all Disability Groups A MD RESIDENTL Facility Based Crisis Services 104 New Stateside Drive Chapel Hill NC 27516 110 New Stateside Drive Chapel Hill NC 27516 Orange (919)942-2803 Freedom House Recovery Center 051025 MHL-078-276 Monarch 01-May-11 01-Jan-19 31-Dec-19 - - - - 15 27G.5000 Facility Crisis Svcs. for all Disability Groups ADOL&A MD RESIDENTL Tanglewood Arbor "350 Pee Dee Ave., Ste. 101" Albemarle NC 28001 207 West 29th Street Lumberton NC 28358 Robeson (910)618-5606 Monarch 150525 MHL-060-1361 Monarch 22-Dec-17 01-Jan-19 31-Dec-19 Type A 28-Feb-19 - - 15 27G.5000 Facility Crisis Svcs. for all Disability Groups C&ADOL MI RESIDENTL "SECU Youth Crisis Center, a Monarch Program" "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 1810 Back Creek Drive Charlotte NC 28213 Mecklenburg (704)206-2342 Monach 922958 MHL-044-068 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 16 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL The Balsam Center Adult Recovery Unit PO Box 11247 Richmond VA 23230-1247 91 Timberlane Road Waynesville NC 28786 Haywood (828)454-1098 "NCG Acquisition, LLC" 990828 MHL-046-015 PORT Health Services 19-Aug-99 01-Jan-19 31-Dec-19 Type B 12-Dec-10 - - 6 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL PORT Health Services - Roanoke Chowan Detox 4300-110 Sapphire Court Greenville NC 27834 144-C Community College Road Ahoskie NC 27910 Hertford (252)332-5044 PORT Health Services 922759 MHL-007-081 PORT Health Services 21-Mar-14 01-Jan-19 31-Dec-19 Type A 18-Oct-16 - - 9 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL PORT Health Services-Ray G. Silverthorne Crisis Center 4300-110 Sapphire Court Greenville NC 27834 1379 Cowell Farm Road Washington NC 27889 Beaufort (252)975-8852 PORT Health Services 942647 MHL-074-005 "PORT Health Services, Inc." 01-Oct-86 01-Jan-19 31-Dec-19 Type B 04-Mar-15 - - 10 27G.5000 Facility Crisis Svcs. for all Disability Groups A SAS RESIDENTL PORT Health Services-Greenville Detox 4300-110 Sapphire Court Greenville NC 27834 203 Government Circle Greenville NC 27834 Pitt (252)413-1637 PORT Health Services 960642 MHL-075-005 Pavillon International 30-Aug-96 01-Jan-19 31-Dec-19 - - - - 4 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI DAY&RESL Pavillon International 241 Pavillon Place Mill Spring NC 28756 241 Pavillon Place Mill Spring NC 28756 Polk (828)694-2300 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-19 31-Dec-19 Type B 23-Aug-13 - - 5 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Phoenix Counseling Center-Residential Wing 2505 Court Drive Gastonia NC 28054 "2505 Court Drive, Residential Wing" Gastonia NC 28054 Gaston (704)854-4196 Phoenix Counseling Center 100472 MHL-023-171 Phoenix Counseling Center 24-Jun-11 01-Jan-19 31-Dec-19 - - - - 8 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Cleveland Crisis and Recovery Center 631-407(PMB 207) Brawley School Rd Mooresville NC 28117 609 North Washington Street Shelby NC 28150 Cleveland (704)751-3693 Phoenix Counseling Center 922623 MHL-065-217 "RHA Health Services, Inc." 22-Jun-10 01-Jan-19 31-Dec-19 - - - - 8 27G.5000 Facility Crisis Svcs. for all Disability Groups C&ADOL&A MD RESIDENTL The Harbor 2023 1A South 17th Street Wilmington NC 28401 2023 1A South 17th Street Wilmington NC 28401 New Hanover (910)632-2191 Molly Daughtry 150238 MHL-014-089 "RHA Health Services, Inc." 06-Apr-17 01-Jan-19 31-Dec-19 - - - - 6 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Foothills Regional Treatment Center 17 Church Street Asheville NC 28801 "2415 Morganton Blvd., Suite 200" Lenior NC 28645 Caldwell (828)394-5585 "RHA Health Services, Inc." 160012 MHL-011-383 "RHA Health Services, Inc." 01-Oct-15 01-Jan-19 31-Dec-19 - - - - 5 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Neil Dobbins Center 17 Church Street Asheville NC 28801 "356 Biltmore Avenue, Suite 150" Asheville NC 28801 Buncombe (828)253-6306 "RHA Health Services, Inc." 080776 MHL-091-103 "Recovery Innovations, Inc." 01-Jul-14 01-Jan-20 31-Dec-20 - - - - 5 27G.5000 Facility Crisis Svcs. for all Disability Groups A MD RESIDENTL Recovery Response Center "2701 N 16th St, Ste #103" Pheonix AZ 85006 300 Parkview Drive West Henderson NC 27536 Vance (252)438-4145 Recovery Innovations/DBA RA International 925371 MHL-067-203 "Recovery Innovations, Inc." 06-Jun-19 01-Jan-20 31-Dec-20 - - - - 8 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Dix Crisis Center 2701 N 16th St. Phoenix AZ 85006 215-B Memorial Drive Jacksonville NC 28546 Onslow (910)378-4809 "Recovery Innovations, Inc." 943380 MHL-032-605 "Recovery Innovations, Inc./DBA RI International" 01-Jan-16 01-Jan-20 31-Dec-20 - - - - 10 27G.5000 Facility Crisis Svcs. for all Disability Groups A SAS RESIDENTL Durham Recovery Response Center 309 Crutchfield St Durham NC 27704 309 Crutchfield St Durham NC 27704 Durham (919)560-7305 "Recovery Innovations, Inc./DBA RI International" 942857 MHL-001-016 "Residential Treatment Services of Alamance, Inc." 01-Jun-75 01-Jan-19 31-Dec-19 Type A 29-Jun-10 - - 8 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Hall Avenue Facility P.O. Box 427 Burlington NC 27216-0427 136 Hall Avenue Burlington NC 27217 Alamance (336)227-7417 952368 MHL-097-003 "Synergy Recovery , Inc." 01-Jul-80 01-Jan-19 31-Dec-19 Type A 20-May-11 - - 14 27G.5000 Facility Crisis Svcs. for all Disability Groups C&ADOL&A MD DAY&RESL Synergy Recovery at the Bundy Center P.O. Box 26 Wilkesboro NC 28697 118 Peace St. North Wilkesboro NC 28659 Wilkes (336)667-7191 130044 MHL-092-867 University of North Carolina Hospitals at Chapel Hill 06-May-13 01-Jan-19 31-Dec-19 - - - - 8 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL UNC Health Care Alcohol&Drug Detoxification @ WakeBrook 107 Sunnybrook Road Raleigh NC 27610 "107 Sunnybrook Road, Suite B" Raleigh NC 27610 Wake (984)974-4850 University of NC Hospital at Chapel Hill 110187 MHL-092-870 University of North Carolina Hospitals at Chapel Hill 01-Jul-13 01-Jan-19 31-Dec-19 - - - - 16 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL UNC Health Care Facility Based Crisis at WakeBrook "107 Sunnybrook Road, Suite A" Raleigh NC 27610 "107 Sunnybrook Road, Suite A" Raleigh NC 27610 Wake (984)974-4870 University of NC Hospitals at Chapel Hill 921422 MHL-059-075 "A Caring Alternative, LLC" 12-Jan-18 01-Jan-19 31-Dec-19 - - - - 6 27G.5100 Community Respite Services C&ADOL MI RESIDENTL CARE Haven 301 E. Meeting Street Morganton NC 28655-3693 2533 Airport Road Marion NC 28752 McDowell (828)652-5271 "A Caring Alternative, LLC" 981099 MHL-078-138 "Angelo's Care Home, Inc." 15-Jun-01 01-Jan-20 31-Dec-20 Type A 27-Jun-14 - - 1 27G.5100 Community Respite Services C&ADOL&A MI RESIDENTL "Angelo's Care Home, Inc." 10091 US Highway 74 West Maxton NC 28364 10091 US Highway 74 West Maxton NC 28364 Robeson (910)322-7112 030441 MHL-078-275 "Angelo's Care Home, Inc." 19-Apr-11 01-Jan-20 31-Dec-20 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL "Angelo's Care Home, Inc. II" 10091 US Hwy 74 West Maxton NC 28364 9431 NC Highway 211 West Red Springs NC 28358 Robeson (910)521-1895 Angelo's Care Home 070479 MHL-067-144 "Anna's Care, Inc." 07-Aug-02 01-Jan-19 31-Dec-19 Type A 31-Oct-12 - - 1 27G.5100 Community Respite Services A MR/DD RESIDENTL Sir Arthur 180 Coastal Lane Jacksonville NC 28546 409 South Shore Drive Jacksonville NC 28546 Onslow (910)333-1001 Sir Arthur 090521 MHL-078-256 "Asbury Homes, Inc." 11-May-10 01-Jan-19 31-Dec-19 Type A 17-Jun-14 - - 2 27G.5100 Community Respite Services A MI RESIDENTL Asbury Homes - Pembroke 11337 Joe Brown Highway Tabor City NC 28463 300 Ruth Dial Street Pembroke NC 28372 Robeson (910)522-1115 "Asbury Homes, Inc." 080360 MHL-098-126 "Bailey's Respite Care, Inc." 03-Sep-08 01-Jan-19 31-Dec-19 Type A 13-Dec-18 - - 6 27G.5100 Community Respite Services C&A MD RESIDENTL Bailey's Respite Care 6936 Rock Ridge Sims Road Sims NC 27880 516 Lee Street Wilson NC 27893 Wilson (252)291-8878 April Butcher & Scott Butcher 061194 MHL-032-403 Ben Ouma Nyabwa 20-Mar-07 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL "Better Living Concepts of Durham, LLC" 909 Garcia Avenue Durham NC 27704 909 Garcia Avenue Durham NC 27704 Durham (919)477-5825 Ben Ouma Nyabwa 956249 MHL-064-113 "Better Connections, Inc." 12-Mar-10 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL Old Mill Rd-Better Connections PO Box 3381 Greenville NC 27836 1808 Old Mill Road Rocky Mount NC 27803 Nash (252)443-4675 "Better Connections, Inc." 120192 MHL-033-108 Better Days Ahead of Rocky Mount Inc. 09-Nov-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5100 Community Respite Services C&ADOL&A MI RESIDENTL Better Days Ahead of Rocky Mount Inc. #5 P O Box 909 Rocky Mount NC 27802 1521 Bedford Road Rocky Mount NC 27801 Edgecombe (253)442-1200 "Better Days Ahead of Rocky Mount, Inc." 170247 MHL-011-422 "Brandi Nichole Family Enrichment Center, Inc." 03-Dec-18 01-Jan-19 31-Dec-19 - - - - 5 27G.5100 Community Respite Services C&ADOL MD RESIDENTL Interlude 32 Chiles Avenue Asheville NC 28803 32 Chiles Avenue Asheville NC 28803 Buncombe (828)505-7169 "Brandi Nichole Family Enrichment Center, Inc." 011295 MHL-092-488 Brendex Renea Lee Meeks 19-Feb-02 01-Jan-19 31-Dec-19 Type B 02-May-18 - - 1 27G.5100 Community Respite Services A MR/DD RESIDENTL Meeks Group Home P.O. Box 1383 Wendell NC 27591 313 West Sycamore Street Zebulon NC 27597 Wake (919)390-4429 030145 MHL-092-546 "Canaan Care Home, LLC" 30-Jul-03 01-Jan-19 31-Dec-19 Type B 03-Jan-13 - - 1 27G.5100 Community Respite Services A MR/DD RESIDENTL Canaan Care Home 429/431 Waldo Street Cary NC 27511 429/431 Waldo Street Cary NC 27511 Wake (919)467-4574 980574 MHL-067-073 Cassandra Hampton 22-Jun-98 01-Jan-19 31-Dec-19 - - - - 2 27G.5100 Community Respite Services C&A MD DAY&RESL Hampton Home 100 Cypress Court Jacksonville NC 28540 100 Cypress Court Jacksonville NC 28540 Onslow (910)938-9373 140486 MHL-059-063 "Community Companion Home Care, LLC" 27-Feb-14 01-Jan-19 31-Dec-19 - - - - 0 27G.5100 Community Respite Services A MD DAY Possibilities 3288 Harmony Grove Rd Nebo NC 28761 81 South Main Street Marion NC 28752 McDowell (828)559-2130 "Community Companion Home Care, LLC" 922874 MHL-024-011 "Community Innovations, Inc." 16-May-90 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MI RESIDENTL Whiteville Group Home 80 Alliance Drive Whiteville NC 28472 168 Sweet Farm Road Whiteville NC 28472 Columbus (910)642-5670 "Community Innovations, Inc." 000438 MHL-096-115 "Country Pines, Inc." 01-Jun-00 01-Jan-19 31-Dec-19 Type A 27-Feb-07 - - 1 27G.5100 Community Respite Services A MR/DD RESIDENTL Country Pines #2 2307 North Beston Road LaGrange NC 28551 2600 North Beston Road LaGrange NC 28551 Wayne (919)778-1244 000439 MHL-096-117 "Country Pines, Inc." 01-Jun-00 01-Jan-19 31-Dec-19 Type A 18-Sep-13 - - 0 27G.5100 Community Respite Services A MR/DD DAY&RESL Country Pines #1 2307 North Beston Road LaGrange NC 28551 2307 North Beston Road LaGrange NC 28551 Wayne (919)778-7669 "Country Pines, inc." 080485 MHL-011-247 "Davidson Homes, Inc." 18-Jun-03 01-Jan-19 31-Dec-19 - - - - 0 27G.5100 Community Respite Services C&ADOL&A MI DAY LINCS 2084 Highway 70 Swannanoa NC 28778 6 Byas Lane Swannanoa NC 28778 Buncombe (828)299-1720 "Davidson Homes, Inc." 100956 MHL-011-329 "Davidson Homes, Inc." 28-Dec-10 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MI RESIDENTL McPherson Home 2084 Highway 70 Swannanoa NC 28778 16 Walnut Hill Drive Fairview NC 28730 Buncombe (828)628-3028 "Davidson Homes , Inc." 170249 MHL-011-410 "Davidson Homes, Inc." 05-Sep-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5100 Community Respite Services A MI RESIDENTL Beacon Lodge 2084 US Highway 70 Swannanoa NC 28778 4 Shope Creek Estates Road Asheville NC 28805 Buncombe (828)412-5311 "Davidson Homes, Inc." 021053 MHL-060-626 "Developmental Disabilities Resources, Inc." 12-Feb-01 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MI RESIDENTL The Harrah Home 6824 Wilgrove Mint Hill Rd Charlotte NC 28227 1408 Marlewood Circle Charlotte NC 28227 Mecklenburg (704)536-6681 "DDR, Inc. - Jean Kennedy" 050621 MHL-060-1061 "Developmental Disabilities Resources, Inc." 01-Jun-08 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services C&ADOL MI RESIDENTL Janice Ingram Home 6824 Wilgrove Mint Hill Rd Charlotte NC 28227 511 West Rocky River Road Charlotte NC 28213 Mecklenburg (704)287-0886 "Developmental Disabilities Resources, Inc." 110118 MHL-060-1207 "Developmental Disabilities Resources, Inc." 11-Mar-11 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL Cooley's House 6824 Wilgrove Mint Hill Rd Charlotte NC 28227 2116 Thurles Court Charlotte NC 28270 Mecklenburg (704)957-6637 "Developmental Disabilities Resources, Inc." 110209 MHL-060-1218 "Developmental Disabilities Resources, Inc." 11-Jul-11 01-Jan-19 31-Dec-19 Type B 27-Jul-15 - - 1 27G.5100 Community Respite Services A MI RESIDENTL Nina Moore Home 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 9829 Tufts Drive Mint Hill NC 28227 Mecklenburg (704)545-0469 "Developmental Disabilities Resources, Inc." 090909 MHL-036-314 "Developmental Disabilities Resources, Inc." 11-Oct-15 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MI RESIDENTL Parrish Baylock Home 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 1419 Cherry Park Drive Gastonia NC 28052 Gaston (704)648-8101 "Developmental Disabilities Resources, Inc." 030843 MHL-092-559 Eagle Healthcare Services Inc. 08-Oct-03 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MR/DD RESIDENTL Eagle Home III 1708 Trawick Rd Suite 101-105 Raleigh NC 27604 5800 Brambleton Avenue Raleigh NC 27610 Wake (919)773-2276 Eagle Healthcare Services Inc 020678 MHL-092-512 "Eagle Healthcare Services, Inc." 25-Sep-02 01-Jan-19 31-Dec-19 Type A 10-Feb-09 - - 0 27G.5100 Community Respite Services A MR/DD RESIDENTL Eagle Home II 1708 Trawick Rd Suite 101-105 Raleigh NC 27604 3300 New Hope Road Raleigh NC 27604 Wake (919)872-7686 "Eagle Healthcare Services, Inc." 000291 MHL-035-029 Eason Court Group Home LLC 03-May-00 01-Jan-19 31-Dec-19 Type A 07-Apr-17 - - 3 27G.5100 Community Respite Services A MD RESIDENTL Eason Court PO Box 759 Youngsville NC 27596 113 Eason Court Youngsville NC 27596 Franklin (919)556-4720 Eason Court Group Home LLC 120436 MHL-032-578 "Easter Seals UCP North Carolina and Virginia, Inc." 08-Jul-09 01-Jan-19 31-Dec-19 - - - - 4 27G.5100 Community Respite Services A MI RESIDENTL NC START Central Respite Home 5171 Glenwood Avenue Ste 211 Raleigh NC 27612 3817 Cheek Road Durham NC 27704 Durham (919)576-7253 Easter Seals UCP North Carolina 000156 MHL-040-015 "Edwards Group Home, Inc." 19-May-00 01-Jan-19 31-Dec-19 Summary Suspension 01-Oct-08 - - 1 27G.5100 Community Respite Services A MD RESIDENTL Edwards Group Home PO Box 295 Snow Hill NC 28580 306 West Greene Street Snow Hill NC 28580 Greene (252)747-4000 Edwards Group Home 941992 MHL-036-012 "Holy Angels, Inc." 01-Mar-85 01-Jan-19 31-Dec-19 - - - - 14 27G.5100 Community Respite Services C&ADOL&A MI RESIDENTL "Holy Angels, Inc.-Morrow Center" 6600 Wilkinson Boulevard Belmont NC 28012 6600 Wilkinson Boulevard Belmont NC 28012 Gaston (704)825-4161 "Holy Angels, Inc." 922007 MHL-034-016 "Horizons Residential Care Center, Inc." 01-Jun-85 01-Jan-19 31-Dec-19 - - - - 6 27G.5100 Community Respite Services C&A MR/DD RESIDENTL The Atrium/The Respite Center 100 Horizons Lane Rural Hall NC 27045 101 Horizons Lane Rural Hall NC 27045 Forsyth (336)767-2411 150549 MHL-067-187 "IQUOLIOC, Inc." 21-Jul-10 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL Eagles Nest Retreat 211 Drummer Kellum Rd. Jacksonville NC 28546 320 Chisholm Trail Jacksonville NC 28546 Onslow (910)968-0219 IQuOLIOC Inc. 010537 MHL-040-018 "Lucille's Behavioral, Inc." 24-Aug-01 04-Jan-19 31-Dec-19 Type B 23-Sep-08 - - 1 27G.5100 Community Respite Services A MD RESIDENTL "Lucille's Behavioral, Inc." 204 Highway 58 North Snow Hill NC 28580 204 Highway 58 North Snow Hill NC 28580 Greene (252)747-2451 "Lucille's Behavioral, Inc." 010421 MHL-092-460 Mary McCullers-Jackson 19-Jun-01 01-Jan-19 31-Dec-19 Intent to Revoke 11-Dec-17 - - 0 27G.5100 Community Respite Services A MI RESIDENTL Mary's Manor 5641 Quail Covey Lane Wendell NC 27591 228 Gail Ridge Lane Wendell NC 27591 Wake (919)266-9876 Mary McCullers-Gaddis 990036 MHL-092-426 Ms. Kimberly Starkey 11-Jul-00 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MI RESIDENTL Starkey Lowery's Supervised Living Home 856 Timber Drive Garner NC 27529 1232 Penselwood Drive Raleigh NC 27604 Wake (919)217-5032 Ms. Kimberly Starkey 050070 MHL-032-349 P.H.P. of N.C. Inc. 01-Aug-05 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MR/DD RESIDENTL Winburn PO Box 20014 Durham NC 27702 2415 Winburn Avenue Durham NC 27704 Durham (919)808-8341 "P.H.P. of NC, Inc." 960147 MHL-032-133 "P.H.P. of N.C., Inc." 05-Mar-96 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MR/DD DAYRESL The Sherman House PO Box 20014 Durham NC 27702 1712 Sherman Avenue Durham NC 27707 Durham (919)688-6454 "P.H.P. of N.C., Inc." 921517 MHL-013-006 "Piedmont Residential Development Center, Inc." 29-Feb-80 01-Jan-19 31-Dec-19 - - - - 4 27G.5100 Community Respite Services C&A MR/DD RESIDENTL Bost Children's Center P.O. Box 909 Concord NC 28026-0909 5300 Highway 200 Concord NC 28025 Cabarrus (704)786-1405 944950 MHL-065-252 "RHA Health Services NC, LLC" 29-Apr-16 01-Jan-19 31-Dec-19 Type B Imposed 07-Jul-17 - - 5 27G.5100 Community Respite Services C&ADOL&A MI RESIDENTL Cape Fear Respite Home 3255 Burnt Mill Dr. Wilmington NC 28403 202 Dorchester Place Wilmington NC 28412 New Hanover (910)313-1000 RHA Health Services 160547 MHL-049-116 "RHA Health Services NC, LLC" 01-Apr-09 01-Jan-19 31-Dec-19 - - - - 4 27G.5100 Community Respite Services A MD RESIDENTL Chestnut Grove 17 Church St Asheville NC 28801 303 Saint Andrews Road Statesville NC 28625 Iredell (980)635-1123 "RHA Health Services NC, LLC" 922898 MHL-025-215 "RHA Health Services, Inc." 13-Mar-09 01-Jan-19 31-Dec-19 - - - - 4 27G.5100 Community Respite Services A MI RESIDENTL Start Respite Home-Eastern Region 17 Church Street Asheville NC 28801 605 Pine Tree Drive New Bern NC 28560 Craven (252)633-4992 "RHA Health Services, Inc." 011181 MHL-083-029 "Rainbow 66 Storehouse, Inc." 24-May-02 01-Jan-19 31-Dec-19 Type B 14-Sep-10 - - 1 27G.5100 Community Respite Services A MD RESIDENTL "Rainbow 66 Storehouse, Inc." 1225 S. Caledonia Road Laurinburg NC 28352 22521 Bunch Road Laurel Hill NC 28351 Scotland (910)462-2264 "Rainbow 66 Storehouse, Inc. Diversity" 960838 MHL-079-047 "Rouse's Group Home, Inc." 20-Nov-97 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MR/DD DAYRESL ICF Rouse's Group Home #6 P. O. Box 16 Stoneville NC 27048 5820 NC Highway 135 Stoneville NC 27048 Rockingham (336)908-3307 "Rouse's Group Homes, Inc." 921869 MHL-012-019 "Skill Creations, Inc." 01-Oct-90 01-Jan-19 31-Dec-19 Type A 13-Apr-15 - - 4 27G.5100 Community Respite Services C&A MR/DD DAY SCI-Emergent Need Respite Center PO Box 1403 Lenior NC 28645 101 Poplar Street Morganton NC 28655 Burke (828)584-2122 SCI-ENRC 991024 MHL-012-068 "Skill Creations, Inc." 14-Oct-99 01-Jan-19 31-Dec-19 Type B 12-Apr-19 - - 3 27G.5100 Community Respite Services C&A MR/DD RESIDENTL SCI-Morganton Respite Center P.O. Box 1403 Lenoir NC 28645 806 Bethel Road Morganton NC 28655 Burke (828)430-8318 "Skill Creations, Inc." 980388 MHL-093-026 "Smith's Landing, Inc." 03-Apr-98 01-Jan-19 31-Dec-19 Type A 18-Apr-17 - - 1 27G.5100 Community Respite Services A MD RESIDENTL Smith's Landing PO Box 476 Norlina NC 27563 611 Division Street Norlina NC 27563 Warren (252)456-2481 961028 MHL-008-006 "Solid Foundation Facilities, Inc." 03-Dec-96 01-Jan-19 31-Dec-19 Type A 06-Feb-12 - - 0 27G.5100 Community Respite Services ADOL&A MD RESIDENTL Farmwood 224 Ward Road Windsor NC 27983 220 Ward Road Windsor NC 27983 Bertie (252)794-4743 030439 MHL-083-031 "TT & T Services, Inc." 24-Jul-03 01-Jan-19 31-Dec-19 Type A 12-Dec-14 - - 0 27G.5100 Community Respite Services C&ADOL MD RESIDENTL Miracle Haven of Wagram 126 N. Main St. Raeford NC 28376 21701 Bundy Street Wagram NC 28396 Scotland (910)369-0531 TT&T Svcs Inc. 030834 MHL-034-047 The Enrichment Center-An Affiliated Chapter of The Arc 12-Jul-91 01-Jan-20 31-Dec-20 Type A 11-Mar-08 - - 0 27G.5100 Community Respite Services A MI DAY The Enrichment Center 1006 South Marshall Street Winston-Salem NC 27101 1006 South Marshall Street Winston-Salem NC 27101 Forsyth (336)777-0076 010985 MHL-073-043 Thursher G. Winstead 20-Sep-02 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MI RESIDENTL Thursher Goodman Winstead Carehome 1579 Semora Road Roxboro NC 27574 1579 Semora Road Roxboro NC 27573 Person (336)597-5490 060677 MHL-041-803 Virgina M Parker 03-Jan-07 01-Jan-19 31-Dec-19 Type A 24-Jul-14 - - 1 27G.5100 Community Respite Services A MD RESIDENTL Virpark Inc. Residential Facility PO Box 321 Pleasant Garden NC 27313 3 Treeble Court Greensboro NC 27405 Guilford (336)691-8982 030037 MHL-041-671 Virpark Inc. 23-Apr-03 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL Virpark Inc. Residential Facility PO Box 321 Pleasant Garden NC 27313 619 Creekridge Road Greensboro NC 27406 Guilford (336)271-4002 Virpark Inc. 180293 MHL-074-254 William Guilford 08-Feb-19 08-Feb-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services C&A MI RESIDENTL New Beginnings 7465 Pitt Street Grimesland NC 27837 7465 Pitt Street Grimesland NC 27837 Pitt (252)758-2002 William Guilford 130034 MHL-011-386 dba Community Alternatives of North Carolina 01-Jan-16 01-Jan-19 31-Dec-19 - - - - 1 27G.5100 Community Respite Services A MI RESIDENTL Livingstone's Home 217 Executive Park Bldg 1 Asheville NC 28801 212 Baldwin Road Arden NC 28704 Buncombe (828)684-5328 VOCA Corp of NC 020466 MHL-059-032 "SUWS of the Carolina's, Inc." 06-May-02 01-Jan-19 31-Dec-19 - - - - 133 27G.5200 Residential Therapeutic (Habilitative) Camps C&ADOL MI RESIDENTL "SUWS of the Carolina's, Inc." 363 Graphite Road Old Fort NC 28762 363 Graphite Road Old Fort NC 28762 McDowell (828)668-7590 944401 MHL-080-035 "Timber Ridge Treatment Center, Inc." 28-Jan-94 01-Jan-19 31-Dec-19 Type A 26-Feb-19 - - 60 27G.5200 Residential Therapeutic (Habilitative) Camps C&ADOL MD RESIDENTL Timber Ridge Treatment Center PO Box 259 Gold Hill NC 28071 665 Timber Trail Gold Hill NC 28071 Rowan (704)279-1199 "Timber Ridge Treatment Center, Inc." 080552 MHL-088-020 "Trails Carolina, LLC" 10-Dec-08 01-Jan-19 31-Dec-19 Type B Imposed 19-Jun-19 - - 82 27G.5200 Residential Therapeutic (Habilitative) Camps C&ADOL MD RESIDENTL Trails Carolina 500 Winding Gap Road Lake Toxaway NC 28747 500 Winding Gap Road Lake Toxaway NC 28747 Transylvania (828)885-5920 "Trails Carolina, LLC" 120170 MHL-065-238 "A Caring Heart Case Management, Inc." 12-Apr-12 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY A Caring Heart Independence Center 1901 Tarboro St SW #102 Wilson NC 27893 2541 South 17th Street Wilmington NC 28401 New Hanover (910)332-3513 "A Caring Heart Case Management, Inc." 120624 MHL-098-183 "A Caring Heart Case Management, Inc." 07-Jan-13 01-Jan-19 31-Dec-19 Type B 31-Jan-18 - - 0 27G.5400 Day Activity C&A MD DAY A Caring Heart Independence Center "1901 Tarboro St. SW, Suite 102" Wilson NC 27893 "1901 Tarboro St. SW, Suite 101&102" Wilson NC 27893 Wilson (252)206-1266 "A Caring Heart Case Management, Inc." 160306 MHL-064-152 "A Caring Heart Case Management, Inc." 13-Jul-16 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY A Caring Heart Independence Center-Rocky Mount 1901 Tarboro St. SW Wilson NC 27893 "800 Tiffany Boulevard, Suite 100" Rocky Mount NC 27804 Nash (252)316-8221 "A Caring Heart Case Management, Inc." 160470 MHL-051-205 "A Caring Heart Case Management, Inc." 27-Sep-12 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY A Caring Heart Independence Center-Smithfield 1901 Taboro St. SW Ste 102 Wilson NC 27893 18 Noble Street Smithfield NC 27577 Johnston (919)938-9484 "A Caring Heart Case Management, Inc." 090923 MHL-082-092 "A Caring Heart Case Management, Inc." 12-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY A Caring Heart Independence Center-Clinton "1901 Tarboro Street SW, Suite 102" Wilson NC 27893 101 West Elizabeth Street Clinton NC 28328 Sampson (910)590-3200 "A Caring Heart Case Management, Inc." 170542 MHL-096-249 "A Caring Heart Case Management, Inc." 27-Sep-12 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY A Caring Heart Independence Center-Goldsboro "1901 Tarboro St. SW, #102" Wilson NC 27893 "808 Berkley Boulevard, Suite A1" Goldsboro NC 27534 Wayne (919)587-0189 "A Caring Heart Case Management, Inc." 140291 MHL-067-202 "A Caring Heart Case Management, Inc." 22-Mar-19 22-Mar-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY A Caring Heart Independence Center-Jacksonville "1901 Tarboro St. SW, Ste. 102" Wilson NC 27893 231 New Bridge Street Jacksonville NC 28540 Onslow (910)430-4152 "A Caring Heart Case Management, Inc." 120077 MHL-044-058 "A Small Miracle, LLC" 23-May-12 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Transitions West Day Program 1170 South Main Street Waynesville NC 28786 1170 South Main Street Waynesville NC 28786 Haywood (828)564-5650 "A Small Miracle, Inc." 160325 MHL-092-840 "A Small Miracle, LLC" 02-Apr-12 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Transitions Day Program "7404 Chapel Hill Road, Suite K" Raleigh NC 27607 "240 Newton Road, Suites 111-114" Raleigh NC 27615-6100 Wake (919)900-4422 "A Small Miracle, LLC" 170350 MHL-060-1322 "A Small Miracle, LLC" 02-Nov-16 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Transitions Charlotte Day Program 5309-B Idlewild Road N Charlotte NC 28227 5309-B Idlewild Road N Charlotte NC 28227 Mecklenburg (704)321-1635 "A Small Miracle, LLC" 140192 MHL-076-128 "A Small Miracle, LLC" 15-Mar-18 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Max & Friends @ Miles of Smiles 1890 Tommy's Road Goldsboro NC 27534 220 Caudle Road Randleman NC 27317 Randolph (336)498-2833 "A Small Miracle, LLC" 180255 MHL-049-148 "A Small Miracle, LLC" 15-Jun-18 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Transitions Mooresville Day Program 322 East Statesville Avenue Mooresville NC 28115 322 East Statesville Avenue Mooresville NC 28115 Iredell (704)664-5363 "A Small Miracle, LLC" 190056 MHL-041-1163 "A Small Miracle, LLC" 15-Mar-18 27-Feb-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Max & Friends 1890 Tommy's Road Goldsboro NC 27534 2-C Oak Branch Drive Greensboro NC 27407 Guilford (336)450-2150 "A Small Miracle, LLC" 180482 MHL-036-338 "A Small Miracle, LLC" 02-Jun-19 02-Jun-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Achieve Learning Center-Gastonia 1890 Tommy's Road Goldsboro NC 27534 "245 West Garrison Boulevard, Upper Level" Gastonia NC 28052 Gaston (704)215-6855 "A Small MIracle, LLC" 160095 MHL-023-216 "A Small Miracle, LLC" 02-Jun-19 02-Jun-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Achieve Learning Center 1890 Tommy's Road Goldsboro NC 27534 "215 South Washington Street, Suite 108" Shelby NC 28150 Cleveland (704)487-6033 "A Small Miracle, LLC" 190202 MHL-051-220 "A Small Miracle, LLC" 30-Mar-17 01-Jun-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Transitions II Day Program 1890 Tommy's Road Goldsboro NC 27534 920 Highway 42 West Clayton NC 27520 Johnston (919)299-6091 "A Small Miracle, LLC" 100819 MHL-076-097 "Abundant Life, Inc." 26-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY "Abundant Life, Inc." PO Box 441 Randleman NC 27317 4720 US Highway 220 Business North Asheboro NC 27203 Randolph (336)495-0671 170481 MHL-041-1162 Adult Day & Respite Care Center 30-Mar-18 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity A MD DAY Adult Day & Respite Care Center 3107 Groometown Road Greensboro NC 27407 3107 Groometown Road Greensboro NC 27407 Guilford (336)852-8338 Adult Day & Respite Care Center 120135 MHL-054-154 "Advance Behavioral Health Services, Inc." 17-Feb-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY "Advance Behavioral Health Services, Inc." PO Box 789 Kinston NC 28502 2906 Hull Road Kinston NC 28504 Lenoir (252)526-7375 Maude Bishop/ABHS 921441 MHL-040-005 "Ambleside, Inc." 01-Jan-95 01-Jan-19 31-Dec-19 Type B 19-Aug-14 - - 0 27G.5400 Day Activity A MD DAY Ambleside 1 Industrial Drive Snow Hill NC 28580 1 Industrial Drive Snow Hill NC 28580 Greene (252)747-5252 "Ambleside, Inc." 170106 MHL-029-122 "Ambleside, Inc." 24-Aug-11 01-Jan-19 31-Dec-19 Type A 24-Feb-17 - - 0 27G.5400 Day Activity A MI DAY Ambleside Adult Day Program 1 Industrial Drive Snow Hill NC 28580 670-E Radio Drive Lexington NC 27292 Davidson (336)224-2923 "Ambleside, Inc." 130054 MHL-078-304 "Angelo's Care Home, Inc." 01-Mar-13 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity A MI DAY Angelo's Day Program 10091 US Hwy 74W Maxton NC 28364 10089 US Hwy 74W Maxton NC 28364 Robeson (910)521-1895 "Angelo's Care Home, Inc." 100888 MHL-067-159 "Anna's Care, Inc." 11-Jul-05 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Ms. Ruthie's Learning Center 180 Coastal Lane Jacksonville NC 28546 180 Coastal Lane Jacksonville NC 28546 Onslow (910)353-6773 Anna's Care/Ms. Ruthie's Learning Center 180134 MHL-036-330 "Array of Brighter Beginnings, Inc." 02-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY "Array of Brighter Beginnings, Inc." "813 S. Oakland St, Unit A" Gastonia NC 28054 "813 South Oakland Street, Unit A" Gastonia NC 28054 Gaston (980)216-6899 "Array of Brighter Beginnings, Inc." 110060 MHL-041-674 "Autism Society of North Carolina, Inc." 13-Jun-03 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Autism Center for Life Enrichment 5121 Kingdom Way Ste 100 Raleigh NC 27607 "9 Oak Branch Drive, Suites A & B" Greensboro NC 27407-2992 Guilford (336)333-0197 "Autism Society of North Carolina, Inc." 090622 MHL-071-028 "Autism Support and Programs, Inc." 08-Dec-09 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Sunrise 200 Island Creek Road Rocky Point NC 28457 300 Island Creek Road Rocky Point NC 28457 Pender (910)270-5494 "Autism Support and Programs, Inc.(ASAP)" 921486 MHL-007-002 "Beaufort County Developmental Center, Inc." 16-Jul-85 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity A MD DAY Beaufort County Developmental Center P O Box 518 Washington NC 27889 1534 West Fifth Street Washington NC 27889 Beaufort (252)946-0151 Eric Summerlin 110832 MHL-091-095 "Beyond Challenges Community Services, LLC" 11-Oct-11 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY "Beyond Challenges Community Services, LLC" 509 Piano Drive Durham NC 27703 515 Yadkin Street Henderson NC 27536 Vance (252)572-2167 160119 MHL-032-520 "Bridging the Gap Residential Services, LLC" 11-Mar-10 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity A MD DAY Bridging the Gap Day Services "2945 South Miami Boulevard," Durham NC 27703 "2945 South Miami Boulevard, Suite 114" Durham NC 27703 Durham (919)381-4749 "Bridging the Gap Residential Services, LLC" 090824 MHL-078-316 "CMS Agency, Inc." 30-Aug-16 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY "CMS Agency, Inc." 408 W. Armfield Street St. Pauls NC 28384 408 West Armfield Street St. Pauls NC 28384 Robeson (910)865-9299 "CMS Agency, Inc." 100293 MHL-060-1089 "Care-Well of Charlotte, Inc." 19-Dec-08 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY My Way Day Supports 6608-C East W.T. Harris Boulevard Charlotte NC 28215 6608-C East W.T. Harris Boulevard Charlotte NC 28215 Mecklenburg (704)537-0052 "Care-well of Charlotte, Inc." 922651 MHL-016-004 "Carobell, Inc." 03-Feb-86 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Station Club Enterprise 198 Cinnamon Drive Hubert NC 28539 306 Church Street Morehead City NC 28557 Carteret (919)436-4033 "Carobell, Inc." 991173 MHL-067-104 "Carobell, Inc." 20-Dec-99 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Carobell Day Program/Day Activity Program 198 Cinnamon Drive Hubert NC 28539 196 & 198 Cinnamon Drive Hubert NC 28539 Onslow (910)326-7600 "Carobell, Inc." 130003 MHL-024-100 Carolinas Home Care Agency Inc. 30-Jan-13 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Day Activity Program PO Box 1723 Whiteville NC 28472 114 Premiere Plaza Whiteville NC 28472 Columbus (910)641-0060 "Carolinas Home Care Agency, Inc." 130017 MHL-009-043 "Carolinas Home Care Agency, Inc." 30-Jan-13 01-Jan-19 31-Dec-19 Type B 15-Feb-17 - - 0 27G.5400 Day Activity C&A MI DAY Carolinas Home Care Agency Inc. PO Box 1723 Whiteville NC 28472 1204 West Swanzy Street Elizabethtown NC 28337 Bladen (910)862-1515 "Carolinas Home Care Agency, Inc." 090636 MHL-078-313 "Carolinas Home Care Agency, Inc." 27-Jul-15 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Day Supports PO Box 1723 Whiteville NC 28472 511 East 2nd Street Lumberton NC 28358 Robeson (910)738-5858 "Carolinas Home Care Agency, Inc." 110978 MHL-092-843 "Cary Behavioral Health, PC" 21-May-12 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY "Cary Behavioral Health, PC" 160 NE Maynard Road Suite 200 Cary NC 27513 160 NE Maynard Road Suite 200 Cary NC 27513 Wake (919)466-7540 030783 MHL-019-034 "Chatham County Group Homes, Inc." 05-Aug-03 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY READD Center PO Box 207 Siler City NC 27344 251 Lynnbrook Road Siler City NC 27344 Chatham (919)742-1300 "Chatham County Group Homes, Inc." 100491 MHL-067-085 "Coastal Residential Services, Inc." 20-Apr-99 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Coastal Transitional Services Inc. PO Box 7128 Jacksonville NC 28540 "445 Western Boulevard, Suite T" Onslow NC 28546 Onslow (910)333-1880 Attn: Carol Wilson 100717 MHL-014-027 "ComServ, Inc." 19-Sep-05 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Gateway Opportunities PO Box 1080 Lenoir NC 28645 2419 Norwood Street SW Lenoir NC 28645 Caldwell (828)728-9635 "ComServ, Inc." 150093 MHL-036-017 "ComServ, Inc." 01-Aug-87 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MR/DD DAY Creative Opportunities 1541 Delta Drive Gastonia NC 28052 1541 Delta Drive Gastonia NC 28052 Gaston (980)320-1753 "ComServ, Inc." 160045 MHL-053-074 "Community Alternative Housing, Inc." 25-Nov-13 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Community Alternative Day Program PO Box 87195 Fayetteville NC 28304 304 South Steele Street Sanford NC 27330 Lee (919)774-1800 "Community Alternative Housing, Inc." 140486 MHL-059-063 "Community Companion Home Care, LLC" 27-Feb-14 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Possibilities 3288 Harmony Grove Rd Nebo NC 28761 81 South Main Street Marion NC 28752 McDowell (828)559-2130 "Community Companion Home Care, LLC" 990162 MHL-067-084 "Community Innovations, Inc." 08-Jun-98 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Countryview Day Program 1011-A Onsville Drive Jacksonville NC 28546 1009-B Onsville Drive Jacksonville NC 28546 Onslow (910)455-2230 "Community Innovations, Inc." 170050 MHL-024-029 "Community Innovations, Inc." 23-Dec-96 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MR/DD DAY Southeastern Community Support Center 80 Alliance Drive Whiteville NC 28472 80 Alliance Drive Whiteville NC 28472 Columbus (910)642-5697 "Community Innovations, Inc." 922029 MHL-091-003 "Community Workforce Solutions, Inc." 01-Mar-85 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY "Community Workforce Solutions, Inc." "1011 Schaub Dr, Ste 200" Raleigh NC 27606 602 South Garnett Street Henderson NC 27536 Vance (252)492-9555 180595 MHL-092-273 "Community Workforce Solutions, Inc." 28-Apr-97 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY "Community Workforce Solutions, Inc." "1011 Schaub Dr, Ste 200" Raleigh NC 27606 "1011 Schaub Drive, Suites 102 & 104" Raleigh NC 27606 Wake (919)231-3325 "Community Workforce Solutions, Inc." 190047 MHL-092-792 "Community Workforce Solutions, Inc." 25-Oct-10 11-Feb-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Gateway Clubhouse "1011 Schaub Drive, Ste B01" Raleigh NC 27606 "1011 Schaub Drive, Suite B01" Raleigh NC 27606 Wake (919)662-0940 "Community Workforce Solutions, Inc." 040213 MHL-078-157 "Companion Home Care - Unimed, Inc." 12-Dec-11 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity NONE NONE DAY Companion Home Care - Day Supports 4820 Fayetteville Road Lumberton NC 28358 "208 B Union Chapel Road, Suite 1" Pembroke NC 28372 Robeson (910)521-4484 "Companion Home Care - Unimed, Inc." 140064 MHL-024-102 Companion Home Care-Unimed 05-Mar-14 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Companion Home Care Day Supports 4820 Fayetteville Road Lumberton NC 28358 11337 B Joe Brown Highway Tabor City NC 28463 Columbus (910)653-3235 Companion Home Care - Unimed 110951 MHL-032-590 "Comprehensive Community Care, Inc." 02-Nov-13 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY CCCI/DP1 3308 Durham Chapel Hill Blvd.Bldg.F Durham NC 27707 "3308 Durham Chapel Hill Blvd., Building F" Durham NC 27707 Durham (919)402-0323 "Comprehensive Community Care, Inc." 160140 MHL-068-156 "Comprehensive Community Care, Inc." 20-Apr-16 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY CCC/DP3 "3308 Durham Chapel Hill Blvd.,Bld F" Durham NC 27707 "1829 East Franklin Street, Unit 700D" Chapel Hill NC 27514 Orange (919)493-0290 "Comprehensive Community Care, Inc." 160035 MHL-076-124 "Cozie's Supervised Living, Inc." 05-Apr-16 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Cozie's Supervised Living PO Box 637 Liberty NC 27298 902 West Swannanoa Avenue Liberty NC 27298 Randolph (336)622-0363 "Cozie's Supervised Living, Inc." 130121 MHL-041-1090 "Creative Management Source, Inc." 15-Nov-13 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY "Creative Management Source, Inc." PO Box 16851 Greensboro NC 27415 3407-G West Wendover Avenue Greensboro NC 27407 Guilford (336)292-5478 "Creative Management Source, Inc." 080485 MHL-011-247 "Davidson Homes, Inc." 18-Jun-03 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY LINCS 2084 Highway 70 Swannanoa NC 28778 6 Byas Lane Swannanoa NC 28778 Buncombe (828)299-1720 "Davidson Homes, Inc." 070803 MHL-020-044 "Davidson Homes, Inc." 19-Dec-07 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Deep Creek Day Program 2084 Highway 70 Swannanoa NC 28778 99 D Robbinsville Road Andrews NC 28901 Cherokee (828)321-4111 Davidson Homes Inc. 100868 MHL-018-090 "Destiny Management, Inc." 25-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Bright Futures PO Box 1826 Drexel NC 28619 1056 3rd Avenue Drive N.W. Hickory 28601 Catawba (828)855-1807 Destiny Management Incorporated 010869 MHL-012-130 "Destiny Management, Inc." 19-Nov-12 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Heritage Day Supports PO Box 1826 Drexel NC 28619 209 Oakland Avenue Drexel NC 28655 Burke (828)391-8282 "Destiny Management, Inc." 090635 MHL-060-1113 "Developmental Disabilities Resources, Inc." 11-Sep-09 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY DDR-Connect 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 9929 Albemarle Road Charlotte NC 28227 Mecklenburg (704)573-9777 DDR Connect 100803 MHL-036-312 "Developmental Disabilities Resources, Inc." 29-Apr-15 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY DDR - Connect/Gastonia 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 252 Wilmot Drive Gastonia NC 28054 Gaston (980)444-3084 "Developmental Disabilities Resources, Inc." 170128 MHL-060-1349 "Developmental Disabilities Resources, Inc." 26-Jun-17 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY "DDR, Inc.-Connect Annex" 6824 Wilgrove Mint Hill Road Mint Hill NC 28227 9822 Albemarle Road Charlotte NC 28227 Mecklenburg (704)573-9777 "Developmental Disabilities Resources, Inc." 160434 MHL-098-195 "Diversified Opportunities, Inc." 23-Feb-17 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY "Diversified Opportunities, Inc." 1010 Herring Avenue Wilson NC 27893 1010 Herring Avenue Wilson NC 27893 Wilson (252)291-0378 "Diversified Opportunities, Inc." 100825 MHL-077-064 "Divine Koncepts, Inc." 27-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY "Divine Koncepts, II" 502 E. Broad Ave. Rockingham NC 28379 807 East Washington Street Rockingham NC 28379 Richmond (910)997-5182 "Divine Koncepts, Inc." 120630 MHL-012-132 "Dream Connections, Inc." 02-Apr-13 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Dream Connections Day Services PO Box 585 Valdese NC 28690 "400 Main Street West, Suite 18" Valdese NC 28690 Burke (828)874-0909 "Dream Connections, Inc." 050577 MHL-032-159 Durham County Government 07-Mar-97 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Durham County Criminal Justice Resource Center 326 East Main Street Durham NC 27701 326 East Main Street Durham NC 27701 Durham (919)560-0500 Durham County Government 955636 MHL-084-080 "Elite Care Services, Inc." 17-Feb-11 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Enlightening Experiences 723 Aquadale Road Albemarle NC 28001 125 Charter Street Albemarle NC 28001 Stanly (704)986-4118 "Elite Care Services, Inc." 140287 MHL-041-1006 "Exceptional Family Support, LLC" 18-Feb-11 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Exceptional Family Support Day Program "7325 W, Friendly Avenue, SuiteF" Greensboro NC 27410 "7325 W. Friendly Avenue, Suite B" Greensboro NC 27410 Guilford (336)763-0166 "Exceptional Family Support, LLC" 922628 MHL-092-873 "Fellowship Health Resources, Inc." 08-Jul-13 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Drop In Center 5509 Creedmoor Rd. Raleigh NC 27612 401 E. Whitaker Mill Road Raleigh NC 27608 Wake (919)573-8954 Mary Ann Johnson 130483 MHL-041-979 "Foster's Care Facility, LLC" 26-Jul-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY "Foster's Care Facility, LLC" "1320 North Hamilton St., Ste. 107" High Point NC 27262 "1320 North Hamilton St., Ste. 107" High Point NC 27262 Guilford (336)885-0602 "Foster's Care Facility, LLC" 150097 MHL-034-310 "Friendly People That Care, LLC" 03-Jun-13 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Friendly People That Care Day Program 485 Shepherd St Winston-Salem NC 27103 485 Shepherd Street Winston Salem NC 27103 Forsyth (336)829-5938 "Friendly People That Care, LLC" 922530 MHL-055-012 "Gaston Skills, Inc." 01-Jul-91 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Salem Industries 1301 Bessemer City Road Gastonia NC 28052 1636 Salem Church Road Lincolnton NC 28092 Lincoln (704)732-1516 051136 MHL-036-243 "Gaston Skills, Inc." 18-Jul-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Gaston Skills 1301 Bessemer City Road Gastonia NC 28052 1301Bessemer City Road Gastonia NC 28052 Gaston (704)869-0300 JoAnn Raxter 100324 MHL-060-1159 "Genesis Project 1, Inc." 18-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity ADOL&A MD DAY Genesis Project "5104 Reagan Dr., Ste. 5" Charlotte NC 28206 "5104 Reagan Drive, Suites 3 & 5" Charlotte NC 28206 Mecklenburg (704)596-0505 090283 MHL-041-774 "Gentlehands of NC, Inc." 07-Mar-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Gentlehands Day Program 7 Wimbledon Lane Greensboro NC 27455 1336 Lees Chapel Road Greensboro NC 27455 Guilford (336)617-0337 "Gentehands of N.C., Inc." 120092 MHL-060-1241 "Heartspring, Inc." 10-Apr-12 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Heartspring "3707 Latrobe Drive, Suite 460" Charlotte NC 28211-1361 "3707 Latrobe Drive, Suite 460" Charlotte NC 28211-1361 Mecklenburg (704)366-6522 "Heartspring, Inc." 180388 MHL-098-176 "Herbert Reid Home, Inc." 03-Jan-12 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY "Herbert Reid Home, Inc. (HRH, Inc.)" "216 Nash St. NE, Suite A" Wilson NC 27893 "216 Nash Street North East, Suite A" Wilson NC 27893 Wilson (252)654-4800 "Herbert Reid Home, Inc." 041212 MHL-060-1039 "Hinds' Feet Farm, Inc." 10-Dec-07 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Hinds' Feet Farm PO Box 2842 Huntersville NC 28070 14625 Black Farms Road Huntersville NC 28078 Mecklenburg (704)992-1424 090377 MHL-011-313 "Hinds' Feet Farm, Inc." 25-Jun-09 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Hinds' Feet Farm-Asheville PO Box 2842 Huntersville NC 28070 375 Hendersonville Road Asheville NC 28803 Buncombe (828)274-0570 "Hinds' Feet Farm, Inc." 941992 MHL-036-012 "Holy Angels, Inc." 01-Mar-85 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY "Holy Angels, Inc.-Morrow Center" 6600 Wilkinson Boulevard Belmont NC 28012 6600 Wilkinson Boulevard Belmont NC 28012 Gaston (704)825-4161 "Holy Angels, Inc." 120296 MHL-060-1366 HomeCare Management Corporation 01-Mar-18 24-Jun-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY HomeCare Day Activity "315 Wilkesboro Blvd, NE, Suite 2-A" Lenoir NC 28645 "5855 Executive Center Drive, Suite 104" Charlotte NC 28212 Mecklenburg (704)535-4342 HomeCare Management Corporation 150322 MHL-060-1391 "HomeCare Management Corporation, Inc." 20-Jan-19 20-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY HomeCare Day Activity-Charlotte-2 "315 Wilkesboro Blvd., NE, Ste2-A" Lenoir NC 28645 "2818 Queen City Blvd., Suite E" Charlotte NC 28208 Mecklenburg (704)395-9387 "HomeCare Management Corporation, Inc." 060718 MHL-042-076 Homecare Management Corporation 01-Jul-16 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Homecare Management Corporation 315 Wilkesboro Blvd NE Suite 2_a Lenoir NC 28645 1165 Gregory Drive Roanoke Rapids NC 27870 Halifax (252)537-7575 Homecare Management Corporation 150400 MHL-032-502 "House of Care, Inc." 10-Sep-09 01-Jan-19 31-Dec-19 Type B 21-Jun-16 - - 0 27G.5400 Day Activity A MD DAY "House of Care, Inc." "3500 Westgate Dr., Ste. 103" Durham NC 27707 "3500 Westgate Drive, Suite 103" Durham NC 27707 Durham (919)493-6871 160055 MHL-054-138 "Howell Support Services, LLC" 07-Aug-09 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Howell Support Services Enrichment Center 907-A Landmark Drive Goldsboro NC 27532 1603 Airport Road Kinston NC 28501 Lenoir (252)523-1886 "Howell Support Services, LLC" 190219 MHL-036-334 "Hughes Behavioral and Mental Health Services, Inc." 20-Jan-19 01-Jul-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Hughes-Day Activity-Gastonia "1307 Union Road, Ste 105" Gastonia NC 28054 "1307 Union Road, Suite 105" Gastonia NC 28054 Gaston (704)879-9273 "Hughes Behavioral and Mental Health Services, Inc." 922192 MHL-048-006 Hyde County DSS 21-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Mattamuskeet Opportunties Hyde ADAP PO Box 100 Engelhard NC 27824 69 Church Street Fairfield NC 27826 Hyde (252)926-5411 Mattamuskeet Opportunties Hyde ADAP 180035 MHL-053-072 "I Innovations, Inc." 19-Jun-12 01-Jan-19 31-Dec-19 Intent to Revoke 04-Apr-19 - - 0 27G.5400 Day Activity C&ADOL&A MI DAY "I Innovations, Inc." PO Box 1553 Sanford NC 27331 1952 S. Horner Boulevard Sanford NC 27330 Lee (919)776-8972 "I Innovations, Inc." 180175 MHL-004-047 "I Innovations, Inc." 03-May-18 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY "I Innovations, Inc. - Wadesboro" PO Box 1553 Sanford NC 27331 1221 E Caswell Street Wadesboro NC 28170 Anson (919)895-0035 "I innovations, Inc." 150499 MHL-067-184 "IQUOLIOC, Inc." 29-Sep-09 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY "IQUOLIOC, Inc." 211 Drummer Kellum Rd Jacksonville NC 28546 211 Drummer Kellum Road Jacksonville NC 28546 Onslow (910)355-2000 "IQUOLIOC, Inc." 150403 MHL-060-1204 InReach 16-Feb-11 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY InReach-Community Outreach 4530 Park Road Suite 300 Charlotte NC 28209 "801 Baxter Street, Suite 404" Charlotte NC 28202 Mecklenburg (704)536-6661 InReach 160569 MHL-090-187 InReach 05-Dec-16 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY InReach/Union Day Supports "4530 Park Rd., Ste 300" Charlotte NC 28209 100 Winchester Avenue Monroe NC 28110 Union (704)536-661 InReach 160609 MHL-025-203 "Independent Human Services, LLC" 14-Jun-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Independent Human Services Developmental Program 1225 Colony Drive New Bern NC 28562 1221 & 1223 Colony Drive New Bern NC 28562 Craven (252)635-9493 "Independent Human Services, LLC" 180182 MHL-013-150 "Independent Opportunities, Inc." 17-Sep-09 09-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY IOI Enrichment Center 3701 Concord Parkway South Concord NC 28027 3701 Concord Parkway South Concord NC 28027 Cabarrus (704)933-0404 "Independent Opportunities, Inc." 160081 MHL-011-390 "Intentional Longevity, Inc." 24-Mar-16 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY The Center for Spiritual Emergence & Katharos Sanctuary "370 N. Louisiana Ave., Ste. D3" Asheville NC 28806 "370 North Louisiana Avenue, Suite D3 & D4" Asheville NC 28806 Buncombe (828)412-3688 "Intentional Longevity, Inc." 041242 MHL-092-915 Learning Services Corporation 17-Jun-15 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Learning Services Corporation-Brian K. Preston Center 5301 Robbins Drive Raleigh NC 27610 530 Building Futures Circle Raleigh NC 27610 Wake (919)255-9595 Learning Services Corporation 160351 MHL-039-060 Learning Services Corporation 12-Sep-16 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Learning Services Neurobehavioral Institute-Randy Evans 800 Recovery Drive Creedmoor NC 27522 804 Recovery Drive Creedmoor NC 27522 Granville (919)529-1241 Learning Services Corporation 070690 MHL-007-038 "Lifequest, Inc." 14-Jan-04 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity A MI DAY "Lifequest, Inc." 230 East 8th Street Washington NC 27889 230 East 8th Street Washington NC 27889 Beaufort (252)975-8080 Angela Hardison 090342 MHL-060-643 Lifespan Incorporated 30-Apr-01 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity A MD DAY Lifespan Graham 601 North Graham Street Charlotte NC 28202 601 North Graham Street Charlotte NC 28202 Mecklenburg (704)333-7107 Lifespan 100302 MHL-084-034 Lifespan Incorporated 02-Apr-98 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Lifespan-Albemarle 233 Montgomery Ste 1-A Albemarle NC 28001 233 Montgomery Ste 1-A Albemarle NC 28001 Stanly (704)986-6376 Meri Frazier 922495 MHL-086-010 Lifespan Incorporated 01-May-89 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Lifespan 623 Rockford Road Dobson NC 27017 623 Rockford Road Dobson NC 27017 Surry (336)374-4466 030816 MHL-049-023 Lifespan Incorporated 01-Mar-89 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY LifeSpan @ IVW-Troutman 143 Iredell Avenue Troutman NC 28166 143 Iredell Avenue Troutman NC 28166 Iredell (704)873-5646 LifeSpan @ IVW-Troutman 100691 MHL-041-508 Lifespan Incorporated 15-Oct-98 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY LifeSpan - Guilford 908 McClellan Place Greensboro NC 27409 908 McClellan Place Greensboro NC 27409 Guilford (336)852-1495 "LifeSpan, Incorporated" 130478 MHL-044-041 Lifespan Incorporated 22-Jul-05 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY LifeSpan Enrichment Center 1511 Shopton Road Suite A Charlotte NC 28217 2143 Asheville Road Waynesville NC 28786 Haywood (828)452-1720 Lifespan Incorporated 170513 MHL-090-085 Lifespan Incorporated 08-Apr-98 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Lifespan-Union County 1918 East Roosevelt Boulevard Monroe NC 28112-4130 1918 East Roosevelt Boulevard Monroe NC 28112-4130 Union (704)291-2332 LifeSpan Incorporated 160037 MHL-020-071 "Lifespan, Inc." 23-Feb-16 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Lifespan Creative Campus - Andrews 1511 Shopton Road Suite A Charlotte NC 28217 14020 US 19 Andrews NC 28901 Cherokee (828)321-9992 "Lifespan, Inc." 120615 MHL-041-1012 "Lindley Habilitation Services, Inc." 01-Apr-11 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Lindley College II "4214 Beechwood Dr., Ste. 101" Greensboro NC 27410 "4259 Piedmont Parkway, Suite 114" Greensboro NC 27410 Guilford (336)852-5455 "Lindley Habilitation Services, Inc." 110202 MHL-041-1086 "Lindley Habilitation Services, Inc." 05-Sep-13 01-Jan-19 31-Dec-19 Type A 05-Feb-14 - - 0 27G.5400 Day Activity A MD DAY Lindley College I "4214 Beechwood Dr., Ste. 101" Greensboro NC 27410 "4214 Beechwood Drive, Suite 110" Greensboro NC 27410 Guilford (336)256-9768 "Lindley Habilitation Services, Inc." 140025 MHL-034-320 "Lindley Habilitation Services, Inc." 13-Mar-14 01-Jan-19 31-Dec-19 Type A 15-Jul-14 - - 0 27G.5400 Day Activity A MD DAY Lindley College V "4214 Beechwood Dr., Ste 101" Greensboro NC 27410 "6000 Meadowbrook Mall Court, Suite 8" Clemmons NC 27012 Forsyth (336)893-6231 "LindleyHabilitation Services, Inc." 140336 MHL-041-1103 "Lindley Habilitation Services, Inc." 03-Sep-14 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Lindley College III "4214 Beechwood Dr., Ste. 101" Greensboro NC 27410 "4259 Piedmont Parkway, Suite 112" Greensboro NC 27410 Guilford (336)852-5455 "Lindley Habilitation Services, Inc." 100639 MHL-092-928 "Lindley Habilitation Services, Inc." 12-Aug-15 01-Jan-19 31-Dec-19 Type B 12-Apr-19 - - 0 27G.5400 Day Activity A MD DAY Lindley College VIII "4214 Beechwood Dr., Ste. 101" Greensboro NC 27410 108 New Edition Court Cary NC 27511 Wake (919)462-0460 "Lindley Habilitation Services, Inc." 160319 MHL-041-1135 "Lindley Habilitation Services, Inc." 20-Jul-16 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Lindley College XI "4214 Beechwood Dr., Ste. 101" Greensboro NC 27410 "4214 Beechwood Drive, Suite 101" Greensboro NC 27410 Guilford (336)855-3755 "Lindley Habilitation Services, Inc." 160368 MHL-010-084 "Lindley Habilitation Services, Inc." 18-Jul-12 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Lindley College IX "4214 Beechwood Dr., Ste 101" Greensboro NC 27410 "1513 North Howe Street, Suite H" Southport NC 28461 Brunswick (910)477-6199 "Lindley Habilitation Services, Inc." 170411 MHL-065-245 "Lindley Habilitation Services, Inc." 26-Mar-17 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Lindley College VI "4214 Beechwood Drive, Suite 101" Greensboro NC 27410 "5040 New Centre Drive, Suite F" Wilmington NC 28403 New Hanover (910)793-3828 "Lindley Habilitation Services, Inc." 180246 MHL-001-248 "Lindley Habilitation Services, Inc." 09-Mar-17 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Lindley College X "4214 Beechwood Drive, Suite 101" Greensboro NC 27410 2451 South Church Street Burlington NC 27216 Alamance (336)404-0168 "Lindley Habilitation Services, Inc." 190020 MHL-092-966 "Lindley Habilitation Services, Inc." 04-Feb-19 04-Feb-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Lindley College- Cary 105 "4214 Beechwood Drive, Suite 101" Greensboro NC 27410 105 New Edition Court Cary NC 27511 Wake (919)462-0460 "Lindley Habilitation Services, Inc." 190019 MHL-092-967 "Lindley Habilitation Services, Inc." 04-Feb-19 04-Feb-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Lindley College- Cary 102 "4214 Beechwood Drive, Suite 101" Greensboro NC 27410 102 New Edition Court Cary NC 27511 Wake (919)651-9446 "Lindley Habilitation Services, Inc." 130108 MHL-041-1072 "M & S Supervised Living, LLC" 27-Mar-13 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY M & S Center For Opportunities 7311-A Friendship Church Road Brown Summit NC 27214 308-L Pomona Drive Greensboro NC 27407 Guilford (336)907-7950 "M & S Supervised Living, LLC" 050894 MHL-018-033 MH Fund Inc. dba Catawba Valley Behavioral Healthcare 01-Oct-95 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MR/DD DAY Life Skills Program 327 1st Avenue NW Hickory NC 28601 3060 11th Avenue Dr. SE Hickory NC 28602 Catawba (828)695-2150 Kandi Dubuque 170311 MHL-032-507 "Makin' Choices, Inc." 16-Oct-09 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY "Makin' Choices, Inc." "2609 N. Duke Street, Bldg. 900" Durham NC 27704 "2609 N. Duke Street, Bldg. 900" Durham NC 27704 Durham (919)317-1170 "Makin' Choices, Inc." 170386 MHL-032-477 Matchbox Health Services Corporation 26-Mar-09 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity A MI DAY Matchbox Health Services Corporation PO Box 52660 Durham NC 27717 "2310 South Miami Blvd., Suite 139" Durham NC 27703 Durham (919)281-0153 Matchbox Health Services Corporation 020006 MHL-041-012 Mental Health Associates of the Triad 01-Sep-86 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Destiny House (PSR) / The Journey (DA) PO Box 5693 High Point NC 27262 910 Mill Avenue High Point NC 27260 Guilford (336)883-7480 Mental Health Associates of the Triad 120618 MHL-041-937 "Mercy Home Services, Inc." 28-Jan-10 01-Jan-19 31-Dec-19 Type A 31-Dec-14 - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Merciful Hands Day Program 2 Ridge Grove Court Greensboro NC 27455 "1203 Brandt Street, Suite E" Greensboro NC 27407 Guilford (336)617-7947 "Mercy Home Services, Inc." 170215 MHL-041-1147 Michael A. Walker 19-Mar-14 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MR/DD DAY Walkers Day Program 18869 John Connor Road Cornelius NC 28031 "107 Wade Street, Suite A" Jamestown NC 27282 Guilford (336)410-4850 Michael A. Walker 922719 MHL-026-057 "Mid State Health Systems, Inc." 01-Sep-90 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY The Learning Center 3721 Legion Road Hope Mills NC 28348 3721 Legion Road Hope Mill NC 28348 Cumberland (910)484-3717 "Mid State Health Systems, Inc." 921668 MHL-025-005 Monarch 01-Mar-88 01-Jan-19 31-Dec-19 Type B 12-Oct-12 - - 0 27G.5400 Day Activity A MD DAY Health Drive "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 1320 Health Drive New Bern NC 28560 Craven (252)638-5945 Monarch 922643 MHL-084-002 Monarch 01-Oct-90 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Stanly Industrial Services "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 730 Greenwood Street Albemarle NC 28002 Stanly (704)983-2174 Monarch 955444 MHL-085-008 Monarch 07-Feb-95 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Stokes Opportunity Center "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 1080 Neal Road Walnut Cove NC 27052 Stokes (336)591-5446 Monarch 070764 MHL-030-014 Monarch 01-Oct-97 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY New Horizons Enterprises "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 161 Funder Drive Mocksville NC 27028 Davie (336)751-1805 Monarch 090558 MHL-090-011 Monarch 05-Apr-89 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Campus Park Drive "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 "1653 Campus Park Drive, Unit D" Monroe NC 28112 Union (704)296-4649 Monarch 921797 MHL-070-045 Monarch 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY River City Achievement Center - Pasquotank 350 Pee Dee Ave. Ste. 101 Albemarle NC 28001 1411 Parkview Drive Elizabeth City NC 27909 Pasquotank (704)986-1500 Monarch 090535 MHL-084-071 Monarch 29-Sep-09 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY A Unique Perspective "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 732 Greenwood Street Albemarle NC 28001 Stanly (704)983-2174 Monarch 101113 MHL-021-016 Monarch 22-Dec-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Heritage Club - Chowan "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 101 West Eden Street Edenton NC 27932 Chowan (252)482-3177 Monarch 120024 MHL-063-090 Monarch 03-May-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MR/DD DAY Creative Arts and Community Center "350 Pee Dee Ave., Ste. 101" Albemarle NC 28001 1662 Richards Street Southern Pines NC 28387 Moore (910)692-2936 Monarch 001446 MHL-041-1035 Monarch 01-Jan-12 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Companions on the Journey "350 Pee Dee Ave., Ste. 101" Albemarle NC 28001 "153 Bellevue Drive, Rooms A, B & C" High Point NC 27265 Guilford (336)869-1405 Monarch 140384 MHL-028-015 Monarch 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Beach Club of Dare "350 Pee Dee Ave., Suite 101" Albemarle NC 28001 205 Highway 64/264 Manteo NC 27954 Dare (252)473-1364 Monarch 150342 MHL-034-343 Monarch 03-Aug-15 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Salisbury Ridge Road "350 Pee Dee Ave., Ste 101" Albemarle NC 28001 967 Salisbury Ridge Road Winston Salem NC 27127 Forsyth (336)725-7527 Monarch 941820 MHL-034-203 Monarch 19-May-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Studio 651 "350 Pee Dee Ave., Ste. 101" Albemarle NC 28001 651 North Highland Avenue Winston Salem NC 27101 Forsyth (336)725-7527 Monarch 160062 MHL-062-040 Monarch 05-Oct-09 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Brighter Visions "350 Pee Dee Avenue, Ste 101" Albemarle NC 28001 114 South Main Street Mount Gilead NC 27306 Montgomery (910)334-9044 Monarch 070351 MHL-026-834 Monica Strange 06-Mar-07 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Great Expectations Day Facility and Enrichment Program 3642 Thornsby Lane Fayetteville NC 28306 1329 Robeson Street Fayetteville NC 28305 Cumberland (910)488-3107 Monica Strange 120246 MHL-059-051 "Mountain Area Community Services, Inc." 24-May-11 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY MACS Day Support 366 South Main Street Marion NC 28752 366 South Main Street Marion NC 28752 McDowell (828)676-2135 "Mountain Area Community Services, Inc." 180509 MHL-020-076 "NCG Acquistion, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Yield 4 Fun PO Box 11247 Richmond VA 23230 "3711 East US 64 Alt., Suite 4" Murphy NC 28906 Cherokee (828)835-3041 "NCG Acquision, LLC" 922265 MHL-096-019 "NOVA IC, Inc." 01-Dec-90 01-Jan-19 31-Dec-19 Type B 06-Jun-11 - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Dr. James H. McGlone Developmental Center PO Box 11077 Goldsboro NC 27532 2010 Hwy 117 N. Bypass Goldsboro NC 27530 Wayne (919)734-8962 010220 MHL-042-053 "New Beginnings Day Treatment Center, LLC" 09-Apr-09 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&A MD DAY "New Beginnings Day Treatment Center, LLC" PO Box 66 Roanoke Rapids NC 27870 544 Julian R. Allsbrook Highway Roanoke Rapids NC 27870 Halifax (252)537-7458 Cheryl K. Dixon 090229 MHL-099-022 "New Horizons Adult Day Services, Inc." 01-Jul-08 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity A MD DAY New Horizons Adult Day Services PO Box 1969 Yadkinville NC 27055 1917 Old Hwy 421 West Yadkinville NC 27055 Yadkin (336)677-1385 "New Horizons Adult Day Services, Inc." 100953 MHL-100-017 "North Carolina Outreach Home Care, LLC" 18-Oct-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Magnolia Day Program 7-A Glenn Bridge Road Arden NC 28704 24 North Main Street Burnsville NC 28714 Yancey (828)536-1286 "North Carolina Outreach Home Care, LLC" 140411 MHL-011-323 "North Carolina Outreach Home Care, LLC" 05-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Dogwood Day Program 7-A Glenn Bridge Road Arden NC 28704 7-A Glenn Bridge Road Arden NC 28704 Buncombe (828)232-8067 North Carolina Outreach Home Care 180432 MHL-059-062 "North Carolina Outreach Home Care, LLC" 06-Aug-12 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Kudzu Day Program 7-A Glenn Bridge Rd Arden NC 28704 "1155 North Main Street, Suite 16" Marion NC 28752 McDowell (828)652-2112 "North Carolina Outreach Home Care, LLC" 060422 MHL-068-126 "OE Enterprises, Inc." 25-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY OE Enterprises Inc. 348 Elizabeth Brady Road Hillsborough NC 27278 348 Elizabeth Brady Road Hillsborough NC 27278 Orange (919)732-8124 OE Enterprises 180581 MHL-081-125 "Ona's Place, Inc." 10-Aug-11 28-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY All In One Adult Day Services 5 Whitson Road Asheville NC 28805 "115 West Court Street, Unit B" Rutherfordton NC 28139 Rutherford (828)225-3606 "Onas's Place, Inc." 080333 MHL-023-143 One on One Care Inc. 18-Jun-08 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Club 1 "PMB 109, 1137 East Marion Street" Shelby NC 28150 209 Lee Street Shelby NC 28150 Cleveland (704)482-4134 "One on One Care, Inc." 170217 MHL-011-235 Open Hearts Art Center 15-Apr-02 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Open Hearts Art Center 217 Coxe Avenue Asheville NC 28801 217 Coxe Avenue Asheville NC 28801 Buncombe (828)505-8428 Open Hearts Art Center 090843 MHL-036-283 "Opportunity Awaits, Inc." 14-Jul-10 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Opportunity Awaits PO Box 550925 Gastonia NC 28055-0925 760-A North New Hope Road Gastonia NC 28054 Gaston (704)810-9133 "Opportunity Awaits, Inc." 150453 MHL-039-058 "P & W Group, LLC" 26-Oct-15 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY P & W Group Day Services 7028 Highway 15 Oxford NC 27565 202 East Industrial Drive Oxford NC 27565 Granville (919)603-1740 "P & W Group, LLC" 080062 MHL-091-084 "P&W Group, LLC" 04-Mar-08 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY P & W Group Day Service 215 Horner Street Henderson NC 27536 215 Horner Street Henderson NC 27536 Vance (252)436-9543 James Watkins 120480 MHL-092-865 P.H.P. of N.C. Inc. 09-Apr-13 01-Jan-19 31-Dec-19 Type B 12-Aug-16 - - 0 27G.5400 Day Activity A MD DAY P.H.P. of N.C. Inc. PO Box 20014 Durham NC 27707 700 B Pony Road Zebulon NC 27597 Wake (919)375-4702 P.H.P. of N.C. Inc. 170043 MHL-032-255 P.H.P. of N.C. Inc. 13-Jun-01 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY P.H.P. Activity Center PO Box 20014 Durham NC 27707 "4125 Ben Franklin Boulevard, Suite A" Durham NC 27704 Durham (919)220-0021 "P.H.P. of N.C., Inc." 140263 MHL-074-209 "Paradigm, Inc." 14-Aug-09 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY J B Center PO Box 31091 Greenville NC 27833 "4054 South Memorial Drive, Suites J & K" Winterville NC 28590 Pitt (252)561-8112 "Paradigm, Inc." 140450 MHL-092-783 "Pathways for People, Inc." 21-Jul-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY "Pathways for People, Inc. Day Program" "15300 Weston Parkway, Ste 101" Cary NC 27513 "15300 Weston Parkway, Suite 101" Cary NC 27513 Wake (919)462-1663 "Pathways for People, Inc." 170491 MHL-050-062 "Pathways for the Future, Inc." 05-May-14 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Person First Services 2775 Highway 74 East Sylva NC 28779 2775 Highway 74 East Sylva NC 28779 Jackson (828)354-0296 "Pathways for the Future, Inc." 970626 MHL-067-054 "Pride In North Carolina, LLC" 08-May-97 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Project Voice 231 Commerce St Greenville NC 27858 2812 Commerce Road Jacksonville NC 28546 Onslow (910)364-4444 "Pride In North Carolina, LLC" 090875 MHL-032-512 "Quality Care Solutions, Inc." 17-Nov-09 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Quality Care Solutions "3824 Barrett Drive, Suite 105" Raleigh NC 27609 1016 Broad Street Durham NC 27705 Durham (919)286-6766 "Quality Care Solutions, Inc." 120654 MHL-064-149 "Quality Care Solutions, Inc." 02-Oct-15 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY QCS Day Program & PSR "3824 Barrett Dr., Ste. 105" Raleigh NC 27609 "301 S. Church Street, Suite 163" Rocky Mount NC 27804 Nash (888)759-1125 "Quality Care Solutions, Inc." 140086 MHL-041-784 "Quality Life Services, Inc." 11-Jul-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Center for Quality Living Skills 2614 Greengate Drive Greensboro NC 27406 2614 Greengate Drive Greensboro NC 27406 Guilford (336)294-5310 "Quality Life Services, Inc." 110139 MHL-060-1157 "Quest Provider Services, LLC" 15-Jun-10 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Quest Activity Center 2329 East W.T.Harris Blvd Charlotte NC 28213 2329 East W.T. Harris Boulevard Charlotte NC 28213 Mecklenburg (704)537-4730 "Quest Provider Services, LLC" 130041 MHL-049-138 "Quest Provider Services, LLC" 14-Feb-13 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity A MI DAY The Polar Junction 2329 East WT Harris Blvd. Charlotte NC 28213 "285 North Main Street, Suite C" Troutman NC 28166 Iredell (704)537-4730 "Quest Provider Services, LLC" 170382 MHL-023-211 "Quest Provider Services, LLC" 16-Oct-17 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity A MI DAY Quest Provider Services Cameroon Station 2329 East WT Harris Boulevard Charlotte NC 28213 621 S. Dekalb Street Suite A Shelby NC 28150 Cleveland (704)537-4730 "Quest Provider Services, LLC" 100745 MHL-078-307 RHA Behavioral Health NC LLC 01-May-13 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY RHA Innovations PSR Robeson 2003 Godwin Avenue Suite A Lumberton NC 28358 "2003 Godwin Avenue, Suite A" Lumberton NC 28358 Robeson (910)739-8849 RHA Behavioral Health NC LLC 922547 MHL-029-009 "RHA Health Services NC, LLC" 01-Aug-86 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Scotthurst I & II 1508 Gatewood Ave Greensboro NC 27405 174 Hoots Drive & 222 Heritage Drive Winston Salem NC 27107 Davidson (336)764-3553 "RHA Health Services NC, LLC" 140179 MHL-045-077 "RHA Health Services NC, LLC" 30-Jan-08 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Western Carolina Community Center "145 Cane Creek Industrial Park Rd," Fletcher NC 28734 "145 Cane Creek Industrial Park Road, Suite 250" Fletcher NC 28732 Henderson (828)698-0623 "RHA Health Services NC, LLC" 040983 MHL-036-318 "RHA Health Services NC, LLC" 06-Jul-16 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY RHA Union Station "1564 Union Road, Ste D" Gastonia NC 28054 1564-A Union Road Gastonia NC 28054 Gaston (704)671-2477 "RHA Health Services NC, LLC" 922133 MHL-032-053 "Rainbow 66 Storehouse, Inc." 01-Jun-90 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&A MD DAY "Rainbow 66 Storehouse, Inc." 1225 S. Caledonia Road Laurinburg NC 28352 706 Rigsbee Avenue Durham NC 27701 Durham (919)686-0165 "Rainbowhouse 66 Storehouse, Inc." 170055 MHL-083-060 "Rainbow 66 Storehouse, Inc." 04-Aug-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY "Rainbow 66 Storehouse, Inc." 1225 S. Caledonia Rd Laurinburg NC 28352 "525 Atkinson Street, Suite B" Laurinburg NC 28352 Scotland (910)276-0766 "Rainbow 66 Storehouse, Inc." 170390 MHL-026-966 Rainbow of Sunshine Inc. 28-Feb-18 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Rainbow of Sunshine Day Program "2606 Raeford Rd., Ste 29" Fayetteville NC 28303 1072 Lillington Highway Spring Lake NC 28390 Cumberland (910)568-5795 Rainbow of Sunshine Inc. 101210 MHL-096-219 "ReNu Life, L.L.C." 05-Mar-09 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY TBI Rehab Center PO Box 1017 Goldsboro NC 27533 106 US Highway 117 Bypass South Goldsboro NC 27530 Wayne (919)736-8505 "ReNu Life,LLC" 130596 MHL-011-368 "Red Oak Recovery, LLC" 24-Jan-14 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Red Oak Recovery 108 Executive Park Asheville NC 28801 631 Willow Creek Road Leicester NC 28748 Buncombe (828)318-0148 "Red Oak Recovery, LLC" 090298 MHL-068-140 "Residential Services, Inc." 21-May-09 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY "Residential Services, Inc.-Life Options" 111 Providence Road Chapel Hill NC 27514 111 Providence Road Chapel Hill NC 27514 Orange (919)942-7391 "Residential Services, Inc." 960838 MHL-079-047 "Rouse's Group Home, Inc." 20-Nov-97 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Rouse's Group Home #6 P. O. Box 16 Stoneville NC 27048 5820 NC Highway 135 Stoneville NC 27048 Rockingham (336)908-3307 "Rouse's Group Homes, Inc." 090235 MHL-080-176 "Rowan Vocational Opportunities, Inc." 28-Apr-09 01-Jan-19 31-Dec-19 Type A 30-Dec-16 - - 0 27G.5400 Day Activity A MD DAY Rowan Vocational Opportunities 2728 Old Concord Road Salisbury NC 28146 2728 Old Concord Road Salisbury NC 28146 Rowan (704)633-6223 "Rowan Vocational Opportunities, Inc." 100962 MHL-013-158 "Rowan Vocational Opportunities, Inc." 20-Oct-10 01-Jan-19 31-Dec-19 Type A 19-Feb-15 - - 0 27G.5400 Day Activity A MD DAY Cabarrus Vocational Opportunities 2728 Old Concord Road Salisbury NC 28146 107 Commercial Park Drive Concord NC 28027 Cabarrus (704)793-1314 "Rowan Vocational Opportunities, Inc." 060391 MHL-081-065 "Rutherford Life Services, Inc." 18-Jul-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Rutherford Life Services 230 Fairground Rd Spindale NC 28160 230 Fairground Rd Spindale NC 28160 Rutherford (828)286-4352 Amanda Freeman 160572 MHL-060-1143 "S.T.E.P's Developmental Academy, Inc." 26-Apr-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY S.T.E.P's Developmental Day Academy PO Box 2007 Indian Trail NC 28079 1516-B Alleghany Street Charlotte NC 28208 Mecklenburg (980)207-1819 "S.T.E.P.'s Developmental Academy, Inc." 190015 MHL-004-048 "S.T.E.P's Developmental Academy, Inc." 20-Feb-19 20-Feb-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY S.T.E.P's Developmental Day Academy-Morven PO Box 2007 Indian Trail NC 28079 280 Sandy Ridge Church Road Morven NC 28119 Anson (704)851-3001 "S.T.E.P's Developmental Academy, Inc." 160231 MHL-041-654 "SHFP, Inc." 13-Oct-02 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Servant's Heart 3706 Old Battleground Rd Greensboro NC 27410 3706 Old Battleground Road Greensboro NC 27410 Guilford (336)286-6400 "SHFP, Inc." 011324 MHL-041-632 Sanctuary House 28-Feb-02 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Sanctuary House PO Box 21141 Greensboro NC 27420-1141 518 North Elm Street Greensboro NC 27401 Guilford (336)275-7896 150398 MHL-047-157 "Serenity Therapeutic Services, Inc." 12-Apr-11 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Serenity Therapeutic Day Support 207 S. Stewart Street Raeford NC 28376 107 Campbell Avenue Raeford NC 28376 Hoke (910)479-1111 "Serenity Therapeutic Services, Inc." 051242 MHL-041-769 Sharon Altman 22-Dec-05 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY CAP Learning Center PO Box 36120 Greensboro NC 27416-6120 215-A Webster Road Greensboro NC 27406 Guilford (336)373-0482 Sharon Altman 010878 MHL-096-126 "Skill Creations, Inc." 15-Aug-01 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY SCI-Wayne County Day Program P. O. Box 979 Goldsboro NC 27533-0979 2103 Royal Avenue Goldsboro NC 27533 Wayne (919)731-9783 "Skill Creations, Inc." 010967 MHL-098-076 "Skill Creations, Inc." 18-Sep-01 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY SCI-Wilson PO Box 979 Goldsboro NC 27533 1716 Martin Luther King Jr. Pkwy Wilson NC 27893 Wilson (252)243-4106 "Skill Creations, Inc." 080306 MHL-012-077 "Skill Creations, Inc." 14-Aug-01 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY SCI-Morganton Day Program PO Box 1403 Lenoir NC 28645 115 Stonebridge Drive Morganton NC 28655 Burke (828)437-3814 "Skill Creations, Inc." 090772 MHL-046-033 "Solid Foundation Facilities, Inc." 01-Mar-11 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity A MI DAY Choanoke Valley 224 Ward Road Windsor NC 27983 1321 West First Street Ahoskie NC 27910 Hertford (252)209-8540 "Solid Foundation Facilities, Inc." 041234 MHL-008-018 "Solid Foundation Facilities, Inc." 23-Apr-02 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity A MD DAY Mary Gladys 226 Ward Road Windsor NC 27893 208 Dundee Street Windsor NC 27983 Bertie (252)794-2386 "Solid Foundation Facilities, Inc." 040856 MHL-026-828 "Sophia B. Pierce & Associates, Inc." 25-Sep-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Pierce's Vocational Center PO Box 2813 Fayetteville NC 28302 2503 Gary Street Fayetteville NC 28301 Cumberland (910)823-2385 "Sophia B. Pierce & Associates, Inc." 956912 MHL-076-112 Specialized Services & Personnel Inc. 04-Oct-12 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Asheboro Day Site "PO BOX 1284, 609 Bethesda Rd" Aberdeen NC 28315 "952 South Cox Street, Suites A & B" Asheboro NC 27203 Randolph (336)625-2460 "Specialized Services & Personnel, Inc." 100339 MHL-034-365 "Springwell Network, Inc." 28-Mar-17 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity A MI DAY "Springwell Network, Inc.-Supported Opportunities" 3820 North Patterson Ave. Winston-Salem NC 27105 3820 North Patterson Avenue Winston-Salem NC 27105 Forsyth (336)831-1300 "Springwell Network, Inc." 030241 MHL-005-018 "Summit Support Services of Ashe, Inc." 19-Jul-01 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY S.T.E.P. (Summit Training and Education Program) PO Box 381 Jefferson NC 28640 406 Court Street Jefferson NC 28640 Ashe (336)846-5678 S. T. E. P 061155 MHL-086-044 "Surry-Yadkin Residential Services, Inc." 20-Sep-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY SYRS Day Services "401 S. Main St., Ste.100" Mount Airy NC 27030 162 B. West Pine Street Mount Airy NC 27030 Surry (336)786-5153 "Surry-Yadkin Residential Services, Inc." 020721 MHL-092-504 "TLC Operations, Inc." 20-Jun-02 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Tammy Lynn Center for Developmental Disabilities 739 Chappell Drive Raleigh NC 27606 747 Chappell Drive Raleigh NC 27606 Wake (919)832-3909 Tammy Lynn Center for DD 170588 MHL-029-137 "The Arc of Davidson County, Inc." 07-Feb-18 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY The Arc of Davidson County-Bridges 1900 S. Main St. Lexington NC 27292 1900 South Main Street Lexington NC 27292 Davidson (336)248-2842 "The Arc of Davidson County, Inc." 080295 MHL-034-299 "The Center for Creating Opportunities, LLC" 01-May-12 01-Jan-19 31-Dec-19 Type A 02-May-19 - - 0 27G.5400 Day Activity A MI DAY The Center for Creating Opportunities "4401 N. Cherry St., Ste 40" Winston-Salem NC 27105 "4401 North Cherry Street, Suite 60" Winston-Salem NC 27105 Forsyth (336)767-4353 "The Center for Creating Opportunities, LLC" 130418 MHL-012-084 "The Enola Group, Inc." 08-Mar-02 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Signature Day/The Enola Group P.O. Box 250 Morganton NC 28680-0250 504 A East Union Street Morganton NC 28655 Burke (828)433-0056 "The Enola Group, Inc." 030834 MHL-034-047 The Enrichment Center-An Affiliated Chapter of The Arc 12-Jul-91 01-Jan-20 31-Dec-20 Type A 11-Mar-08 - - 0 27G.5400 Day Activity A MI DAY The Enrichment Center 1006 South Marshall Street Winston-Salem NC 27101 1006 South Marshall Street Winston-Salem NC 27101 Forsyth (336)777-0076 190022 MHL-045-138 "The Hope Center of Hendersonville, Inc." 08-Apr-19 08-Apr-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY The Hope Center of Hendersonville DBA Hope Academy 405 Rutledge Drive Hendersonville NC 28739 405 Rutledge Drive Hendersonville NC 28739 Henderson (828)692-0905 "The Hope Center of Hendersonville, Inc." 101243 MHL-060-1214 "The Kids Workshop, Inc." 06-Apr-11 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY The Workshop 11921 Bailey Road Cornelius NC 28031 "5901 Beatties Ford Road, Suite A" Charlotte NC 28216 Mecklenburg (704)399-4045 "The Kids Workshop, Inc." 160277 MHL-011-399 "The Willows at Red Oak Recovery, LLC" 28-Jul-16 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY The Willows at Red Oak Recovery 108 Executive Park Asheville NC 28801 62 Racking Horse Lane Fletcher NC 28732 Buncombe (828)318-0148 "The Willows at Red Oak Recovery, LLC" 140026 MHL-029-128 "The Workshop of Davidson, Inc." 05-Mar-14 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY The Workshop of Davidson PO Box 906 Lexington NC 27293 275 Monroe Road Lexington NC 27292 Davidson (336)248-2816 011214 MHL-076-094 "Therapeutic Alternatives, Inc." 15-Feb-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Randolph Psychosocial Rehabilitation PO Box 814 Randleman NC 27317 974 South Cox Street Asheboro NC 27203 Randolph (336)495-2700 Therapeutic Alternatives Inc 020704 MHL-062-030 "Therapeutic Alternatives, Inc." 15-Feb-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Journey House PO Box 814 Randleman NC 27317 696 Covington Street Troy NC 27371 Montgomery (910)572-0535 "Therapeutic Alternatives, Inc." 160281 MHL-060-992 "Therapeutic Services Group, LLC" 01-Aug-06 01-Jan-20 31-Dec-20 - - - - 0 27G.5400 Day Activity A MD DAY Community Transitions 5309 Idlewild Road N Charlotte NC 28227 5309-A Idlewild Road N Charlotte NC 28227 Mecklenburg (704)566-9142 "Therapeutic Services Group, LLC" 921414 MHL-063-086 "Therapeutice Alternatives, Inc." 15-Feb-10 01-Jan-19 31-Dec-19 Type B 01-Nov-18 - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Woodland House PO Box 814 Randleman NC 27317 110 East Boston Avenue Pinebluff NC 28373 Moore (336)495-2700 "Therapeutic Alternatives, Inc." 130467 MHL-034-317 "Top Priority Care Services, LLC" 18-Nov-13 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY The Center for Lifelong Learning & Enrichment 4401 Providence Lane Winston-Salem NC 27106 4401 Providence Lane Winston-Salem NC 27106 Forsyth (336)896-1323 "Top Priority Care Services, LLC" 130167 MHL-041-1084 "Triad Adult Day Care Center, Inc." 01-Sep-13 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY "Triad Adult Day Care Center, Inc." PO Box 4786 High Point NC 27263 "409 East Fairfield Road, Suites A & B" High Point NC 27263 Guilford (336)431-1537 "Triad Adult Day Care Center, Inc." 140345 MHL-079-127 "UMAR Services, Inc." 09-Oct-14 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Reidsville Arts II "5350 77 Center Dr, Suite 201" Charlotte NC 28217 239 S. Scales Street Reidsville NC 27320 Rockingham (336)349-3178 "UMAR Services, Inc." 150344 MHL-055-118 "UMAR Services, Inc." 21-Jul-11 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Lincolnton Arts Center "5350 77 Center Dr, Suite 201" Charlotte NC 28217 232 East Main Street Lincolnton NC 28092 Lincoln (704)240-9838 "UMAR Services, Inc." 160297 MHL-079-115 "UMAR Services, Inc." 28-Jun-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Reidsville Arts I "5350 77 Center Dr, Suite 201" Charlotte NC 28217 231 South Scales Street Reidsville NC 27320 Rockingham (336)342-5533 "UMAR Services, Inc." 160613 MHL-060-1044 "UMAR Services, Inc." 06-Feb-08 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Charlotte Arts "5350 77 Center Dr., Suite 201" Charlotte NC 28217 "3015 South Tryon Steet, Suite 101" Charlotte NC 28217 Mecklenburg (704)348-0094 "UMAR Services, Inc." 100090 MHL-060-998 "Unique Caring Network, Inc." 17-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Unique Caring Adult Day Support Program "7005 Wallace Rd., Ste. B" Charlotte NC 28227 "7005 Wallace Road, Suite 300" Charlotte NC 28212 Mecklenburg (704)207-2614 "Unique Caring Network, Inc." 070739 MHL-001-240 "Universal Mental Health Services, Inc." 26-Mar-15 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MI DAY Journey to Success 839 Wilkesboro Boulevard Lenoir NC 28645 913 B & 915 South Main Street Burlington NC 27215 Alamance (336)227-1484 "Universal Mental Health Services, Inc." 030518 MHL-023-141 VOCA Corporation of North Carolina 01-Aug-07 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Shelby Day Habilitation "301 10th Street NW, Suite B101" Conover NC 28613 950 Wendover Heights Drive Shelby NC 28150 Cleveland (704)487-1360 VOCA Corporation of North Carolina 051297 MHL-045-062 "Vocational Solutions of Henderson County, Inc." 26-Jul-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Vocational Solutions of Henderson County Inc. 2110 Spartanburg Hwy E Flat Rock NC 28726 2110 Spartanburg Hwy E FLat Rock NC 28726 Henderson (828)692-9626 091005 MHL-060-1127 "Wee Care Christian Child Development Center, LLC" 29-Jan-10 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY Wee Care I "415 Minuet Lane, Suite D" Charlotte NC 28217-2701 "415 Minuet Lane, Suite D" Charlotte NC 28217-2701 Mecklenburg (704)525-0100 "Wee Care Christian Dev. Center, LLC" 170564 MHL-013-183 "What Matters Most, Inc." 16-Dec-15 01-Jan-19 31-Dec-19 - - - - 0 27G.5400 Day Activity A MD DAY What Matters Most - Journey's Way Enrichment Program 7036 Winding Cedar Trail Harrisburg NC 28075 "65 McCachern Boulevard, Southeast" Concord NC 28025 Cabarrus (704)788-9967 "What Matters Most, Inc." 080074 MHL-091-081 "Advantage Care In Home Services, Inc." 01-Mar-07 01-Jan-19 31-Dec-19 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Advantage Care Vocational Center PO Box 1258 Henderson NC 27536 103 Wortham Court Henderson NC 27536 Vance (252)433-6049 "Advantage Care In Home Services, Inc." 921441 MHL-040-005 "Ambleside, Inc." 01-Jan-95 01-Jan-19 31-Dec-19 Type B 19-Aug-14 - - 0 27G.5500 Sheltered Workshops A MD DAY Ambleside 1 Industrial Drive Snow Hill NC 28580 1 Industrial Drive Snow Hill NC 28580 Greene (252)747-5252 "Ambleside, Inc." 921486 MHL-007-002 "Beaufort County Developmental Center, Inc." 16-Jul-85 01-Jan-20 31-Dec-20 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Beaufort County Developmental Center P O Box 518 Washington NC 27889 1534 West Fifth Street Washington NC 27889 Beaufort (252)946-0151 Eric Summerlin 101005 MHL-065-035 "Cape Fear Group Homes, Inc." 01-Feb-92 01-Jan-20 31-Dec-20 - - - - 0 27G.5500 Sheltered Workshops C&ADOL&A MD DAY Cape Fear Group Homes Day Program PO Box 4203 Wilmington NC 28406 1504 N. Kerr Avenue Wilmington NC 28405 New Hanover (910)251-2555 "Cape Fear Group Homes, Inc." 921663 MHL-023-002 "Cleveland Vocational Industries, Inc." 10-May-85 01-Jan-19 31-Dec-19 - - - - 0 27G.5500 Sheltered Workshops A MD DAY "Cleveland Vocational Industries, Inc." 650 North Post Road Shelby NC 28150 650 North Post Road Shelby NC 28150 Cleveland (704)471-0606 944876 MHL-026-013 "Employment Source, Inc." 15-Oct-86 01-Jan-19 31-Dec-19 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Service Source 600 Ames Street Fayetteville NC 28301 600 Ames Street Fayetteville NC 28301 Cumberland (910)826-4699 "Employment Source, Inc." 051136 MHL-036-243 "Gaston Skills, Inc." 18-Jul-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Gaston Skills 1301 Bessemer City Road Gastonia NC 28052 1301Bessemer City Road Gastonia NC 28052 Gaston (704)869-0300 JoAnn Raxter 922643 MHL-084-002 Monarch 01-Oct-90 01-Jan-19 31-Dec-19 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Stanly Industrial Services "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 730 Greenwood Street Albemarle NC 28002 Stanly (704)983-2174 Monarch 955444 MHL-085-008 Monarch 07-Feb-95 01-Jan-19 31-Dec-19 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Stokes Opportunity Center "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 1080 Neal Road Walnut Cove NC 27052 Stokes (336)591-5446 Monarch 942625 MHL-078-199 Monarch 09-Aug-07 01-Jan-19 31-Dec-19 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Southeastern Industrial Center "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 430 Caton Road Lumberton NC 28359 Robeson (910)738-8138 Monarch 922271 MHL-054-003 "Neuse Enterprises, Inc." 01-May-85 01-Jan-19 31-Dec-19 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Neuse Enterprises Inc. PO Box 1715 Kinston NC 28503 3800 Commerce Drive Kinston NC 28503 Lenoir (252)523-0817 060422 MHL-068-126 "OE Enterprises, Inc." 25-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5500 Sheltered Workshops C&ADOL&A MD DAY OE Enterprises Inc. 348 Elizabeth Brady Road Hillsborough NC 27278 348 Elizabeth Brady Road Hillsborough NC 27278 Orange (919)732-8124 OE Enterprises 060623 MHL-073-049 Person County Local Government 01-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Person Industries 601 North Madison Blvd. Roxboro NC 27573 601 North Madison Blvd. Roxboro NC 27573 Person (336)599-7571 060624 MHL-073-048 Person County Local Government 01-Aug-06 01-Jan-19 31-Dec-19 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Person County Recycling Center 601 N. Madison Blvd. Roxboro NC 27573 741 Martin Street Roxboro NC 27573 Person (336)597-4437 070418 MHL-041-825 "RHA Health Services NC, LLC" 24-Nov-93 01-Jan-19 31-Dec-19 - - - - 0 27G.5500 Sheltered Workshops A MD DAY High Point Vocational Center "1701 Westchester Dr., Ste. 940" High Point NC 27262 "1701 Westchester Drive, Suite 940" High Point NC 27262 Guilford (336)885-5090 "RHA Health Services NC, LLC" 051076 MHL-096-169 "Wayne Opportunity Center, Inc." 06-Jun-06 01-Jan-20 31-Dec-20 Type A 18-May-16 - - 0 27G.5500 Sheltered Workshops A MD DAY Wayne Opportunity Center PO Box 1007 Goldsboro NC 27533 619 South George Street Goldsboro NC 27530 Wayne (919)735-5363 Wayne Opportunity Center 120348 MHL-041-1112 "A 2nd Chance for Life, Inc." 03-Mar-15 01-Jan-19 31-Dec-19 Type B 06-Apr-17 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL A 2nd Chance for Life 3810 Pineneedle Dr. Greensboro NC 27405 3810 Pineneedle Drive Greensboro NC 27405 Guilford (336)954-5692 "A 2nd Chance for Life, Inc." 100456 MHL-092-960 "Absolute Care Assisted Living, LLC" 23-May-18 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Absolute Care Human Services 2905 Autumn Sunset Court Raleigh NC 27616 3905 Iverson Street Raleigh NC 27604 Wake (919)212-2299 "Absolute Care Assisted Living, LLC" 020538 MHL-092-941 Absolute Home & Community Services 10-Aug-16 01-Jan-19 31-Dec-19 Type B 22-Dec-17 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Absolute Home-Whilshire Drive 1140-201 Benson Rd. Garner NC 27529 1002 Wilshire Drive Cary NC 27511 Wake (919)460-4779 Absolute Home & Community Services 080090 MHL-092-877 "Absolute Home & Community Services, Inc." 01-Oct-13 01-Jan-19 31-Dec-19 Type B 08-Mar-18 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Absolute Home & Community Services 3 1140-201 Benson Rd. Garner NC 27529 1108 Seabrook Road Raleigh NC 27610 Wake (919)662-7877 "Absolute Home & Community Services, Inc." 021127 MHL-092-878 "Absolute Home & Community Services, Inc." 01-Oct-13 01-Jan-19 31-Dec-19 Suspension of Admission 02-Aug-17 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Absolute Home #5 1140-201 Benson Rd. Garner NC 27529 201 Rand Mill Road Garner NC 27529 Wake (919)662-7877 "Absolute Home & Community Services, Inc." 030235 MHL-032-611 "Absolute Home & Community Services, Inc." 01-Oct-16 01-Jan-19 31-Dec-19 Type B Imposed 29-Nov-18 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Absolute Home-Roxboro Street 1140-201 Benson Rd Garner NC 27529 2826 South Roxboro Road Durham NC 27707 Durham (919)662-7877 "Absolute Home & Community Services, Inc." 030345 MHL-092-894 "Absolute Home & Community Services, Inc." 23-May-14 01-Jan-19 31-Dec-19 Type A 19-Jul-18 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Absolute Home - Apex 1140-201 Benson Rd Garner NC 27529 109 Evening Star Drive Apex NC 27502 Wake (919)662-7877 "Absolute Home & Community Services, Inc." 990191 MHL-092-755 Absolute Home and Community Services 01-Dec-09 01-Jan-19 31-Dec-19 Type A 30-Jul-19 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Absolute Home and Community Services "1140 Benson Rd, Suite 201" Garner NC 27529 5628 Millrace Trail Raleigh NC 27606 Wake (919)662-7877 Absolute Home and Community Services 090167 MHL-092-836 "Absolute Home and Community Services, Inc." 07-Feb-12 01-Jan-19 31-Dec-19 Type B 07-Dec-18 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Absolute Home and Community Services 2 1140 Benson Rd. Ste. 201 Garner NC 27529 413 Normandy Street Cary NC 27511 Wake (919)662-7877 "Absolute Home and Community Services, Inc." 010516 MHL-092-950 Abundant Grace Family Care Home Inc. 05-Jul-17 01-Jan-19 31-Dec-19 Type A 14-Feb-18 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Abundant Grace Family Care Home Inc. 1140 Benson Rd. Suite 201 Garner NC 27529 5040 Kaplan Drive Raleigh NC 27606 Wake (919)977-4302 Abundant Grace Family Care Home Inc. 070478 MHL-092-850 Access Health System 2 Inc. 19-Jul-12 01-Jan-19 31-Dec-19 Type A 16-Aug-19 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Access Health System 2, Inc." 2002 Peachtree Town Lane Knightdale NC 27545 5208 Country Pines Court Raleigh NC 27616 Wake (919)850-3297 Access Health System 2 Inc. 080894 MHL-092-751 "Access Health System, Inc." 23-Oct-09 01-Jan-19 31-Dec-19 Type A 02-Dec-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Access Health System 1 5132 Dice Drive Raleigh NC 27616 5132 Dice Drive Raleigh NC 27616 Wake (919)747-9514 Access Health System 1 Inc 140359 MHL-001-237 "Alamance Home, LLC" 25-Nov-14 01-Jan-19 31-Dec-19 Type A 06-Mar-18 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Alamance Homes II 1806 Jeffries Cross Road Burlington NC 27217 801 N. Mebane Street Burlington NC 27217 Alamance (336)270-3623 "Alamance Home, LLC" 921683 MHL-019-055 "Alberta Professional Services, Inc." 01-Oct-08 01-Jan-20 31-Dec-20 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Booth Road Group Home PO Box 14884 Greensboro NC 27415 130 Booth Road Chapel Hill NC 27516 Chatham (919)967-5591 "Alberta Professional Services, Inc." 051027 MHL-068-139 "Alberta Professional Services, Inc." 01-Oct-08 01-Jan-20 31-Dec-20 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Homestead Place PO Box 14884 Greensboro NC 27415 2032 Homestead Road Chapel Hill NC 27516 Orange (919)240-5016 Tom Duehring 960385 MHL-093-025 "Alliance Rehabilitative Care, Inc." 12-Mar-98 01-Jan-20 31-Dec-20 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Warren Street PO Box 748 Henderson NC 27536 200 Warren Street Warrenton NC 27589 Warren (252)257-3004 "Alliance Rehabilitative Care, Inc." 100889 MHL-092-791 Alpha Home Care Services Inc. 05-Oct-10 01-Jan-19 31-Dec-19 Type A 11-Feb-19 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Alpha Home Care Services, Inc. III" PO Box 41153 Raleigh NC 27629 3716 Arrowwood Drive Raleigh NC 27604 Wake (919)819-3882 "Alpha Home Care Services, Inc." 021291 MHL-092-919 Alpha Home Care Services Inc. 10-Jul-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Alpha Home Care Services Inc. PO Box 41153 Raleigh NC 27629 1041 Huntsboro Road Knightdale NC 27545 Wake (919)295-5017 060154 MHL-092-920 Alpha Home Care Services Inc. 10-Jul-15 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Alpha Home Care Services Inc. PO Box 41153 Raleigh NC 27629 202 Lindell Drive Apex NC 27502 Wake (919)372-8291 040020 MHL-092-922 Alpha Home Care Services Inc. 20-Jul-15 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Alpha Home Care Services #9 PO Box 41153 Raleigh NC 27629 712 Rockville Road Wake Forest NC 27587 Wake (919)819-3882 Alpha Home Care Services Inc. 180389 MHL-091-108 Alpha Residential Services LLC 13-Nov-18 01-Jan-19 31-Dec-19 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Alpha Residential Services-Megan 5842 Farrington Place Raleigh NC 27609 105 Megan Lane Henderson NC 27537 Vance (252)572-4038 "Alpha Residential Services, LLC" 180390 MHL-091-109 "Alpha Residential Services, LLC" 13-Nov-18 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Alpha Residential Services-Oakland 5842 Faringdon Place Raleigh NC 27609 2103 Oakland Avenue Henderson NC 27537 Vance (252)572-2836 "Alpha Residential Services, LLC" 160056 MHL-047-160 Amat Group Homes LLC 25-May-16 01-Jan-20 31-Dec-20 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Amat Group Homes LLC 5519 Plainview Hwy Dunn NC 28334 906 East Prospect Avenue Raeford NC 28376 Hoke (910)565-2910 170268 MHL-047-164 "Amat Group Homes, LLC" 20-Sep-17 01-Jan-20 31-Dec-20 Type A 25-May-18 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Amat Group Homes 2 5519 Plain View Highway Dunn NC 28334 103 Caspia Court Raeford NC 28376 Hoke (910)565-2246 "Amat Group Homes, LLC" 180186 MHL-091-107 Americares Health Services LLC 11-Oct-18 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL House of Blessings II 48 Cheatham Lane Henderson NC 27537 48 Cheatham Lane Henderson NC 27536 Vance (252)598-2680 Americares Health Services LLC 150225 MHL-092-759 Anthonia Ezuma 04-Jan-10 01-Jan-19 31-Dec-19 Type A 01-May-17 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Destiny Family Care Home 3509 Allendale Dr Raleigh NC 27604 3509 Allendale Drive Raleigh NC 27604 Wake (919)977-8182 Anthonia Ezuma 944713 MHL-068-131 "Apogee Homes, Inc." 03-Apr-07 01-Jan-19 31-Dec-19 Type A 24-Feb-16 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL APOGEE HOME TWO 4337 White Level Road Mebane NC 27302 7612 NC Highway 49 Mebane NC 27302 Orange (336)562-5576 090131 MHL-088-023 "Appalachian Outpatient Services, LLC" 27-Aug-09 01-Jan-19 31-Dec-19 Suspension of Admission 27-Aug-18 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Tapestry Eating Disorder Program 11 North Country Club Rd. Brevard NC 28712 11 North Country Club Road Brevard NC 28712 Transylvania (828)884-2475 "Appalachian Outpatient Services, LLC" 021054 MHL-064-084 "BTW Home Care Services, LLC" 15-May-07 01-Jan-19 31-Dec-19 Intent to Revoke 03-May-19 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL BTW Home Care Services II LLC PO Box 8381 Rocky Mount NC 27804 601 Colby Court Rocky Mount NC 27803 Nash (252)972-3100 BTW Home Care Services 080562 MHL-064-093 "BTW Home Care Services, LLC" 09-Oct-08 01-Jan-19 31-Dec-19 Type B 13-Aug-19 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL BTW Home Care Services III PO Box 8381 Rocky Mount NC 27804 781 Haggerty Trail Rocky Mount NC 27803 Nash (252)972-8037 "BTW Home Care Services, LLC" 971164 MHL-093-022 Barbara Alston 16-Sep-97 01-Jan-19 31-Dec-19 Type B 12-Feb-10 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Perry and Alston's Family Connection 1486 Dr. MLK Jr. Blvd. Warrenton NC 27589 1486 Dr. Martin Luther King Jr. Blvd Warrenton NC 27589 Warren (252)257-1084 061174 MHL-096-197 Barbara Waters 31-May-07 01-Jan-19 31-Dec-19 Type B 03-Mar-11 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Universal 4008-B US 70 East Goldsboro NC 27534 2030 Azeala Goldsboro NC 27530 Wayne (919)736-0517 Barbara Waters 010201 MHL-033-035 Better Days Ahead Of Rocky Mount Inc. 29-Oct-01 01-Jan-19 31-Dec-19 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Better Days Ahead of Rocky Mount #3 PO Box 909 Rocky Mount NC 27802 829 Long Avenue Rocky Mount NC 27801 Edgecombe (252)212-5941 "Better Days Ahead, Inc" 090089 MHL-051-178 Betty Forsythe 01-Feb-10 01-Jan-19 31-Dec-19 Type B 24-Apr-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Supreme Love 2 4232 Coghill Drive Wilson NC 27896 212 Tilghman Street Kenly NC 27542 Johnston (919)284-3723 Betty Forsythe 061297 MHL-096-192 Betty Williams 01-Mar-07 08-Jan-19 31-Dec-19 Type A 16-Oct-09 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL ASA Living I 717 Longleaf Avenue Goldsboro NC 27534 1308 Ben Brewington Court Goldsboro NC 27530 Wayne (919)734-7110 Betty Williams 100931 MHL-041-997 "Blackwell House, Inc." 15-Dec-10 01-Jan-19 31-Dec-19 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Blackwell House, Inc." 2805 North O'henry Boulevard Greensboro NC 27405 2805 North O'henry Boulevard Greensboro NC 27405 Guilford (336)617-5731 040613 MHL-092-607 "Blessed Home, LLC" 28-Jul-04 01-Jan-19 31-Dec-19 Type B 26-Jan-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Blessed Home, LLC" 3113 Edgetone Drive Raleigh NC 27604 7005 Brecken Ridge Avenue Raleigh NC 27615 Wake (919)329-2677 "Blessed Home, LLC" 041462 MHL-092-688 "Blessed Home, LLC" 10-Jul-07 01-Jan-19 31-Dec-19 Suspension of Admission 17-Jan-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Blessed Home, LLC" 3113 Edgetone Drive Raleigh NC 27604 1120 Hardimont Road Raleigh NC 27609 Wake (919)850-4334 "Blessed Home, LLC" 040490 MHL-092-610 Bradley Home Caring for Wake Community & the Carolinas 05-Aug-04 01-Jan-19 31-Dec-19 Revoke 22-Aug-07 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Bradley Home Extension-PKEDS House PO Box 2055 Garner NC 27529 907 Frances Drive Garner NC 27529 Wake (919)772-9382 980742 MHL-092-319 "Bradley Home,Caring For Wake Community & the Carolinas" 06-Aug-98 01-Jan-19 31-Dec-19 Type A 13-Jun-16 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Bradley Home PO Box 2055 Garner NC 27529 1505 Kelly Road Garner NC 27529 Wake (919)772-0053 "Bradley Hm,Caring For Wake Commun" 150165 MHL-001-182 Brenda Lee Torain 01-Oct-09 01-Jan-19 31-Dec-19 Type B 18-Nov-16 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL A Solid Foundation 423 Oakland Drive Burlington NC 27215 423 Oakland Drive Burlington NC 27215 Alamance (336)212-3828 A Solid Foundation 090691 MHL-092-931 Brightside Homes Inc. 09-Oct-15 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Brightside Homes Inc. 1721 Beacon Bluff Street Raleigh NC 27604 4133 White Pine Drive Raleigh NC 27612 Wake (919)781-2559 Brightside Homes Inc. 060672 MHL-019-041 "CRC ED Treatment, LLC" 30-Aug-06 01-Jan-19 31-Dec-19 - - - - 16 27G.5600A Supervised Living MI Adult A MI RESIDENTL Carolina House 176 Lassiter Homestead Road Durham NC 27713 176 Lassiter Homestead Road Durham NC 27713 Chatham (919)594-6690 "CRC ED Treatment, LLC" 170041 MHL-019-068 "CRC ED Treatment, LLC" 12-Jul-17 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Carolina House 176 Lassiter Homestead Road Durham NC 27713 7200 NC Highway 751 Durham NC 27713 Chatham (919)594-6690 "CRC ED Treatment, LLC" 010140 MHL-092-412 "Caring For Wake Community and the Carolinas, Inc." 13-Mar-01 01-Jan-19 31-Dec-19 Revoke 22-Aug-07 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Bradley Home Extension-Kimberly House PO Box 2055 Garner NC 27529 6420 Malibu Drive Raleigh NC 27603 Wake (919)649-5435 "Caring For Wake Community, Inc." 080328 MHL-064-099 "Carolina Humana, Inc." 16-Feb-09 01-Jan-18 31-Dec-18 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Carolina Humana, Inc." 1008 Wilkins Street Rocky Mount NC 27803 1008 Wilkins Street Rocky Mount NC 27803 Nash (252)445-1459 Demetrius & Lora Thompson 921980 MHL-041-057 "Carolina Residential Care, Inc." 01-May-89 01-Jan-19 31-Dec-19 - - - - 9 27G.5600A Supervised Living MI Adult A MI RESIDENTL Hillcrest House 1505 West Friendly Avenue Greensboro NC 27403 1505 West Friendly Avenue Greensboro NC 27403 Guilford (336)273-1782 Carol Whitley 921682 MHL-018-013 Catawba Valley Behavioral Healthcare 27-Feb-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Community Housing Group Home 327 First Avenue NW Hickory NC 28601 1018 Fifth Street SE Hickory NC 28602 Catawba (828)322-6178 Residential Manager 120306 MHL-001-187 "Ceesons of Change, LLC" 19-Nov-09 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Ceesons of Change PO Box 1553 Burlington NC 27216 1536 Morningside Drive Burlington NC 27217 Alamance (336)270-5030 "Ceesons of Change, LLC" 120310 MHL-032-583 Changing Lives Enrichment Center Inc. 21-Feb-13 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Changing Lives Residential Care PO Box 947 Durham NC 27702 111 North Guthrie Avenue Durham NC 27703 Durham (919)730-9917 Changing Lives Enrichment Center Inc. 130118 MHL-001-232 "Changing Lives Family Care Home, LLC" 12-Jul-13 01-Jan-19 31-Dec-19 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Changing Lives Family Care Home, LLC" 823 Day Street Burlington NC 27217 207 Aarons Way Burlington NC 27217 Alamance (336)229-5108 150517 MHL-041-1124 "Changing Lives Group Home II, LLC" 22-Mar-16 01-Jan-19 31-Dec-19 Type A 28-Apr-17 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Changing Lives Group Home II, LLC" 823 Day Street Burlington NC 27217 2321 Albright Drive Greensboro NC 27408 Guilford (336)541-8943 "Changing Lives Group Home II, LLC" 070698 MHL-001-156 Cherry S. Crisp 06-Feb-08 01-Jan-19 31-Dec-19 Type B 30-Nov-10 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Lillies Place 1804 Harris Drive Burlington NC 27215 1804 Harris Drive Burlington NC 27215 Alamance (336)222-9424 Cherry S. Crisp 110857 MHL-092-833 Chuck B. Anumudu/Christiana O. Anumudu 21-Dec-11 01-Jan-19 31-Dec-19 Type A 09-Nov-18 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Care One Homes 4921 Knights Bridge Way Raleigh NC 27604 926 Edison Road Raleigh NC 27610 Wake (919)212-3705 110029 MHL-001-132 Clara S. Yancey 09-Mar-06 01-Jan-19 31-Dec-19 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Dee & G Enrichment Center #3 1804 Harris Drive Burlington NC 27217 321 Austin Street Burlington NC 27217 Alamance (336)570-0365 Clara Yancey 070295 MHL-001-131 Clara Yancey and Cherry Crisp 09-Mar-06 01-Jan-19 31-Dec-19 Suspension of Admission 23-Apr-18 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Dee & G Enrichment #2 PO Box 2073 Burlington NC 27216 207 Friendly Road Burlington NC 27215 Alamance (336)227-0824 Cherry Crisp/Clara Yancey 010242 MHL-075-013 "CooperRiis, Inc." 15-Jun-03 01-Jan-19 31-Dec-19 Type A 08-Jun-09 - - 36 27G.5600A Supervised Living MI Adult A MI RESIDENTL CooperRiis 101 Healing Farm Lane Mill Spring NC 28756 101 Healing Farm Lane Mill Spring NC 28756 Polk (828)894-5557 Cooper Riis 100115 MHL-011-316 "CooperRiis, Inc." 15-Jan-10 01-Jan-20 31-Dec-20 - - - - 24 27G.5600A Supervised Living MI Adult A MI RESIDENTL Zillicoa 85 Zillicoa Street Asheville NC 28801 85 Zillicoa Street Asheville NC 28801 Buncombe (828)258-8887 CooperRiis at Zillicoa 980884 MHL-007-033 "Country Living Guest Home, Inc." 09-Oct-02 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Country Living Guest Home #2 3052 Market Street Extension Washington NC 27889 3052 Market Street Extension Washington NC 27889 Beaufort (252)975-0713 941325 MHL-007-079 "Country Living Guest Home, Inc." 08-Mar-12 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Country Living Guest Home #8 3134 Market Street Extension Washington NC 27889 618 Plant Street Washington NC 27889 Beaufort (252)940-0230 Tim Hardison 120222 MHL-007-080 "Country Living Guest Home, Inc." 03-Aug-12 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Country Living Guest Home #7 3134 Market Street Extension Washington NC 27889 207 West 11th Street Washington NC 27889 Beaufort (252)940-0533 "Country Living Guest Home, Inc." 160425 MHL-007-049 "Country Living Guest Home, Inc." 08-Nov-05 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Country Living Estates 424 Wharton Station Road Washington NC 27889 424 Wharton Station Road Washington NC 27889 Beaufort (252)940-7070 "Country Living Guest Home, Inc." 070781 MHL-092-882 Crandell's Enterprises Inc. 28-Oct-13 01-Jan-19 31-Dec-19 Type A 05-Jan-18 - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Ann's Country Manor II "5312 Six Forks Rd., Ste. 301" Raleigh NC 27609 7112 Outrigger Drive Wendell NC 27591 Wake (919)626-0079 Crandell's Enterprises Inc. 190064 MHL-091-112 Crandell's Enterprises Inc. 30-May-19 30-May-19 31-Dec-19 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Ann's Lake House "5312 Six Forks Road, Suite 301" Raleigh NC 27609 51 S Lake Lodge Ext. (South) Henderson NC 27537 Vance (252)598-0982 "Crandell's Enterprises, Inc." 030522 MHL-092-669 "Crandell's Enterprises, Inc." 31-Jan-07 01-Jan-19 31-Dec-19 Type A 28-Aug-17 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Ann's Haven of Rest "5312 Six Forks Rd., Ste. 301" Raleigh NC 27609 1016 East Millbrook Road Raleigh NC 27609 Wake (919)981-6572 Carolyn Mayo 120075 MHL-092-857 "Crandell's Enterprises, Inc." 09-Nov-12 01-Jan-19 31-Dec-19 Type A 25-Oct-17 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Ann's Haven of Rest II "5312 Six Forks Rd., Ste. 301" Raleigh NC 27609 1919 Boaz Road Raleigh NC 27610 Wake (919)900-7709 "Crandell's Enterprises, Inc." 070253 MHL-096-206 "Daez of New Vision, Inc." 21-Feb-08 01-Jan-19 31-Dec-19 Type B 29-Oct-12 - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Daez of New Vision, Inc." 118 Kornegay Drive Dudley NC 28333 208 Wayne Avenue Goldsboro NC 27530 Wayne (919)739-5544 Virginia M. Oates 170482 MHL-092-811 Daniel Saft 02-Mar-11 01-Jan-20 31-Dec-20 Reinstate Terminated 23-Mar-15 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL A+ Residential Care 5344 Meryton Parkway Raleigh NC 27616 7609 Fiesta Way Raleigh NC 27615 Wake (919)400-7667 Daniel Saft 160025 MHL-017-027 David A. Humphrey 16-Jan-15 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Faithful Companion Group Home 1156 Horseshoe Trail Alton VA 24520 3848 Cherry Grove Road Elon NC 27244 Caswell (336)421-3001 David A. Humphrey Sr 980477 MHL-020-039 "Davidson Homes, Inc." 22-Nov-05 01-Jan-19 31-Dec-19 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Deep Creek/Andrews Home 2084 Highway 70 Swannanoa NC 28778 19704 Highway 19 Andrews NC 28901 Cherokee (828)321-2281 Davidson Homes 110088 MHL-032-370 Derik Lee Abney 23-May-06 01-Jan-19 31-Dec-19 Intent to Revoke 06-Dec-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL D.H.D. Group Home 1211 Camden Avenue Durham NC 27701 1211 Camden Avenue Durham NC 27701 Durham (919)608-5267 Derik Lee Abney 061089 MHL-032-389 "Destiny Home, Inc." 03-Jan-07 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Destiny Home, Inc." 1321 Heritage Hills Way Wake Forest NC 27587 630 Rippling Stream Road Durham NC 27704 Durham (919)477-4694 "Destiny Home,Inc." 110660 MHL-032-523 "Destiny Pursuits, Inc." 10-Jan-12 01-Jan-19 31-Dec-19 Type A 19-Jul-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Faith Homes & Habilitation, LLC" 5316 Cumberland Plain Dr. Raleigh NC 27616 2711 Fayetteville Street Durham NC 27707 Durham (919)401-5781 "Destiny Pursuits, Inc." 030269 MHL-092-958 "Divine Supportive Homes, Inc." 05-Apr-18 11-Feb-19 31-Dec-19 Type A 30-Jul-19 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Divine Supportive Homes 549 Iring Dr. Rolesville NC 27571 3905 Marsh Creek Road Raleigh NC 27604 Wake (919)803-6671 "Divine Supportive Homes, Inc." 061085 MHL-032-510 Donald E. Brown 06-Nov-09 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL New Beginning 2303 NC 55 Highway Durham NC 27707 2303 NC 55 Highway Durham NC 27707 Durham (919)688-7893 Donald E. Brown 061230 MHL-032-404 "Donald E. Brown, Sr." 20-Mar-07 01-Jan-19 31-Dec-19 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Don's Adult Care Group Home 1925 Apex Highway Durham NC 27707 1925 Apex Highway Durham NC 27707 Durham (919)682-1275 060949 MHL-026-835 Donna Black 13-Mar-07 01-Jan-19 31-Dec-19 Suspension of Admission 15-Apr-16 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL New Horizons Group Home 2433 Gray Goose Loop Fayetteville NC 28306 3319 Auburn Drive Fayetteville NC 28306 Cumberland (910)425-5725 160594 MHL-064-153 Doris Sessoms 23-Apr-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Someone Does Care II PO Box 1232 Tarboro NC 27886 730 Mill Street Rocky Mount NC 27804 Nash (252)231-8154 Doris Sesssoms 000291 MHL-035-029 Eason Court Group Home LLC 03-May-00 01-Jan-19 31-Dec-19 Type A 07-Apr-17 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Eason Court PO Box 759 Youngsville NC 27596 113 Eason Court Youngsville NC 27596 Franklin (919)556-4720 Eason Court Group Home LLC 061127 MHL-035-050 Eason Court Group Home LLC 15-May-08 01-Jan-19 31-Dec-19 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Eason Court #2 P.O. Box 759 Youngsville NC 27596 124 Gregory Manor Youngsville NC 27596 Franklin (919)556-5355 Daphine Carroll 922846 MHL-084-078 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Waverly House 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 2215 Waverly Street Albemarle NC 28001 Stanly (704)985-1000 Easter Seals UCP of NC & VA /Sandra Schaefer 921527 MHL-041-977 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-19 31-Dec-19 Type A 11-Feb-16 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Brentwood Group Home 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 2325 Brentwood Street High Point NC 27263 Guilford (336)861-2041 Easter Seals UCP NC & VA 960388 MHL-041-978 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Edgewood Group Home 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 408 North Ward Avenue High Point NC 27263 Guilford (336)882-6626 Heather Humphrey-Greer 952311 MHL-090-171 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL North Ridge Group Home 5171 Glenwood Avenue Suite 211 "Raleigh," NC 27612 124 Ridge Run Street Marshville NC 28103 Union (704)624-3801 Easter Seals UCP 000243 MHL-044-053 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Park Vista Group Home 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 38 Thomas Park Drive Waynesville NC 28786 Haywood (828)452-2752 Easter Seals UCP 921868 MHL-014-076 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Holly Ridge 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 1417 Harper Avenue SW Lenoir NC 28645 Caldwell (828)757-4391 Easter Seals UCP 980466 MHL-012-120 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Northwood Group Home 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 407 North College Street Morganton NC 28655 Burke (828)433-8074 Easter Seals UCP 922888 MHL-005-024 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-19 31-Dec-19 Type A 25-Feb-16 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Willow Place Group Home 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 603 Long Street West Jefferson NC 28694 Ashe (336)219-0038 Easter Seals UCP 956989 MHL-012-121 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-19 31-Dec-19 Type A 04-Mar-14 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Greystone 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 114 Erwin Street Morganton NC 28655 Burke (828)433-8356 Easter Seals UCP 080218 MHL-013-153 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Ashlynn Group Home 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 89 Ashlynn Drive Concord NC 28025 Cabarrus (704)723-4781 Easter Seals UCP 040514 MHL-040-026 "Edward's Group Home III, Inc." 25-Jun-04 01-Jan-19 31-Dec-19 Type A 17-Jun-14 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Edwards Group Home #3 PO Box 295 Snow Hill NC 28580 1233 Apple Tree Road Stantonsburg NC 27883 Greene (252)238-2000 "Edward's Group Home III, Inc." 020379 MHL-040-021 "Edwards Group Home II, Inc." 19-Jul-02 01-Jan-19 31-Dec-19 Type B 24-May-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Edwards Group Home #2 PO Box 295 Snow Hill NC 28580 408 East Main Street Hookerton NC 28538 Greene (252)747-1080 "Edwards Group Home, Inc." 050498 MHL-040-027 "Edwards Group Home IV, Inc." 08-Jul-05 01-Jan-19 31-Dec-19 Type A 05-Jul-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Edwards Group Home #4 PO Box 295 Snow Hill NC 28580 1269 Appletree Road Stantonsburg NC 27883 Greene (252)238-2000 "Edwards Group Home IV, Inc." 970479 MHL-040-055 "Edwards Group Home VI, Inc." 22-May-19 22-May-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Edwards Group Home #6 PO Box 295 Snow Hill NC 28580 710 West Harper Street Snow Hill NC 28580 Greene (252)747-7824 "Edwards Group Home VI, Inc." 000156 MHL-040-015 "Edwards Group Home, Inc." 19-May-00 01-Jan-19 31-Dec-19 Summary Suspension 01-Oct-08 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Edwards Group Home PO Box 295 Snow Hill NC 28580 306 West Greene Street Snow Hill NC 28580 Greene (252)747-4000 Edwards Group Home 070812 MHL-026-857 "Elite Care Service, Inc." 21-Jul-08 01-Jan-19 31-Dec-19 Type A 22-Jun-09 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Elite Care Service at Middle Rd. PO Box 9525 Fayetteville NC 28311 711 Middle Road Fayetteville NC 28312 Cumberland (910)483-0324 "Elite Care Services, Inc." 060528 MHL-092-654 Eloise M. Dowtin 11-Oct-06 01-Jan-19 31-Dec-19 Type B 20-Jul-15 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL The Emmanuel Home IV PO Box 26153 Raleigh NC 27611 303 Aqua Marine Lane Knightdale NC 27545 Wake (919)261-8066 040916 MHL-034-190 Emma & John Garvin 08-Dec-04 01-Jan-19 31-Dec-19 Intent to Revoke 30-Sep-16 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Garvins Mental Management 4527 Country Club Road Winston-Salem NC 27104 4527 Country Club Road Winston-Salem NC 27104 Forsyth (336)293-8020 Garvins Mental Management 061362 MHL-032-609 "Enhancement Health Care, Inc." 10-May-16 01-Jan-19 31-Dec-19 Suspension of Admission 02-May-19 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Care Health Services 1 "2402 South Miami Blvd., Ste. 105" Durham NC 27703 502 Hugo Street Durham NC 27704 Durham (919)220-9084 "Enhancement Health Care, Inc." 110317 MHL-092-820 "Favour Homes, Inc." 04-Aug-11 01-Jan-19 31-Dec-19 Type A 27-Jun-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Favour Home 2 313 Dickens Drive Raleigh NC 27610 3825 Cashew Drive Raleigh NC 27616 Wake (919)266-0853 "Favour Homes, Inc." 160121 MHL-043-100 "Freedom Care Services, LLC" 05-Oct-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Freedom Care Services, LLC #4" 136 Clearwater Drive Smithfield NC 27577 3560 Bunnlevel Erwin Road Erwin NC 28339 Harnett (910)230-3674 "Freedom Care Services, LLC" 130334 MHL-043-102 "Freedom Care Services, LLC" 27-Mar-18 01-Jan-19 31-Dec-19 Type B 17-May-18 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Freedom Care Services, LLC #6" 136 Clearwater Dr Smithfield NC 27577 34 Shallow Ford Street Cameron NC 28326 Harnett (910)705-5409 "Freedom Care Services, LLC" 140018 MHL-001-207 Garnetta Enoch 01-Nov-10 01-Jan-19 31-Dec-19 Type A 07-Feb-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Enoch Group Home P.O. Box 3624 Burlington NC 27215 2310 Hyde Street Burlington NC 27217 Alamance (336)524-3811 Garnetta Enoch 041320 MHL-041-754 Good Shepherd Family Care Home LLC 03-Aug-05 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Good Shepherd Family Care Home LLC 3592 Hancock Drive Greensboro NC 27410 2810 Fleming Road Greensboro NC 27410 Guilford (336)644-0752 Good Shepherd Family Care Home LLC 930773 MHL-001-217 "Green Valley Haven, LLC" 27-Jun-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Wicker Street Group Home P.O. Box 981 Haw River NC 27258 809 Wicker Street Burlington NC 27217 Alamance (336)227-4350 "Green Valley Haven, LLC" 100761 MHL-001-220 "Green Valley Haven, LLC" 07-Oct-11 01-Jan-19 31-Dec-19 Type A 18-Aug-17 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Green Valley Haven PO Box 981 Haw River NC 27258 2528 Anderson Road Burlington NC 27217 Alamance (336)270-4636 "Green Valley Haven, LLC" 090688 MHL-001-186 "Guidance House, LLC" 24-Nov-09 01-Jan-19 31-Dec-19 Type A 24-Aug-16 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Guidance House 805 Tucker Street Burlington NC 27215 805 Tucker Street Burlington NC 27215 Alamance (336)226-2381 Jean Coleman Majors 130014 MHL-092-829 "Hannah Family Care Homes, Inc." 21-Dec-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Hannah Family Care Homes, Inc." 7109 Hickory Nut Dr. Raleigh NC 27613 7109 Hickory Nut Drive Raleigh NC 27613 Wake (919)900-8916 120623 MHL-092-899 "Harrison Group Homes, LLC" 07-Aug-14 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Harrison Homes 301 Crescendo Drive Morrisville NC 27560 2609 Fernbrook Road Raleigh NC 27610 Wake (919)301-8044 "Harrison Group Homes, LLC" 070126 MHL-032-411 Hazel Clinkscales/ Hattie Carrington 29-May-07 01-Jan-19 31-Dec-19 Type A 26-Sep-14 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Harvest of Hope 2509 Lane Street Durham NC 27707 2509 Lane Street Durham NC 27707 Durham (973)713-0726 Hazel Clinkscales 101073 MHL-092-862 "Heavenly Place, LLC" 06-Mar-13 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Heavenly Place 2 PO Box 41153 Raleigh NC 27629 2105 Gresham Lake Road Raleigh NC 27615 Wake (919)896-6365 "Heavenly Place, LLC" 060103 MHL-001-192 "Helping Hands Group Home, LLC" 17-Mar-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Helping Hands Group Home, LLC" 4460-S NC Hwy 54 E Graham NC 27253 322/324 Walker Avenue Graham NC 27253 Alamance (336)270-4332 Jean C Majors 150407 MHL-047-095 "Higher Horizons, Inc." 15-Nov-05 01-Jan-19 31-Dec-19 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Higher Horizons, Inc." PO Box 1678 Raeford NC 28376 485 Northwoods Drive Raeford NC 28376 Hoke (910)920-6330 170577 MHL-047-159 "Higher Horizons, Inc." 22-Feb-16 01-Jan-19 31-Dec-19 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Ratliffe's Residential Services PO Box 1678 Raeford NC 28376 144 Strickland Court Raeford NC 28376 Hoke (910)479-1141 "Higher Horizons, Inc." 150553 MHL-047-168 "Higher Horizons, Inc." 20-Dec-18 01-Jan-19 31-Dec-19 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Sisterly Love 170 Club Pond Road Raeford NC 28376 170 Club Pond Road Raeford NC 28376 Hoke (910)904-0728 "Higher Horizons, Inc" 020813 MHL-060-1328 HopeWay Foundation 18-Nov-16 01-Jan-19 31-Dec-19 - - - - 36 27G.5600A Supervised Living MI Adult A MI RESIDENTL HopeWay 1717 Sharon Road West Charlotte NC 28210 1717 Sharon Road West Charlotte NC 28210 Mecklenburg (980)859-2106 HopeWay Foundation 130575 MHL-043-095 "I Innovations, Inc." 19-Jun-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL "I Innovations, Inc.-Sean Lane" P.O. Box 1553 Sanford NC 27331 118 Sean Lane Sanford NC 27332 Harnett (919)353-8575 "I Innovations, Inc." 140294 MHL-053-076 "I Innovations, Inc." 15-Dec-14 01-Jan-19 31-Dec-19 Type A 04-Apr-19 - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL "I Innovations, Inc. - 5023 Valley View" P.O. Box 1553 Sanford NC 27331 5023 Valley View Drive Sanford NC 27331 Lee (919)356-2889 "I Innovations, Inc." 000046 MHL-092-929 "JACE Healthcare Services, Inc." 01-Sep-15 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL JACE Healthcare Inc. II 1921 Waters Dr Raleigh NC 27610 804 West Gannon Street Zebulon NC 27597 Wake (919)269-9173 "JACE Healthcare Services, Inc." 050540 MHL-092-639 "JAG's Residential Services, LLC" 27-Jan-06 01-Jan-19 31-Dec-19 Type B 16-Aug-19 - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Beyond Measures 1006 Laurel Leaf Road Zebulon NC 27597 1005 Laurel Leaf Road Zebulon NC 27597 Wake (919)269-6107 "JAG's Residential Services,LLC" 000495 MHL-081-113 "KD Support Services, LLC" 29-Jan-16 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Joyful Too 126 Pine Street Forest City NC 28043 126 Pine Street Forest City NC 28043 Rutherford (828)245-2540 "KD Support Services, LLC" 041561 MHL-040-028 "Krystal's House, LLC" 28-Feb-06 01-Jan-19 31-Dec-19 Type B Imposed 23-May-11 - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Krystal's House, LLC" 1101 Kearney Cemetery Rd Snow Hill NC 28580 83 White Horse Rd Pikeville NC 27863 Greene (252)747-2988 Krystal's House 921316 MHL-098-077 Larry Wellman 15-Jun-01 01-Jan-19 31-Dec-19 Type B 09-Sep-15 - - 9 27G.5600A Supervised Living MI Adult A MI RESIDENTL The Wellman Center I P O Box 694 Wilson NC 27893 410 West Garner Street Wilson NC 27893 Wilson (252)237-4241 040204 MHL-098-109 Larry Wellman 12-Dec-05 01-Jan-19 31-Dec-19 Type A 16-Jul-15 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Wellman Center 4 410 W. Garner St. Wilson NC 27893 406 W. Garner St. Wilson NC 27893 Wilson (252)237-4241 Wellman Center 1 040202 MHL-098-110 Larry Wellman 01-Mar-06 01-Jan-19 31-Dec-19 Type A 05-May-16 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Wellman Center 3 410 West Garner St. Wilson NC 27893 408 West Garner St. Wilson NC 27893 Wilson (252)237-4241 Wellman Center 1 922027 MHL-042-009 "Life, Inc." 01-Aug-90 01-Jan-19 31-Dec-19 - - - - 0 27G.5600A Supervised Living MI Adult Idlewood Group Home 2609 Royall Avenue Goldsboro NC 27534 28 Wood Glenn Road Roanoke Rapids NC 27870 Halifax (252)537-4386 170145 MHL-001-251 "Lillies Place #2, Inc." 01-Aug-17 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Lillies Place #2 121 Hazel Drive Burlington NC 27217 121 Hazel Drive Burlington NC 27217 Alamance (336)792-6441 "Lillies Place #2, Inc." 080902 MHL-063-089 Linden Lodge Foundation 01-May-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Linden Lodge PO Box 4153 Pinehurst NC 28374 2251 Linden Road Aberdeen NC 28315 Moore (910)295-0600 "Attn: Marianne P. Kernan, Chairman" 090038 MHL-096-203 Lisa W. Barwick 30-Jan-08 01-Jan-19 31-Dec-19 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Angel Wings Group Home 311 Gainey Drive Goldsboro NC 27530 7004 Summitt Drive Goldsboro NC 27530 Wayne (919)736-0059 Carl B Barwick 080103 MHL-026-955 Mac Bill Inc. 12-Jun-14 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Harlee Mac Group Home IV PO Box 1444 Kinston NC 28503 5740 Longview Drive Fayetteville NC 28306 Cumberland (910)723-1963 Mac Bill Inc. 100177 MHL-026-956 Mac Bill Inc. 12-Jun-14 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Harlee Mac Group Home III PO Box 1444 Kinston NC 28503 2226 Memory Street Fayetteville NC 28304 Cumberland (910)488-8820 Mac Bill Inc. 021075 MHL-054-173 MacBill Inc. 24-Jun-14 01-Jan-19 31-Dec-19 Type B 17-Feb-15 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Harlee Mac Group Home - I PO Box 1444 Kinston NC 28503 1752 Elizabeth Drive Kinston NC 28501 Lenoir (252)686-0404 MacBill Inc. 991052 MHL-064-052 Margaret Hyman-Brinkley 21-Oct-99 01-Jan-19 31-Dec-19 Type A 23-Jul-10 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Loving Care Supervised Living 209 Overton Drive Rocky Mount NC 27804 209 Overton Drive Rocky Mount NC 27804 Nash (252)210-3182 990235 MHL-092-351 Mary Lilly McCullers 15-Mar-99 01-Jan-19 31-Dec-19 Type A 11-Dec-14 - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Mary's Manor III 5641 Quail Covey Lane Wendell NC 27591 4208 Labrador Drive Raleigh NC 27616 Wake (919)261-0572 Mary McCullers Gaddis 020908 MHL-092-516 Mary Lilly McCullers 23-Oct-02 01-Jan-19 31-Dec-19 Type A 22-Nov-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Mary's Manor II 5641 Quail Covey Lane Wendell NC 27591 501 Bunn Street Zebulon NC 27597 Wake (919)269-3060 Mary McCullers-Gaddis 010421 MHL-092-460 Mary McCullers-Jackson 19-Jun-01 01-Jan-19 31-Dec-19 Intent to Revoke 11-Dec-17 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Mary's Manor 5641 Quail Covey Lane Wendell NC 27591 228 Gail Ridge Lane Wendell NC 27591 Wake (919)266-9876 Mary McCullers-Gaddis 921959 MHL-001-201 Mary N. Woods 29-Jun-10 01-Jan-19 31-Dec-19 Type A 22-Mar-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Union Avenue Group Home 210 Union Avenue Burlington NC 27217 210 Union Avenue Burlington NC 27217 Alamance (336)226-6798 Mary N. Woods 120263 MHL-041-1080 Mary N. Woods 07-Jun-13 01-Jan-19 31-Dec-19 Suspension of Admission 26-Jun-19 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Union Group Home II PO Box 3093 Burlington NC 27216 605 Whitsett Avenue Gibsonville NC 27249 Guilford (336)987-6337 Mary N. Woods 030767 MHL-092-573 "Meeks Group Homes, LLC" 30-Dec-03 01-Jan-19 31-Dec-19 Type B 19-Jun-18 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Meeks #2 PO Box 1383 Wendell NC 27591 4125 Edgemont Road Wendell NC 27591 Wake (919)390-4429 "Meeks Group Homes, LLC" 150481 MHL-092-663 "Meeks Group Homes, LLC" 17-Nov-06 01-Jan-19 31-Dec-19 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Meeks #3 P.O. Box 1383 Wendell NC 27591 14 Martin Street Wendell NC 27591 Wake (919)390-4429 "Meeks Group Homes, LLC" 050157 MHL-032-423 "Melody House, LLC" 08-Nov-07 01-Jan-19 31-Dec-19 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Melody House PO Box 11343 Durham NC 27703 2724 Marlin Drive Durham NC 27703 Durham (919)908-6837 Melody House 921425 MHL-084-069 Monarch 05-May-09 01-Jan-19 31-Dec-19 Type A 21-Dec-18 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Second Street Home 350 Pee Dee Ave. Suite 101 Albemarle NC 28001 242 North Second Street Albemarle NC 28001 Stanly (704)983-2016 Monarch 922355 MHL-081-011 Monarch 01-Nov-89 01-Jan-19 31-Dec-19 Type A 11-Mar-15 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Parkland Group Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 188 Parkland Drive Forest City NC 28043 Rutherford (828)245-5667 Monarch 922629 MHL-025-020 Monarch 01-Feb-90 01-Jan-19 31-Dec-19 Type A 01-Jul-15 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Spencer's Place "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 201 Ninth Street New Bern NC 28560 Craven (252)633-1118 Monarch 070305 MHL-013-142 Monarch 01-Aug-07 01-Jan-19 31-Dec-19 Type B 25-May-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Windemere Group Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 2158 Windemere Drive Kannopolis NC 28083 Cabarrus (704)933-7938 Monarch 944814 MHL-090-163 Monarch 07-May-08 01-Jan-19 31-Dec-19 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Southgate Group Home "350 Pee Dee Ave, Ste 101" Albemarle NC 28001 818 Gate Road Monroe NC 28110 Union (704)283-4348 Monarch 922429 MHL-007-072 Monarch 01-Jul-09 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Plant Street 350 Pee Dee Ave. Ste. 101 Albemarle NC 28001 619 Plant Street Washington NC 27889 Beaufort (252)946-7094 Monarch 980044 MHL-053-061 Monarch 01-Feb-10 01-Jan-19 31-Dec-19 Type A 26-Nov-14 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Seawell Street Home 350 Pee Dee Ave. Ste. 101 Albemarle NC 28001 108 East Seawell Street Sanford NC 27332 Lee (919)718-0269 Monarch 942177 MHL-077-058 Monarch 01-Feb-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Cauthen Drive Home 350 Pee Dee Ave. Suite 101 Albemarle NC 28001 1401 Cauthen Drive Rockingham NC 28379 Richmond (910)997-7521 Monarch 922219 MHL-060-1192 Monarch 01-Nov-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL McAlway Road "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 714 McAlway Road Charlotte NC 28211 Mecklenburg (704)364-0432 Monarch 955397 MHL-060-1193 Monarch 01-Nov-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Austin "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 1211 Robinhood Circle Charlotte NC 28227 Mecklenburg (704)563-8894 Monarch 980454 MHL-060-1194 Monarch 01-Nov-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Briar Creek Road "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 1518 Briar Creek Road Charlotte NC 28205 Mecklenburg (704)537-4544 Monarch 955548 MHL-060-1195 Monarch 01-Nov-10 01-Jan-19 31-Dec-19 Type A 19-Jun-15 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Carmel Forest Drive "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 3711 Carmel Forest Drive Charlotte NC 28205 Mecklenburg (704)542-8727 Monarch 980627 MHL-077-072 Monarch 27-Aug-12 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Circlewood Drive "350 Pee Dee Ave., Suite 101" Albemarle NC 28001 841 Circlewood Drive Hamlet NC 28345 Richmond (910)557-5337 Monarch 945160 MHL-043-093 Monarch 01-Jan-14 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL North Willow Street "350 Pee Dee Ave,. Ste. 101" Albemarle NC 28001 89 North Willow Street Angier NC 27501 Harnett (919)639-8825 Monarch 100923 MHL-047-140 "Multicultural Resource Center, Inc." 22-Feb-11 01-Jan-19 31-Dec-19 Type B Imposed 12-Aug-14 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Multicultural Resource Center - Group Home #1 980 Kennesaw Drive Fayetteville NC 28314-5757 249 Joyce Lane Raeford NC 28376 Hoke (910)848-5515 "Multicultural Resources Center, Inc." 030268 MHL-047-166 "Multicultural Resources Center, Inc." 30-Jan-18 01-Jan-19 31-Dec-19 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Multicultural Resources Center-Group Home #2 980 Kennesaw Drive Fayetteville NC 28314 2423 Highway 401 Business Raeford NC 28376 Hoke (910)878-1656 "Multicultural Resources Center, Inc." 190042 MHL-047-169 "Multicultural Resources Center, Inc." 18-Mar-19 18-Mar-19 31-Dec-19 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Multicultural Resources Center Group Home #3 980 Kennesaw Drive Fayetteville NC 28314 518 E 5th Avenue Raeford NC 28376 Hoke (910)848-7700 "Multicultural Resources Center, Inc." 930105 MHL-038-023 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL The Twin Oaks PO Box 11247 Richmond VA 23230-1247 536 Moose Branch Road Robbinsville NC 28771 Graham (828)479-7455 "NCG Acquisition, LLC" 955574 MHL-038-024 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL The Passage PO Box 11247 Richmond VA 23230-1247 532 Moose Branch Road Robbinsville NC 28771 Graham (828)479-9670 "NCG Acquisition, LLC" 130338 MHL-034-316 "NOA Human Services II, Inc." 12-Nov-13 01-Jan-19 31-Dec-19 Type B 11-Jun-19 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "NOA Human Services II, Inc." P.O. Box 17002 Winston Salem NC 27116 3801 Palmira Trail Winston Salem NC 27127 Forsyth (336)788-1181 "NOA Human Services II, Inc." 140431 MHL-034-334 "NOA Human Services III, Inc." 25-Feb-15 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "NOA Human Services III, Inc." PO Box 17002 Winston Salem NC 27116 1847 Waycross Drive Winston Salem NC 27106 Forsyth (336)896-0877 "NOA Human Services III, Inc." 180187 MHL-034-381 "NOA Human Services IV, Inc." 06-Sep-18 01-Jan-19 31-Dec-19 Type A 16-Jul-19 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL "NOA Human Services, Inc." PO Box 17002 Winston-Salem NC 27116 4328 Stokesdale Avenue Winston-Salem NC 27101 Forsyth (336)287-3241 "NOA Human Services IV, Inc." 080042 MHL-034-271 "NOA Human Services, Inc" 22-Oct-10 01-Jan-19 31-Dec-19 Type A 13-Dec-13 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL "NOA Human Services, Inc." PO Box 17002 Winston-Salem NC 27116 4420 Edrem Avenue Winston-Salem NC 27101 Forsyth (336)724-6845 "NOA Human Services, Inc." 070064 MHL-058-050 "New Beginnings With Love, Inc." 17-Aug-11 01-Jan-20 31-Dec-20 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL New Beginnings With Love Inc. Adult Facility 8410 NC 33 E Tarboro NC 27886 121 Harris Street Williamston NC 27892 Martin (252)792-3737 "New Beginnings With Love, Inc." 061190 MHL-033-061 New Day New Beginning Inc. 09-Oct-08 01-Jan-19 31-Dec-19 Intent to Revoke 09-May-16 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL New Day New Beginning 616 Altantic Avenue Rocky Mount NC 27801 616 Atlantic Avenue Rocky Mount NC 27801 Edgecombe (252)442-1295 "New Day New Beginning, Inc." 030687 MHL-068-143 "New Destinations, Inc." 01-Sep-09 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Serenity Crest P O Box 1239 Fuquay-Varina NC 27526 202 North Nash Street Hillsborough NC 27278 Orange (919)951-5843 "New Destinations, Inc." 010493 MHL-073-056 "New Destinations, Inc." 01-Sep-09 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Eden Square P.O. Box 1239 Fuquay-Varina NC 27526 219 North Foushee Street Roxboro NC 27573 Person (336)598-5988 "New Destinations, Inc." 921678 MHL-032-500 "New Destinations, Inc." 01-Sep-09 01-Jan-19 31-Dec-19 Type B 30-Sep-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Community House II-Durham P.O. Box 1239 Fuquay-Varina NC 27526 409 Ebon Road Durham NC 27713-1621 Durham (919)294-6909 "New Destinations, Inc." 921679 MHL-032-499 "New Destinations, Inc." 01-Sep-09 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Community House-Durham P. O. Box 1239 Fuquay-Varina NC 27526 1524 Southwood Drive Durham NC 27707 Durham (919)937-9018 "New Destinations, Inc." 980113 MHL-049-121 "New Destinations, Inc." 01-Feb-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Brookdale P.O. Box 1239 Fuquay-Varina NC 27526 711 Brookdale Drive Statesville NC 28677 Iredell (704)380-2903 "New Destinations, Inc." 956186 MHL-096-225 "New Destinations, Inc." 01-Feb-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Claiborne Place P.O. Box 1239 Fuquay-Varina NC 27526 404 S. Claiborne Street Goldsboro NC 27533 Wayne (919)288-2995 "New Destinations, Inc." 930005 MHL-001-165 "New Dimensions Intervention, Inc." 19-Aug-08 01-Jan-19 31-Dec-19 Type B 18-Jan-12 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL "New Dimensions Interventions, Inc." "111 Trail One, Suite 105" Burlington NC 27215 2856 Anderson Road Burlington NC 27217 Alamance (336)675-3215 100635 MHL-001-164 "New Dimensions Interventions, Inc." 19-Aug-08 01-Jan-19 31-Dec-19 Type B 14-Dec-11 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL "New Dimensions Interventions, Inc." "111 Trail One, Suite 105" Burlington NC 27215 602 Piedmont Way Burlington NC 27215 Alamance (336)350-4804 050203 MHL-032-612 "PP&V Health Care Solutions, LLC" 05-Oct-16 01-Jan-19 31-Dec-19 Type B 09-Jan-19 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL PP&V Health Care Solutions 4901 Paces Ferry Drive Durham NC 27712 1717 North Alston Avenue Durham NC 27701 Durham (984)219-6212 "PP&V Health Care Solutions, LLC" 130002 MHL-092-956 Padroy Inc. 13-Mar-18 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL The Manor at Riverbrooke 6116 Paducah Dr Raleigh NC 27610 2917 Fairway Drive Raleigh NC 27603 Wake (919)266-0775 Padroy Inc. 040691 MHL-051-144 Passionate Care Group Homes 28-Sep-04 01-Jan-19 31-Dec-19 Type A 19-Nov-15 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Passionate Care Group Home #1 3181 Hwy 70 Smithfield NC 27577 105 Walnut Creek Drive Clayton NC 27520 Johnston (919)359-1927 Passionate Care Services 110931 MHL-051-145 Patricia Barfield 13-Dec-11 01-Jan-19 31-Dec-19 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Cornerstone Residential Services #2 PO Box 1175 Kenly NC 27542 237 Oliver Street Pine Level NC 27568 Johnston (919)339-6048 Patricia Barfield 100113 MHL-092-937 Peace Healthcare Inc. 29-Mar-16 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Peace Healthcare Inc. 2520 Dality Dr Raleigh NC 27604 627 Donald Ross Drive Raleigh NC 27610 Wake (919)803-3130 Peace Healthcare Inc. 011055 MHL-085-028 "Pinnacle Homes, DDA, LLC" 01-May-02 01-Jan-19 31-Dec-19 Type B 14-Jan-08 - - 8 27G.5600A Supervised Living MI Adult A MI RESIDENTL Pinnacle Homes II PO Box 70 Pinnacle NC 27043 1173 Perch Road Pinnacle NC 27043 Stokes (336)368-2636 "Pinnacle Homes, LLC" 981129 MHL-085-026 "Pinnacle Homes, DDA, LLC" 20-Nov-01 01-Jan-19 31-Dec-19 Type B Imposed 26-Mar-10 - - 8 27G.5600A Supervised Living MI Adult A MI RESIDENTL Pinnacle Homes #1 PO Box 70 Pinnacle NC 27043 1169 Perch Road Pinnacle NC 27043 Stokes (336)368-2778 Pinnacle Homes 030161 MHL-092-913 Pioneer Healthcare Inc. 03-Jun-15 01-Jan-19 31-Dec-19 Type A 18-Dec-15 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Pioneer Healthcare Inc. #3 306 Lumpkin Blvd Louisburg NC 27549 2726 Newsome Street Raleigh NC 27603 Wake (919)747-9230 Pioneer Healthcare Inc. 100150 MHL-001-256 "R & S Independent Health Services, Inc." 05-Jun-18 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "R & S Independent Health Services, Inc." 1950 Bramblewood Trail Pfafftown NC 27040 636 Gunn Street Burlington NC 27217 Alamance (336)270-8718 "R & S Independent Health Services, Inc." 110852 MHL-051-216 "RBC Health Care Solutions, Inc." 01-Jan-16 01-Jan-19 31-Dec-19 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL "RBC Health Care Solutions, Inc." PO Box 1735 Fuquay Varina NC 27526 1335 Lassiter Road Four Oaks NC 27524 Johnston (919)938-9815 "RBC Health Care Solutions, Inc." 955388 MHL-011-103 "RHA Health Services NC, LLC" 13-Aug-10 01-Jan-19 31-Dec-19 Type A 17-Jul-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Riverview Group Home 145 Cane Creek Ind. Park Rd Ste 250 Fletcher NC 28732 421 Riverview Drive Asheville NC 28816 Buncombe (828)255-2692 "RHA Health Services NC, LLC" 030366 MHL-001-014 "Residential Treatment Services of Alamance, Inc." 01-Jul-86 01-Jan-19 31-Dec-19 Type B 10-Nov-09 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Crestview Group Home #2 P O Box 427 Burlington NC 27216 635 Crestview Drive Burlington NC 27217 Alamance (336)222-1737 991142 MHL-001-070 "Residential Treatment Services of Alamance, Inc." 03-Dec-99 01-Jan-19 31-Dec-19 Type A 23-Sep-15 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Crestview Group Home PO Box 427 Burlington NC 27216 631 Crestview Drive Burlington NC 27217 Alamance (336)227-1911 Residential Trtmt Svcs of Alamance 031020 MHL-092-580 "Resources for Human Development, Inc." 30-Jan-04 01-Jan-19 31-Dec-19 - - - - 2 27G.5600A Supervised Living MI Adult A MI RESIDENTL Varsity Crest #1 "10224 Durant Road, Ste 205" Raleigh NC 27614 1503 Crest Road Apt. 101 Raleigh NC 27606 Wake (919)755-1218 Resources for Human Dev. Inc. 031019 MHL-092-581 "Resources for Human Development, Inc." 30-Jan-04 01-Jan-19 31-Dec-19 - - - - 2 27G.5600A Supervised Living MI Adult A MI RESIDENTL Varsity Crest #2 "10224 Durant Road, Ste 205" Raleigh NC 27614 1503 Crest Rd. Apt. 102 Raleigh NC 27606 Wake (919)755-1218 "Resources for Human Development, Inc" 031018 MHL-092-582 "Resources for Human Development, Inc." 30-Jan-04 01-Jan-19 31-Dec-19 - - - - 2 27G.5600A Supervised Living MI Adult A MI RESIDENTL Varsity Crest #3 "10224 Durant Road, Ste 205" Raleigh NC 27614 1503 Crest Road Apt. 103 Raleigh NC 27606 Wake (919)755-1335 Resources for Human Development 080450 MHL-032-516 RoShaun Williams 26-Jan-10 01-Jan-19 31-Dec-19 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL RoShaun's House of Care 4012 Guess Road Durham NC 27705 4012 Guess Road Durham NC 27705 Durham (919)620-7967 RoShaun Williams 060094 MHL-032-371 "Rose's Castle Residential Services, Inc." 08-Jun-06 01-Jan-19 31-Dec-19 Type A 27-Jul-12 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Rose's Castle Residential Services Inc. 505 Cook Road Durham NC 27713 505 Cook Road Durham NC 27713 Durham (919)680-4637 130028 MHL-017-026 Ruths Cove 26-Apr-12 01-Jan-19 31-Dec-19 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL LeVan Place II PO Box 393 Reidsville NC 27320 45 County Home Road Blanch NC 27212 Caswell (336)694-3372 101048 MHL-092-809 Serenity Home Corporation Inc. 09-Feb-11 01-Jan-19 31-Dec-19 Suspension of Admission 12-Jul-13 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Serenity Home Corporation Inc. 511 South Bloodworth Street Raleigh NC 27601 511 South Bloodworth Street Raleigh NC 27601 Wake (919)900-8514 Serenity Home Corporation Inc. 120463 MHL-034-303 Sharpe and Williams 28-Feb-13 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Sharpe and Williams #2 2740 New Walkertown Road Winston-Salem NC 27105 4408 Northampton Drive Winston-Salem NC 27105 Forsyth (336)767-8100 "Sharpe and Williams, Inc." 120462 MHL-034-324 Sharpe and Williams 18-Jul-14 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Sharpe and Williams #3 2740 New Walkertown Road Winston-Salem NC 27105-4818 4419 Canaan Place Winston-Salem NC 27105-4818 Forsyth (336)608-4242 Sharpe and Williams 150418 MHL-034-357 Sharpe and Williams 21-Apr-16 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Sharpe and Williams #6 2740 New Walkertown Road Winston Salem NC 27105 4790 Lennox Road Winston Salem NC 27105 Forsyth (336)546-7578 Sharpe and WIlliams 170579 MHL-034-378 Sharpe and Williams 09-May-18 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Sharpe and Williams #7 2740 New Walkertown Rd Winston Salem NC 27105 2650 Oak Grove Circle Winston Salem NC 27106 Forsyth (336)923-8055 Sharpe and Williams 180071 MHL-034-380 Sharpe and Williams 12-Jul-18 01-Jan-19 31-Dec-19 Type A 29-Mar-19 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Sharpe and Williams #8 2740 New Walkertown Rd Winston Salem NC 27105 937 Glencoe Street Winston Salem NC 27107 Forsyth (336)893-6003 Sharpe and Williams 140313 MHL-034-332 "Sharpe and Williams, Inc." 19-Dec-14 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Sharpe and Williams #4 2740 New Walkertown Road Winston Salem NC 27105 1040 Linger Road Winston Salem NC 27127 Forsyth (336)788-3838 "Sharpe and Williams, Inc." 150013 MHL-034-338 "Sharpe and Williams, Inc." 11-May-15 01-Jan-19 31-Dec-19 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Sharpe and Williams #5 2740 New Walkertown Rd Winston-Salem NC 27105 2042 Temple Street Winston-Salem NC 27101 Forsyth (336)724-7922 "Sharpe and Williams, Inc." 020243 MHL-008-007 "Solid Foundation Facilities, Inc." 03-Jul-97 01-Jan-19 31-Dec-19 Type B 27-Mar-12 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Deacon's Dan's Place 224 Ward Road Windsor NC 27983 222-C Ward Road Windsor NC 27983 Bertie (252)794-9486 "Solid Foundation Facilities, Inc." 970749 MHL-026-299 "Sophia B. Pierce & Associates, Inc." 01-Jul-97 01-Jan-19 31-Dec-19 Type A 27-Sep-16 - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Stanberry Place PO Box 2813 Fayetteville NC 28302 1909 Stanberry Street Fayetteville NC 28301 Cumberland (910)488-7436 "Sophia B. Pierce & Associates, Inc." 110943 MHL-026-939 "Sunrise Residential Care, LLC" 10-Jan-13 01-Jan-19 31-Dec-19 Intent to Revoke 02-May-19 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Sunrise Residential Care 5227 Old Railroad Way Hope Mills NC 28348 5227 Old Railroad Way Hope Mills NC 28348 Cumberland (910)823-7424 "Sunrise Residential Care, LLC" 180497 MHL-098-201 "Supreme Love, Inc." 23-Dec-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Supreme Love 1 4232 Coghill Drive Wilson NC 27896 3001 Nash Street Wilson NC 27896 Wilson (252)991-7571 "Supreme Love, Inc." 170598 MHL-001-261 Teresa E. Wiley 21-Aug-19 21-Aug-19 31-Dec-19 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Creatively ReNewed Adult Living Facility 7323 Ethans Way Burlington NC 27215 2114 Morningside Drive Burlington NC 27215 Alamance (336)227-2129 Teresa E. Wiley 110292 MHL-092-756 Termaine Moore 14-Dec-09 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Heaven Sent Group Home PO Box 464 Wendell NC 27591 3209 Winfield Court Raleigh NC 27610 Wake (919)900-8081 Termaine Moore 020989 MHL-092-520 The Agape House 28-Dec-02 01-Jan-19 31-Dec-19 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL The Agape House PO Box 14963 Raleigh NC 27620 7320 Bentley Wood Lane Raleigh NC 27616 Wake (919)878-7816 Agape House 955667 MHL-026-951 "The Loving Home, Inc." 24-Dec-13 01-Jan-20 31-Dec-20 Type B 04-Jun-14 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "The Loving Home, Inc. #6" 4944 Macedonia Church Road Fayetteville NC 28312 1903 Bridger Street Fayetteville NC 28303 Cumberland (910)884-3896 "The Loving Home, Inc." 080424 MHL-001-173 "The Sharpe Road Adult Home Care, LLC" 27-Mar-09 01-Jan-19 31-Dec-19 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL "The Sharpe Road Adult Home Care, LLC" PO Box 188 Haw River NC 27258 826 Sharpe Road Burlington NC 27217 Alamance (336)226-0337 Clara and Hubert Moore 000331 MHL-047-126 "Therapeutic Alternatives, Inc." 15-Feb-10 01-Jan-19 31-Dec-19 Type A 20-Feb-17 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL CHC of Hoke County Group Home PO Box 814 Randleman NC 27317 400 West 8th Avenue Raeford NC 28376 Hoke (910)848-8466 "Therapeutic Alternatives, Inc." 944705 MHL-063-087 "Therapeutic Alternatives, Inc." 15-Feb-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Yadkin Place PO Box 814 Randleman NC 27317 360 Yadkin Road Southern Pines NC 28387 Moore (910)692-8688 Randolph 956274 MHL-076-095 "Therapeutic Alternatives, Inc." 15-Feb-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Pineview Group Home PO Box 814 Randleman NC 27317 218 Pineview Road Asheboro NC 27203 Randolph (336)672-1982 "Therapeutic Alternatives, Inc." 945141 MHL-062-031 "Therapeutic Alternatives, Inc." 15-Feb-10 01-Jan-19 31-Dec-19 Type B 31-Mar-15 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Candor Place PO Box 814 Randleman NC 27317 110 East Blake Street Candor NC 27229 Montgomery (910)974-9668 "Therapeutic Alternatives, Inc." 956338 MHL-004-049 "Therapeutic Alternatives, Inc." 14-Jun-19 14-Jun-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Wadesboro Group Home 962 South Fayetteville St. Asheboro NC 27203 501 Pine Terrace Street Wadesboro NC 28170 Anson (704)465-2118 "Therapeutic Alternatives, Inc." 130520 MHL-001-215 Timmy Rogers and Jan Simpson Rogers 02-May-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Alamance Homes 1806 Jeffries Cross Road Burlington NC 27217 625 N. Mebane Street Burlington NC 27217 Alamance (336)270-4738 Timmy Rogers and Jan Simpson Rogers 110011 MHL-012-091 Tonia Carpenter Donnell 29-Dec-03 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Burkemont Mountain Men Group Home 401 Drexel Road Morganton NC 28655 401 Drexel Road Morganton NC 28655 Burke (828)439-4287 Tonia Carpenter Donnell 100327 MHL-045-110 "Topic Family Care Home, LLC" 02-Nov-12 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Topic Home 2217 Bracton Road Hendersonville NC 28791 2217 Bracton Road Hendersonville NC 28791 Henderson (828)692-0047 "Topic Family Care Home, LLC" 980734 MHL-041-1145 "Transnet Home Group, LLC" 05-Apr-17 01-Jan-19 31-Dec-19 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Transnet Home Group-MLK Facility PO Box 36266 Greensboro NC 27416 1607 MLK Blvd. Greensboro NC 27406 Guilford (336)965-7186 "Transnet Home Group, LLC" 922066 MHL-051-203 Ultimate Family Care Home Inc. 05-Apr-12 01-Jan-19 31-Dec-19 Type A 24-May-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Ultimate Family Care Home 817 South Second Street Smithfield NC 27577 3310 NC Highway 210 Smithfield NC 27577 Johnston (919)550-7449 "Ultimate Family Care Home, Inc." 190017 MHL-051-192 "Ultimate Family Care Home, Inc." 20-Apr-11 15-Mar-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Ultimate Family Care Home, Inc." 817 South Second St. Smithfield NC 27577 2508 Sanders Road Willow Spring NC 27592 Johnston (919)880-3144 "Ultmate Family Care Home, Inc." 990110 MHL-031-076 Ultimate Family Care Inc. 01-Nov-16 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Ultimate Family Care Home #10 817 South Second Street Smithfield NC 27577 223 Robert F. Hargrove Road Mt. Olive NC 28365 Duplin (919)658-6178 Ultimate Family Care Inc. 160546 MHL-096-255 Universal Group Home LLC 26-Jun-14 01-Jan-19 31-Dec-19 Provisional 16-Dec-14 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Main St. Universal Group Home 1 411 Forest Drive Goldsboro NC 27534 904 National Drive Goldsboro NC 27534 Wayne (919)648-6025 Universal Group Home LLC 120210 MHL-026-935 "Upward Process, Inc." 11-Sep-12 01-Jan-19 31-Dec-19 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Upward Process 2917 Singletree Lane Fayetteville NC 28306 568 Alleghany Road Fayetteville NC 28304 Cumberland (910)424-3386 "Upward Process, Inc." 070136 MHL-092-686 "Victory Healthcare Services, Inc." 07-Jun-07 01-Jan-19 31-Dec-19 Type A 02-Apr-08 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Victory Healthcare Services, Inc." P.O. Box 20738 Raleigh NC 27619 3716 Summer Place Raleigh NC 27604 Wake (919)376-8521 Victory Healthcare Services / Chris Irona 991004 MHL-092-955 "Victory Healthcare Services, Inc." 01-Feb-18 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Victory Healthcare Services 2 PO Box 20738 Raleigh NC 27619 1421 P.J. Farms Lane Raleigh NC 27603 Wake (919)661-3453 "Victory Healthcare Services, Inc." 955454 MHL-001-195 "Vision of Therapeutic Development, Inc." 11-May-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Vision II PO Box 1223 Mebane NC 27302 413 Everett Street Burlington NC 27215 Alamance (336)226-1647 "Vision of Therapeutic Development, Inc." 031042 MHL-098-102 Wanda H. Hinton 23-Apr-04 01-Jan-20 31-Dec-20 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Hinton's Residential Services II 306 North Avenue Wilson NC 27893 306 North Avenue Apt. A Wilson NC 27893 Wilson (252)237-6836 Hinton's Residential Services 050280 MHL-096-208 William Vaughn 23-May-08 01-Jan-19 31-Dec-19 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL The Vaughn -Fam Home PO Box 1672 Goldsboro NC 27533 420 Gulley Street Goldsboro NC 27530 Wayne (919)288-2829 William Vaughn 100863 MHL-054-164 "With A Purpose Family Care, Inc." 31-Jan-12 01-Jan-19 31-Dec-19 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL With A Purpose Family Care #1 6257 Roberts Dr. LaGrange NC 28551 2204 Lovick Road Dover NC 28526 Lenoir (252)939-1660 "With A Purpose Family Care, Inc." 140290 MHL-054-175 "With A Purpose Family Care, Inc." 05-Sep-14 01-Jan-19 31-Dec-19 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL "With A Purpose Family Care #2 - ""Woody House""" 6257 Roberts Drive LaGrange NC 28551 863 Black Harper Road Kinston NC 28501 Lenoir (252)527-5271 "With A Purpose Family Care, Incorporated" 040564 MHL-007-055 "Wooded Acres Guest Home, Inc." 03-Oct-06 01-Jan-19 31-Dec-19 Type B 02-Feb-15 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Wooded Acres #3 3706 Cherry Road Washington NC 27889 3680 Cherry Road Washington NC 27889 Beaufort (252)946-5997 130562 MHL-098-202 Bailey's Respite Care Inc. 06-Mar-19 06-Mar-19 31-Dec-19 - - - - 4 27G.5600B Supervised Living DD Minor C MR/DD RESIDENTL Bailey's Respite Care #3 6936 Rock Ridge Sims Rd Sims NC 27880 1812 Delwood Drive Wilson NC 27896 Wilson (252)991-7666 "Bailey's Respite Care, Inc." 932083 MHL-011-076 "BlueWest Opportunities, Inc." 01-Feb-93 01-Jul-19 31-Dec-19 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF BlueWest Opportunities-Kenmore House PO Box 1250 Asheville NC 28802-7588 1 Kenmore Street Asheville NC 28803 Buncombe (828)277-0204 "BlueWest Opportunities, Inc." 080671 MHL-011-105 "BlueWest Opportunities, Inc." 22-Feb-95 01-Jul-19 31-Dec-19 - - - - 5 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF BlueWest Opportunities-Montford House PO Box 1250 Asheville NC 28802-7588 5 Kenmore Street Asheville NC 28803 Buncombe (828)274-7175 "BlueWest Opportunities, Inc." 040031 MHL-032-317 Carol Johnson 19-Feb-04 01-Jan-19 31-Dec-19 Suspension of Admission 15-Dec-09 - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL "Johnson's House of Hope Family Care Home, LLC" 2509 Rolling Pines Avenue Durham NC 27703 2509 Rolling Pines Avenue Durham NC 27703 Durham (919)598-6416 "Johnson's House of Hope Family Care, LLC" 150188 MHL-024-105 "Carolinas Home Care Agency, Inc." 27-Jul-15 01-Jan-19 31-Dec-19 Type B 04-Aug-16 - - 3 27G.5600B Supervised Living DD Minor C MR/DD RESIDENTL Davis Avenue Group Home P.O. Box 1723 Whiteville NC 28472 711 Davis Avenue Whiteville NC 28472 Columbus (910)640-2343 "Carolinas Home Care Agency, Inc." 944892 MHL-026-947 "Carter Clinic, P.A." 07-Nov-13 01-Jan-19 31-Dec-19 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Extra Special Care PO Box 99778 Raleigh NC 27624 6214 Kilmory Drive Fayetteville NC 28304 Cumberland (910)491-2383 "Carter Clinic, PA" 922109 MHL-059-011 "ComServ, Inc." 01-May-91 01-Jan-19 31-Dec-19 - - - - 3 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Laurelwood Group Home P.O. Box 1080 Lenoir NC 28645 109 Lonon Avenue Marion NC 28752 McDowell (828)659-3524 120029 MHL-041-1062 "Crystal E. Nickerson, LLC" 12-Sep-12 01-Jan-19 31-Dec-19 - - - - 2 27G.5600B Supervised Living DD Minor C MR/DD RESIDENTL Choice at the Hamptons "2302 W Meodowview Rd,Ste228,BOX 24" Greensboro NC 27407 3009 Cottage Place Apt. D Greensboro NC 27455 Guilford (336)763-7730 "Crystal E. Nickerson, LLC" 100251 MHL-041-1016 Dianne Nowlin 06-Jun-11 01-Jan-19 31-Dec-19 - - - - 4 27G.5600B Supervised Living DD Minor C MR/DD RESIDENTL Nowlin Home 2703 Ponderosa Drive Greensboro NC 27406 2110 Willow Road Greensboro NC 27406 Guilford (336)509-5559 Dianne Nowlin 921963 MHL-092-107 Educare Community Living Corporation - North Carolina 01-Aug-92 01-Jan-19 31-Dec-19 Type B 18-Jul-18 - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Helmsdale Group Home "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 1317 Helmsdale Drive Cary NC 27511 Wake (919)468-6044 EduCare Community Living Corp NC 090940 MHL-092-119 Educare Community Living Corporation - North Carolina 19-Mar-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Lockley Road "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 4617 Lockley Road Holly Springs NC 27540 Wake (919)303-5665 Educare Community Living Corporation - NC 922182 MHL-084-008 GHA Autism Supports 01-Jul-91 01-Jan-19 31-Dec-09 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Marie G. Smith Group Home PO Box 2487 Albemarle NC 28002 1921 Palmetto Drive Albemarle NC 28001 Stanly (704)982-8065 GHA Autism Supports 955486 MHL-063-104 "Greater Image Healthcare, Corp." 14-Aug-13 01-Jan-19 31-Dec-19 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Crest Road Group Home 401 Robeson Street Fayetteville NC 28301 114 Greenhouse Lane Southern Pines NC 28387 Moore (910)246-2272 "Greater Image Healthcare, Corp." 010559 MHL-034-309 "Independent Living Group Home, LLC" 13-May-13 01-Jan-19 31-Dec-19 Type A 15-Feb-19 - - 4 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL Independent Living @ Ransom Rd. "4401 N. Cherry St., Ste. 50" Winston-Salem NC 27105 355 Ransom Road Winston-Salem NC 27105 Forsyth (336)893-5495 "Independent Living Group Home, LLC" 170219 MHL-001-253 Just In Time Youth Services 06-Oct-17 01-Jan-19 31-Dec-19 - - - - 4 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL Just In Time Youth Services PO Box 2162 Burlington NC 27216 432 West 5th Street Burlington NC 27215 Alamance (336)395-8526 Just In Time Youth Services 170140 MHL-020-075 "Lifespan, Incorporated" 29-Jun-17 01-Jan-19 31-Dec-19 Type A 04-Jan-19 - - 4 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL "Dalton's Dugout-LIFESPAN, Incorporated" "1511 Shopton Road, Suite A" Charlotte NC 28217 532 Pleasant Valley Road Murphy NC 28906 Cherokee (828)375-8098 "Lifespan, Incorporated" 130135 MHL-041-1093 "Loving Hearts Home, LLC" 26-Nov-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600B Supervised Living DD Minor C MI RESIDENTL Loving Hearts Home 5221 B Fox Hunt Dr Greensboro NC 27407 5221-B Fox Hunt Drive Greensboro NC 27407 Guilford (513)394-8072 "Loving Hearts Homes, LLC" 922855 MHL-050-014 "Macon Citizens Habilities, Inc." 01-Sep-91 01-Jan-19 31-Dec-19 - - - - 5 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Webster Group Home PO Box 698 Franklin NC 28744 103 Little Savannah Road Webster NC 28788 Jackson (828)586-3796 955424 MHL-062-009 Monarch 20-Jan-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Mt. Gilead Children's Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 205 East Ingram Avenue Mt. Gilead NC 27306 Montgomery (910)439-1307 Monarch 180163 MHL-041-1142 "Moravian Enterprises, LLC DBA Prolific Community Rsrcs" 22-Dec-16 01-Jan-19 31-Dec-19 - - - - 4 27G.5600B Supervised Living DD Minor ADOL MR/DD RESIDENTL The Serenity House 3428 N Curch St. Greensboro NC 27405 7211 A Friendship Church Road Browns Summit NC 27214 Guilford (336)295-3515 "Moravian Enterprises, LLC" 190152 MHL-041-1169 "Quality Care III, LLC" 20-Jun-18 01-Jun-19 31-Dec-19 - - - - 3 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL "Quality Care III, LLC/4701 East Hwy 150 Home" 1594 Candace Ridge Drive Greensboro NC 27406 4701 East Hwy 150 Browns Summit NC 27214 Guilford (336)298-4025 "Quality Care III, LLC" 921515 MHL-049-016 "RHA Health Services NC, LLC" 01-Jan-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Bonnie Lane Group Home 190 Commerce Boulevard Statesville NC 28625 121 Bonnie Lane Statesville NC 28625 Iredell (704)872-3257 "RHA Health Services NC, LLC" 922165 MHL-032-058 "RHA Health Services NC, LLC" 01-Sep-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600B Supervised Living DD Minor ADOL MR/DD RESIDENTL ICF Lynn Road 2527 E. Lyon Station Rd Creedmoor NC 27522 515 Lynn Road Durham NC 27707 Durham (919)596-0307 "RHA Health Services NC, LLC" 922652 MHL-039-006 "RHA Health Services NC, LLC" 01-Apr-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Stem Road Home 2527 E. Lyon Station Rd Creedmoor NC 27522 702 Stem Road Creedmoor NC 27522 Granville (919)528-1266 "RHA Health Services NC, LLC" 956225 MHL-074-050 "RHA Health Services NC, LLC" 15-Aug-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Forest Hills Group Home 1793 Briley Road Greenville NC 27834 1913 Forest Hills Drive Greenville NC 27834 Pitt (252)756-6467 "RHA Health Services NC, LLC" 956230 MHL-074-049 "RHA Health Services NC, LLC" 15-Aug-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600B Supervised Living DD Minor C MR/DD RESIDENTL ICF King George Group Home 1793 Briley Road Greenville NC 27834 323 King George Road Greenville NC 27834 Pitt (252)321-5813 "RHA Health Services NC, LLC" 090094 MHL-049-145 "RHA Health Services NC, LLC" 22-Dec-17 01-Jan-19 31-Dec-19 - - - - 4 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL The Grove 190 Commerce Boulevard Statesville NC 28625 247 Chestnut Grove Road Statesville NC 28625 Iredell (704)872-3257 "RHA Health Services NC, LLC" 922560 MHL-068-049 "Residential Services, Inc." 15-Sep-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Shadylawn 111 Providence Road Chapel Hill NC 27514 901 Shadylawn Drive Chapel Hill NC 27516 Orange (919)933-4335 "Residential Services, Inc-Debbie Klein" 956358 MHL-068-066 "Residential Services, Inc." 19-Sep-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Christopher Road 111 Providence Road Chapel Hill NC 27514 802 Christopher Road Chapel Hill NC 27514 Orange (919)929-0732 "Residential Services, Inc.-Debbie Klein" 180275 MHL-060-1394 Royal Child Academy Company 28-Jan-19 28-Jan-19 31-Dec-19 - - - - 2 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL Royal Child 11000 Huntington Meadow Lane Charlotte NC 28273 6625 Sullins Road Charlotte NC 28214 Mecklenburg (704)909-9922 Royal Child Academy Company 041326 MHL-026-814 "ShineLight, Inc." 21-Dec-05 01-Jan-19 31-Dec-19 Intent to Revoke 01-Apr-16 - - 4 27G.5600B Supervised Living DD Minor C MR/DD RESIDENTL Summerhill 203 Rowan Street Fayetteville NC 28301 6350 Hawfield Drive Fayetteville NC 28303 Cumberland (910)867-8995 "Shine-Light, Inc." 041132 MHL-026-803 Tammy Segura 17-Dec-04 01-Jan-19 31-Dec-19 Type B 29-Jul-14 - - 3 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL Segura Home 408 W. Armfield St St. Pauls NC 28384 6291 Bethany Drive Stedman NC 28391 Cumberland (910)323-3566 Tammy Segura 170555 MHL-029-138 Triad Medical Group PA 14-Mar-18 01-Jan-19 31-Dec-19 Type A 26-Jun-19 - - 4 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL Total Access Care Liberty 2031 Martin Luther King Jr. Dr Greensboro NC 27406 901 Liberty Drive Thomasville NC 27360 Davidson (336)907-7023 Triad Medical Group PA 160370 MHL-001-249 "Triad Medical Group, PA" 09-Jun-17 01-Jan-19 31-Dec-19 Type A 04-May-18 - - 4 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL Total Access Care Woodland 2031 Martin Luther King Jr. Dr. Greensboro NC 27406 2154 Woodland Avenue Burlington NC 27215 Alamance (336)271-5888 "Triad Medical Group, PA" 170560 MHL-080-213 "Triad Medical Group, PA" 04-Jun-18 01-Jan-19 31-Dec-19 - - - - 4 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL Total Access Care Sills 2031 Martin Luther King Jr. Dr Greensboro NC 27406 406 Sills Drive Salisbury NC 28146 Rowan (336)327-5960 "Triad Medical Group, PA" 944697 MHL-060-208 VOCA Corporation of North Carolina 21-Sep-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF VOCA-Oakhaven Drive Group Home 818 Tyvola Rd. Suite 104 Charlotte NC 28217 12516 Oakhaven Drive Charlotte NC 28273 Mecklenburg (704)588-7436 Community Alternatives of NC 070570 MHL-041-666 "WesCare Professional Services, LLC" 14-Mar-03 01-Jan-20 31-Dec-20 Type B 24-Sep-12 - - 4 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL Oakmont Home 10 A Oak Branch Dr Greensboro NC 27407 2204 Oakmont Court Greensboro NC 27407 Guilford (336)285-7517 "WesCare Professional Services, LLC" 040970 MHL-079-078 "WesCare Professional Services, LLC" 07-Sep-04 01-Jan-20 31-Dec-20 - - - - 4 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL Bedford House 10 A Oak Branch Dr Greensboro NC 27407 221 Bedford House Eden NC 27288 Rockingham (336)623-9116 "WesCare Professional Svcs, LLC" 120354 MHL-071-035 "A Special Touch II, Inc." 21-Sep-12 01-Jan-19 31-Dec-19 Type A 16-Jul-14 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL A Special Touch II 260 Gail Road Willard NC 28478 305 South Smith Street Burgaw NC 28425 Pender (910)259-1174 "A Special Touch II, Inc." 120139 MHL-092-725 "ACI Support Specialists, LLC" 22-Sep-08 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pine Valley 834 Timber Drive Garner NC 27529 5213 Pronghorn Lane Raleigh NC 27610 Wake (919)846-6444 "ACI Support Specialists, LLC" 160440 MHL-041-1146 "AGAPE Home Living Care, LLC" 12-Apr-17 01-Jan-19 31-Dec-19 Type A 17-Jul-19 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL AGAPE Home Living Care LLC 2708 16th Street Greensboro NC 27405 2708 16th Street Greensboro NC 27405 Guilford (336)763-9232 AGAPE Home Living Care LLC 922408 MHL-020-006 "ARC Cherokee/Clay, Inc." 01-Jan-92 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pleasant Hill Group Home 82 Boyd Street Andrews NC 28901 82 Boyd Street Andrews NC 28901 Cherokee (828)361-3092 932410 MHL-020-009 "ARC-Cherokee/Clay County, Inc." 01-Feb-93 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pleasant Valley Group Home P.O. Box 156 Murphy NC 28906 33 Gentle Dove Lane Murphy NC 28906 Cherokee (828)837-3225 070205 MHL-041-887 AbleCare Corp 01-Dec-08 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Summerwood Group Home 305-D South Westgate Drive Greensboro NC 27407 5316 Summerwood Drive Greensboro NC 27455 Guilford (336)540-8940 AbleCare 060861 MHL-041-886 AbleCare Corp 01-Dec-08 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Second Street Group Home 305 South Westgate Dr. Greensboro NC 27407 601 Second Street Gibsonville NC 27249 Guilford (336)449-2037 AbleCare Corp 051267 MHL-079-098 AbleCare Corp 01-Dec-08 01-Jan-19 31-Dec-19 Type A 03-Mar-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL John Street Group Home 305 South Westgate Dr. Greensboro NC 27407 434 John Steet Eden NC 27288 Rockingham (336)627-5220 AbleCare Corp 970684 MHL-041-885 AbleCare Corp. 01-Dec-08 01-Jan-19 31-Dec-19 Type A 16-Oct-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Darden Home 305 South Westgate Dr. Greensboro NC 27407 3104 Darden Road Greensboro NC 27407-6702 Guilford (336)854-7026 AbleCare Corp 120550 MHL-026-942 "Above & Beyond Care, LLC" 25-Apr-13 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Above & Beyond Care, LLC" 25217 Whiskery Lane Hope Mills NC 28348 2724 Blossom Road Hope Mills NC 28348 Cumberland (910)229-2619 "Above & Beyond Care, LLC" 020095 MHL-092-946 "Absolute Home & Community Services, Inc." 10-Mar-17 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Absolute Home - Marcony Way 1140-201 Benson Rd Garner NC 27529 3316 Marcony Way Raleigh NC 27610 Wake (919)662-7877 "Absolute Home & Community Services, Inc." 140071 MHL-054-172 Advance Behavioral Health Services Inc. 19-Jun-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ABHS - 4123 - NORTHFORK P.O. Box 789 Kinston NC 28502 4123 Northfork Drive LaGrange NC 28551 Lenoir (252)566-2495 "Advance Behavioral Health Services, Inc." 061318 MHL-054-155 "Advance Behavioral Health Services, Inc." 03-Feb-11 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ABHS 4124 NORTHFORK P.O. Box 789 Kinston NC 28502 4124 Northfork Drive LaGrange NC 28551 Lenoir (252)566-0375 "Advance Behavioral Health Services, Inc." 030129 MHL-054-156 "Advance Behavioral Health Services, Inc." 22-Feb-11 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Advance Behavioral Health Services P.O. Box 789 Kinston NC 28502 2840 Lisa Lane Kinston NC 28501 Lenoir (252)527-4957 061193 MHL-076-055 "Advanced Health Resources, Inc." 14-Jul-00 01-Jan-20 31-Dec-20 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Overlook 10940 Raven Ridge Rd Suite 210 Raleigh NC 27614-6611 1342 NC Hwy 42 S Asheboro NC 27205-7933 Randolph (336)672-3390 Jannie Scott 060648 MHL-092-715 "Advanced Health Resources, Inc." 09-Jul-08 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Dominion Home 10940 Raven Ridge Rd Suite 210 Raleigh NC 27614-6611 9425 Cartersville Court Raleigh NC 27613 Wake (919)844-3417 "Advanced Health Resources, Inc." 041441 MHL-092-724 "Advanced Health Resources, Inc." 01-Sep-08 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fanny Brown 10940 Raven Ridge Rd Suite 210 Raleigh NC 27614-6611 10909 Fanny Brown Road Raleigh NC 27603 Wake (919)661-7121 Jannie Scott 040700 MHL-091-069 "Advantage Care In Home Services, Inc." 22-Sep-04 01-Jan-19 31-Dec-19 Type A 09-Jun-16 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Advantage Care Community Services PO Box 1258 Henderson NC 27536 476 Lynnbank Road Henderson NC 27536 Vance (252)430-1792 "Advantage Care Community Svcs, Inc." 091012 MHL-039-039 "Advantage Care in Home Services, Inc." 28-May-10 01-Jan-19 31-Dec-19 Type A 04-Oct-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Advantage Care Community Services P.O. BOX 1258 Henderson NC 27536 5079 Old Oxford Highway 75 Oxford NC 27565 Granville (919)693-8253 "Advantage Care Community Services, Inc." 041143 MHL-092-622 "Agape Family Care Homes, LLC" 10-Nov-04 01-Jan-19 31-Dec-19 Type B 27-Jul-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Agape Family Care Homes, LLC" PO Box 14963 Raleigh NC 27620 2336 Ravenhill Drive Raleigh NC 27615 Wake (919)790-1016 Agape House 3 190230 MHL-033-107 Albert Telfair and Debbie Telfair 05-Jan-12 18-Jul-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Open Hearts 4572 NC 97 East Tarboro NC 27886 3038 Stallings Road Macclesfield NC 27852 Edgecombe (252)827-1155 Albert Telfair and Debbie Telfair 080416 MHL-041-874 "Alberta Professional Services, Inc." 01-Oct-08 01-Jan-20 31-Dec-20 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Autumn House PO Box 14884 Greensboro NC 27415 3902 Derbyshire Drive Greensboro NC 27408 Guilford (336)288-7360 "Alberta Professional Services, Inc." 070882 MHL-041-880 "All About You Residential Home Care, LLC" 29-Oct-08 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL All About You Residential Home Care LLC PO Box 964 High Point NC 27260 1103 Carter Street High Point NC 27260 Guilford (336)884-0963 Ethel Murray 160386 MHL-041-1156 "All About You Residential Home Care, LLC" 25-Oct-17 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sedrick's Place P.O. Box 964 High Point NC 27261 1210 Terrell Drive High Point NC 27262 Guilford (336)883-9634 "All About You Residential Home Care, LLC" 960761 MHL-003-007 "Alleghany County Group Homes, Inc." 23-Sep-96 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Samuel C. Evans Jr. Group Home P.O. Box 488 Sparta NC 28675 53 Estep Street Sparta NC 28675 Alleghany (336)372-4738 Samuel C Evans Group Home 080379 MHL-092-727 Alpha Home Care Services Inc. 16-Sep-08 01-Jan-19 31-Dec-19 Type B 07-Aug-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Alpha Home Care Service PO Box 41153 Raleigh NC 27629 3612 Carolyn Drive Raleigh NC 27604 Wake (919)954-6022 Alpha Home Care Services Inc. 090597 MHL-092-749 Alpha Home Care Services Inc. 25-Sep-09 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Alpha Home Care Services Inc. II PO Box 41153 Raleigh NC 27629 4517 Waterbury Road Raleigh NC 27604 Wake (919)819-3882 Alpha Home Care Services Inc. 110359 MHL-092-819 Alpha Home Care Services Inc. 15-Jul-11 01-Jan-19 31-Dec-19 Type B 24-Jan-19 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Alpha Home Care Services, Inc. IV" PO Box 41153 Raleigh NC 27629 613 Ellynn Drive Cary NC 27511 Wake (919)819-3882 "Alpha Home Care Services, Inc." 110911 MHL-092-832 Alpha Home Care Services Inc. 22-Dec-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Alpha Home Care Services Inc. VI PO Box 41153 Raleigh NC 27629 105 Oakwood Drive Wake Forest NC 27587 Wake (919)435-1649 "Alpha Home Care Services, Inc." 110043 MHL-092-921 Alpha Home Care Services Inc. 10-Jul-15 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Alpha Home Care Services Inc. PO Box 41153 Raleigh NC 27629 1037 Whetstone Court Raleigh NC 27615 Wake (919)615-0358 922004 MHL-040-006 "Ambleside, Inc." 01-Dec-92 01-Jan-19 31-Dec-19 Type A 01-Aug-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hopewell 1 Industrial Drive Snow Hill NC 28580 292 Dogwood Lane Snow Hill NC 28580 Greene (252)747-5252 "Ambleside, Inc." 922032 MHL-040-004 "Ambleside, Inc." 01-Jun-91 01-Jan-19 31-Dec-19 Type A 19-Oct-06 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Indianhead 1 Industrial Drive Snow Hill NC 28580 1003 Indianhead Circle Snow Hill NC 28580 Greene (252)747-4578 "Ambleside, Inc." 944932 MHL-040-007 "Ambleside, Inc." 03-Jun-93 01-Jan-19 31-Dec-19 Type A 25-Sep-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Dogwood 1 Industrial Drive Snow Hill NC 28580 212 Dogwood Lane Snow Hill NC 28580 Greene (252)747-8164 "Ambleside, Inc." 955458 MHL-040-009 "Ambleside, Inc." 08-Nov-94 01-Jan-19 31-Dec-19 Type B 17-Jan-12 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fair Fax 1 Industrial Drive Snow Hill NC 28580 2535 Highway 903 South Snow Hill NC 28580 Greene (252)747-2502 "Ambleside, Inc." 970775 MHL-029-062 "Ambleside, Inc." 27-Jun-97 01-Jan-19 31-Dec-19 Type B 21-Apr-16 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Arlington House One Industrial Drive Snow Hill NC 28580 216 Agner Lane Lexington NC 27292 Davidson (336)224-2923 "Ambleside, Inc." 060102 MHL-054-117 "Ambleside, Inc." 07-Apr-06 01-Jan-19 31-Dec-19 Type A 04-Jan-19 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Baltimore 1 Industrial Drive Snow Hill NC 28580 1932 Old Colony Rd. Kinston NC 28501 Lenoir (252)522-3582 150016 MHL-029-054 "Ambleside, Inc." 01-Oct-96 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mayfair 1 Industrial Dr Snow Hill NC 28580 8 Mayfair Road Lexington NC 27292 Davidson (336)224-2923 "Ambleside, Inc." 971114 MHL-096-257 "Ambleside, Inc." 31-Mar-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Huntington 1 Industrial Drive Snow Hill NC 28580 215 Darrell Road LaGrange NC 28551 Wayne (252)747-5252 "Ambleside, Inc." 170039 MHL-096-270 "Ambleside, Inc." 24-Feb-17 01-Jan-19 31-Dec-19 Type A 25-Jul-18 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Grace 1 Industrial Drive Snow Hill NC 28580 1290 Mark Edwards Road Goldsboro NC 27534 Wayne (919)288-1189 "Ambleside, Inc." 170040 MHL-096-271 "Ambleside, Inc." 24-Feb-17 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Winston 1 Industrial Drive Snow Hill NC 28580 1606 Salem Church Road Goldsboro NC 27530 Wayne (919)947-5900 "Ambleside, Inc." 170171 MHL-029-125 "Ambleside, Inc." 16-Jan-13 01-Jan-19 31-Dec-19 Type B 27-Sep-17 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ridgewood 1 Industrial Drive Snowhill NC 28580 107 Ridgewood Drive Lexington NC 27292 Davidson (336)237-9747 "Ambleside, Inc." 944676 MHL-054-178 "Ambleside, Inc." 11-Oct-17 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Essex 1 Industrial Drive Snow Hill NC 28580 2505 Hodges Road Kinston NC 28504 Lenoir (252)523-9753 "Ambleside, Inc." 180540 MHL-054-180 "Ambleside, Inc." 12-Feb-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hamilton 1 Industrial Drive Snow Hill NC 28580 3101 Henry Boulevard Kinston NC 28504 Lenoir (252)747-5252 "Ambleside, Inc." 981099 MHL-078-138 "Angelo's Care Home, Inc." 15-Jun-01 01-Jan-20 31-Dec-20 Type A 27-Jun-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Angelo's Care Home, Inc." 10091 US Highway 74 West Maxton NC 28364 10091 US Highway 74 West Maxton NC 28364 Robeson (910)322-7112 030441 MHL-078-275 "Angelo's Care Home, Inc." 19-Apr-11 01-Jan-20 31-Dec-20 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Angelo's Care Home, Inc. II" 10091 US Hwy 74 West Maxton NC 28364 9431 NC Highway 211 West Red Springs NC 28358 Robeson (910)521-1895 Angelo's Care Home 080518 MHL-071-024 Anita Garrison 15-Jun-09 01-Jan-19 31-Dec-19 Type B 16-Feb-18 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL William Luther Center 389 Manhollow Church Road Hampstead NC 28443 389 Manhollow Church Road Hampstead NC 28443 Pender (910)329-1378 Anita Garrison 041319 MHL-041-766 Ann Freeland-Witherspoon 06-Dec-05 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "The Berryman House, Inc." 223 Berryman Street Greensboro NC 27405 223 Berryman Street Greensboro NC 27405 Guilford (336)282-8492 010848 MHL-067-131 "Anna's Care, Inc." 17-Oct-01 01-Jan-19 31-Dec-19 Type B 27-Oct-08 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Uncle Eddie's Place 180 Coastal Lane Jacksonville NC 28546 413 Kenwood Drive Jacksonville NC 28540 Onslow (910)333-0804 "Anna's Care, Inc/Uncle Eddie's Place" 070479 MHL-067-144 "Anna's Care, Inc." 07-Aug-02 01-Jan-19 31-Dec-19 Type A 31-Oct-12 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sir Arthur 180 Coastal Lane Jacksonville NC 28546 409 South Shore Drive Jacksonville NC 28546 Onslow (910)333-1001 Sir Arthur 061224 MHL-067-148 "Anna's Care, Inc." 05-Feb-03 01-Jan-19 31-Dec-19 Type A 08-Nov-13 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rickey's Place 180 Coastal Lane Jacksonville NC 28546 104 Lennox Circle Jacksonville NC 28546 Onslow (910)939-2794 "Anna's Care, Inc./Rickey's Place" 020694 MHL-067-168 "Anna's Care, Inc." 15-Dec-06 01-Jan-19 31-Dec-19 Type A 01-Apr-14 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Edna's Place 180 Coastal Lane Jacksonville NC 28546 131 Suffolk Circle Jacksonville NC 28546 Onslow (910)939-2771 Anna's Care/Edna's Place 061222 MHL-067-169 "Anna's Care, Inc." 31-Jan-07 01-Jan-19 31-Dec-19 Type A 16-Jun-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Beth's Place 180 Coastal Lane Jacksonville NC 28546 101 West Cameron Court Jacksonville NC 28546 Onslow (910)238-4936 Anna's Care/Beth's Place 080001 MHL-067-177 "Anna's Care, Inc." 28-Mar-08 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL G & T's Place 180 Coastal Lane Jacksonville NC 28546 2671 Idlebrook Circle Midway Park NC 28544 Onslow (910)939-2774 Anna's Care Inc. / G&T's Place 980704 MHL-092-859 Anthonia Ezuma 21-Dec-12 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MD RESIDENTL Destiny Family Care Home 2 527 Heswall Court Rolesville NC 27571 1238 Fairlane Road Cary NC 27511 Wake (919)237-0887 Anthonia Ezuma 080365 MHL-092-908 Anthonia Ezuma 20-Mar-15 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MI DAY Destiny Family Care Home 3 527 Heswell Court Rolesville NC 27571 819 Cotton Place Raleigh NC 27610 Wake (919)373-0969 Anthonia Ezuma 090521 MHL-078-256 "Asbury Homes, Inc." 11-May-10 01-Jan-19 31-Dec-19 Type A 17-Jun-14 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Asbury Homes - Pembroke 11337 Joe Brown Highway Tabor City NC 28463 300 Ruth Dial Street Pembroke NC 28372 Robeson (910)522-1115 "Asbury Homes, Inc." 091068 MHL-033-074 Ashley Davis 19-Mar-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Davis Farm Adult Group Home 2 236 Golden Valley Lane Battleboro NC 27809 236 Golden Valley Lane Battleboro NC 27809 Edgecombe (252)442-5000 Ashley Davis 980670 MHL-060-468 Autism Services of Mecklenburg County Inc. 23-Jul-98 01-Jan-19 31-Dec-19 Type A 04-Sep-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Taylor Home 2211-A Executive Street Charlotte NC 28208 5026 Lansing Drive Charlotte NC 28270 Mecklenburg (704)365-4366 Autism Svcs of Meck Co Inc 921731 MHL-060-118 "Autism Services of Mecklenburg County, Inc." 01-Feb-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Dalmoor Drive Group Home 2211-A Executive Street Charlotte NC 28208-3655 4400 Dalmoor Drive Charlotte NC 28212 Mecklenburg (704)567-1531 "Autism Services of Mecklenburg County, Inc" 922176 MHL-060-167 "Autism Services of Mecklenburg County, Inc." 01-Mar-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Mantle Court Group Home 2211-A Executive Street Charlotte NC 28208-3655 4319 Mantle Court Charlotte NC 28205 Mecklenburg (704)567-8082 Autism Svcs of Meck. Co. Inc. 922388 MHL-060-166 "Autism Services of Mecklenburg County, Inc." 01-Mar-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pinebrook Drive Group Home 2211-A Executive Street Charlotte NC 28208 5215 Pinebrook Drive Charlotte NC 28208 Mecklenburg (704)399-8969 "Autism Services of Mecklenburg County, Inc." 945214 MHL-060-231 "Autism Services of Mecklenburg County, Inc." 20-Oct-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Ravendale Drive Group Home 2211-A Executive Street Charlotte NC 28208 1123 Ravendale Drive Charlotte NC 28216 Mecklenburg (704)399-3538 "Autism Svcs. of Meck. Co. , Inc." 970231 MHL-060-350 "Autism Services of Mecklenburg County, Inc." 06-Feb-97 01-Jan-19 31-Dec-19 Type A 01-Nov-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly Street Home 2211-A Executive Street Charlotte NC 28208 5300 Kelly Street Charlotte NC 28205 Mecklenburg (704)531-1875 "Autism Svcs of Meck Co, Inc." 061091 MHL-060-514 "Autism Services of Mecklenburg County, Inc." 01-Mar-99 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Gail B. Hanks Group Home 2211A Executive Street Charlotte NC 28208-3655 5917 Rowan Way Charlotte NC 28214-2403 Mecklenburg (704)391-5559 "Autism Services of Mecklenburg County, Inc." 020252 MHL-060-908 "Autism Services of Mecklenburg County, Inc." 21-Jul-03 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Piney Grove Group Home 2211-A Executive Street Charlotte NC 28208 4016 Piney Grove Charlotte NC 28212 Mecklenburg (704)568-4868 "Autism Services of Mecklenburg County, Inc." 921760 MHL-092-104 "Autism Services, Inc." 01-Apr-92 01-Jan-19 31-Dec-19 Type B Imposed 04-Jan-08 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Dickens Drive Home "1310 Corporation Parkway, Suite H" Raleigh NC 27610 113 Dickens Drive Raleigh NC 27610 Wake (919)250-1907 Dickens Drive Home 922048 MHL-092-091 "Autism Services, Inc." 01-Aug-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Jade Tree "1310 Corporation Parkway, Suite H" Raleigh NC 27610 6501 Jade Tree Lane Raleigh NC 27615 Wake (919)954-0560 Autism Services 922084 MHL-032-079 "Autism Services, Inc." 01-Apr-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Kenwood Drive Home "1310 Corporation Parkway, Ste. H" Raleigh NC 27610 5004 Kenwood Road Durham NC 27712 Durham (919)251-9156 Kenwood Drive Home 931304 MHL-092-468 "Autism Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 09-Aug-17 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Walnut Street Group Home 544 Walnut Street Cary NC 27511 544 Walnut Street Cary NC 27511 Wake (919)380-0203 "Autism Services, Inc." 060178 MHL-032-259 "Autism Services, Inc." 26-Feb-07 01-Jan-19 31-Dec-19 Type A 28-May-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Great Bend Group Home 1310- H Corporation Parkway Raleigh NC 27610 2003 Great Bend Drive Durham NC 27704 Durham (919)688-2730 970892 MHL-092-467 "Autism Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Glen Forest Home 1310-H Corporation Parkway Raleigh NC 27610 5117 Glen Forest Drive Raleigh NC 27612 Wake (919)782-3353 Alyse Shirley 000297 MHL-092-415 "Autism Society of North Carolina, Inc." 26-Apr-00 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sandlewood Drive Home 5121 Kingdom Way Suite 100 Raleigh NC 27607 5006 Sandlewood Drive Raleigh NC 27609 Wake (919)786-0027 Autism society of NC 041439 MHL-011-259 "Autism Society of North Carolina, Inc." 29-Jun-05 01-Jan-19 31-Dec-19 Type B Imposed 04-Sep-15 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fairview House 5121 Kingdom Way Ste 100 Raleigh NC 27607 6 Lanning Drive Fairview NC 28730 Buncombe (828)628-1351 Autism Society of NC 070860 MHL-011-265 "Autism Society of North Carolina, Inc." 08-Nov-05 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Marlowe Place "5121 Kingdom Way, Ste 100" Raleigh NC 27607 22 Marlowe Drive Asheville NC 28801 Buncombe (828)505-4290 Autism Society of NC 090761 MHL-071-027 "Autism Support and Programs, Inc." 01-Dec-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rainbow Farms 200 Island Creek Road Rocky Point NC 28457 200 Island Creek Road Rocky Point NC 28457 Pender (910)270-5499 "Autism Support and Programs, Inc. (ASAP)" 110810 MHL-071-034 "Autism Support and Programs, Inc." 23-Jan-12 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lotus 200 Island Creek Road Rocky Point NC 28457-9409 224 Island Creek Road Rocky Point NC 28457-5494 Pender (910)270-5454 "Autism Support and Programs, Inc." 020158 MHL-020-033 "Autumn Halls of Unaka, LLC" 21-Apr-03 01-Jan-19 31-Dec-19 Type B 13-Sep-18 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Autumn Halls of Unaka #1 14949 Joe Brown Highway Murphy NC 28906 14949-A Joe Brown Highway Murphy NC 28906 Cherokee (828)835-8103 "Autumn Halls of Unaka, LLC" 030432 MHL-020-034 "Autumn Halls of Unaka, LLC" 21-Apr-03 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Autumn Halls of Unaka #2 14949 Joe Brown Highway Murphy NC 28906 14949-B Joe Brown Highway Murphy NC 28906 Cherokee (828)835-8103 "Autumn Halls of Unaka, LLC" 955477 MHL-006-006 "Avery Asso. For Exceptional Citizens, Inc." 01-Mar-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Avery County Group Home P.O. Box 176 Newland NC 28657 198 Cemetary Road Newland NC 28657 Avery (828)733-1273 "Natalie Buchanan, Residential Mgr" 041360 MHL-064-075 "BTW Home Care Services, LLC" 18-Jul-05 01-Jan-19 31-Dec-19 Type B 02-Apr-19 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL BTW Home Care Services PO Box 8381 Rocky Mount NC 27804 2709 Gary Road Rocky Mount NC 27803 Nash (252)972-9022 Sharon Barnes 100032 MHL-098-148 "Bailey's Respite Care, Inc." 23-Apr-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bailey's Respite Care #2 6936 Rock Ridge Sims Road Sims NC 27880 1315 Colonial Avenue Wilson NC 27896 Wilson (252)991-3119 "Bailey's Respite Care, Inc." 061110 MHL-095-043 "Baptist Children's Home of NC, Inc." 03-Apr-07 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Three Forks Home P.O. Box 338 Thomasville NC 27361-0338 392 Camp Joy Road Zionville NC 28698 Watauga (828)297-8001 Martha Surratt 050199 MHL-095-044 "Baptist Children's Home of NC, Inc." 18-Jul-07 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lindsay Home P.O. Box 338 Thomasville NC 27361-0338 394 Camp Joy Road Zionville NC 28698 Watauga (828)297-8004 Martha Surratt 010982 MHL-034-156 "Baptist Children's Home of NC, Inc. - DD Ministry" 30-Apr-02 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hinkle House at Bethabara PO Box 338 Thomasville NC 27361-0338 2030 Clyde Hayes Drive Winston-Salem NC 27106 Forsyth (336)748-9302 Martha Surrett 070147 MHL-076-087 "Baptist Children's Homes of NC, Inc." 24-Sep-07 01-Jan-19 31-Dec-19 Type A 07-Sep-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Asheboro Home PO Box 338 Thomasville NC 27361 1259 Eagle Oaks Lane "Asheboro," NC 27205 Randolph (336)626-7002 Martha Surrett 070182 MHL-053-054 "Baptist Children's Homes of NC, Inc." 16-Jul-08 01-Jan-19 31-Dec-19 Type A 12-May-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mercer Home P O Box 338 Thomasville NC 27361-0338 1434 Carthage Street Sanford NC 27330 Lee (919)776-2335 Martha Surrett 070183 MHL-053-055 "Baptist Children's Homes of NC, Inc." 16-Jul-08 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lanier Home P O Box 338 Thomasville NC 27361-0338 1428 Carthage Street Sanford NC 27361 Lee (919)708-5885 Martha Surrett 010983 MHL-034-168 "Baptist Children's Homes of NC, Inc. - DD Ministry" 14-Feb-03 01-Jan-19 31-Dec-19 Type B 09-Aug-06 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Davis House at Bethabara PO Box 338 Thomasville NC 27361-0338 2020 Clyde Hayes Drive Winston-Salem NC 27106 Forsyth (336)748-1216 Martha Surrett 030855 MHL-090-151 "Baptist Children's Homes of North Carolina, Inc." 23-Sep-04 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Stegall Home P O Box 338 Thomasville NC 27361-0338 7820 Highway 74 East Marshville NC 28103 Union (704)624-2881 Martha Surrett 010709 MHL-051-116 Barbara Doyle 15-Jan-02 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Barbara's Whitley Group Home 182 Whitley Road Middlesex NC 27557 182 Whitley Road Middlesex NC 27557 Johnston (919)696-2397 Barbara Doyle 180282 MHL-054-176 Barnes Group Homes LLC 21-Dec-15 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Barnes Group Homes LLC PO Box 2503 Kinston NC 28502 2201 Riley Road Kinston NC 28504 Lenoir (252)559-9517 Barnes Group Homes LLC 940072 MHL-007-026 "Beaufort County Developmental Center, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type B 11-Sep-06 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Beaufort County Group Home #1 (ARC-HUD) PO Box 518 Washington NC 27889 405 East 6th Street Washington NC 27889 Beaufort (252)946-0560 Beaufort Co. Develoipmental Center/Gale Purivs 940073 MHL-007-027 "Beaufort County Developmental Center, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Beaufort County Group Home #2 (ARC-HDS) PO Box 518 Washington NC 27889 903 East Seventh Street Washington NC 27889 Beaufort (252)946-9786 061194 MHL-032-403 Ben Ouma Nyabwa 20-Mar-07 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Better Living Concepts of Durham, LLC" 909 Garcia Avenue Durham NC 27704 909 Garcia Avenue Durham NC 27704 Durham (919)477-5825 Ben Ouma Nyabwa 170110 MHL-034-372 "Best Choice Health Services, Inc." 05-Sep-17 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Page Home 5023 Page Street Winston-Salem NC 27105 5023 Page Street Winston-Salem NC 27105 Forsyth (336)245-8717 "Best Choice Health Services, Inc." 980929 MHL-070-062 Better Connections Inc. 11-May-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Better Connections-Elizabeth City PO Box 3381 Greenville NC 27858 1331 Four Forks Road Elizabeth City NC 27909 Pasquotank (252)264-2958 Better Connections Inc. 170175 MHL-074-248 Better Connections Inc. 20-Oct-15 01-Jan-19 31-Dec-19 Type B 14-Nov-16 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Better Connections-Harmony PO Box 3381 Greenville NC 27858 110 Salem Circle Greenville NC 27858-9758 Pitt (252)689-6064 Better Connections Inc. 100116 MHL-074-223 "Better Connections, Inc." 16-Jul-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mosley Drive 3330 A Mosley Drive Greenville NC 27834 3330 A Mosley Drive Greenville NC 27834 Pitt (252)757-0130 "Better Connections, Inc." 110685 MHL-042-066 "Better Connections, Inc." 18-Sep-10 01-Jan-19 31-Dec-19 Type A 25-Aug-11 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Better Connections - Lee Lane PO Box 3381 Greenville NC 27836 300 Lee Lane Roanoke Rapids NC 27870 Halifax (252)308-0889 "Better Connections, Inc." 120300 MHL-074-239 "Better Connections, Inc." 02-Aug-12 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Meadowbrook PO Box 3381 Greenville NC 27836 1111 Meadowbrook Drive Greenville NC 27834 Pitt (252)551-5613 "Better Connections, Inc." 140030 MHL-074-245 "Better Connections, Inc." 16-Apr-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Moore Street Residential PO Box 3381 Greenville NC 27834 406 West Moore Street Greenville NC 27834 Pitt (252)565-8538 "Better Connections, Inc." 956249 MHL-064-113 "Better Connections, Inc." 12-Mar-10 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Old Mill Rd-Better Connections PO Box 3381 Greenville NC 27836 1808 Old Mill Road Rocky Mount NC 27803 Nash (252)443-4675 "Better Connections, Inc." 140150 MHL-064-145 Better Days Ahead Inc. 30-Jun-14 01-Jan-19 31-Dec-19 Type A 01-Mar-16 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Better Days Ahead Group Home #6 PO Box 909 Rocky Mount NC 27802 501 Cascade Avenue Rocky Mount NC 27803 Nash (252)212-0331 "Better Days Ahead, Inc." 980236 MHL-033-032 Better Days Ahead of Rocky Mount Inc. 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Better Days Ahead of Rocky Mount, Inc." PO Box 909 Rocky Mount NC 27802 1713 Kings Circle Drive Rocky Mount NC 27801 Edgecombe (252)212-5074 "Better Days Ahead of Rocky Mount, I" 990341 MHL-033-029 Better Days Ahead of Rocky Mount Inc. 01-Apr-99 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Better Days Ahead, Inc. #2" P.O. Box 909 Rocky Mount NC 27802 1212 Hill Street Rocky Mount NC 27801 Edgecombe (252)972-4080 Better Days Ahead of Rocky Mount Inc. 150564 MHL-001-184 "Blackwell's Community Living, LLC" 13-Nov-09 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Blackwell's Community Living, LLC" PO Box 262 Pleasant Garden NC 27313 509 Fernway Drive Burlington NC 27217 Alamance (336)270-4463 "Blackwell's Community Living, LLC" 030089 MHL-092-535 "Blessed Home, LLC" 13-May-03 01-Jan-19 31-Dec-19 Type B 19-Sep-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Blessed Home, LLC" 3113 Edgetone Drive Raleigh NC 27604 3113 Edgetone Drive Raleigh NC 27604 Wake (919)850-2336 "Blessed Home, LLC" 922401 MHL-011-047 "BlueWest Opportunities, Inc." 18-Jun-91 01-Jul-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF BlueWest Opportunities-Pisgah House PO Box 1250 Asheville NC 28802-7588 28 Pisgahview Avenue Asheville NC 28803 Buncombe (828)274-8368 "BlueWest Opportunities, Inc." 922418 MHL-011-007 "BlueWest Opportunities, Inc." 21-Jul-88 01-Jul-19 31-Dec-19 Type A 12-Feb-07 - - 32 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF BlueWest Opportunities-Swannanoa Residential PO Box 1250 Asheville NC 28802-1250 91 Poplar Circle Swannanoa NC 28778 Buncombe (828)251-2824 "BlueWest Opportunities, Inc." 922427 MHL-057-003 "BlueWest Opportunities, Inc." 01-Sep-88 01-Jul-19 31-Dec-19 - - - - 32 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF BlueWest Opportunities-Mars Hills Residential Services PO Box 1250 Asheville NC 28802-1250 Blue Ridge Homes Drive #50 Mars Hill NC 28754 Madison (828)689-9265 "BlueWest Opportunities, Inc." 942816 MHL-011-011 "BlueWest Opportunities, Inc." 28-May-85 01-Jul-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF BlueWest Opportunities-Ora House PO Box 1250 Asheville NC 28802-7588 95 Ora Street Asheville NC 28801 Buncombe (828)253-0291 "BlueWest Opportunities, Inc." 944318 MHL-011-088 "BlueWest Opportunities, Inc." 20-Jan-94 01-Jul-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Gwen Rash Memorial Group Home PO Box 1250 Asheville NC 28802-7588 1 Pine Spring Drive Asheville NC 28805 Buncombe (828)274-8368 "BlueWest Opportunities, Inc." 971255 MHL-011-137 "BlueWest Opportunities, Inc." 20-Oct-97 01-Jul-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF BlueWest Opportunities-New Stock House P O Box 1250 Asheville NC 28802-1250 122 Woodland Hills Road Asheville NC 28804 Buncombe (828)658-9842 "BlueWest Opportunities, Inc." 010968 MHL-076-064 Bonita A. Terry 15-Jul-02 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hopes Care Home PO Box 1030 Ramseur NC 27316 377 Broad Street Ramseur NC 27316 Randolph (336)737-4243 Hopes Care Home 041003 MHL-041-1110 Bonnie Watlington & Romulus Thurman Watlington 16-Dec-14 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Watlington's Family Care Homes #3 1401 Sherrod-Watlington Circle Greensboro NC 27406 1401 Sherrod-Watlington Circle Greensboro NC 27406 Guilford (336)663-7705 Bonnie Watlington & Romulus Thurman Watlington 140496 MHL-034-342 Bottom Up Outreach Center 15-Jul-15 01-Jan-19 31-Dec-19 Type A 04-Jun-18 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bottom Up Outreach Center 554 Bedford Knoll Drive Winston-Salem NC 27107 554 Bedford Knoll Drive Winston-Salem NC 27107 Forsyth (336)529-6070 070201 MHL-032-414 "Break Out, LLC" 23-Jul-07 01-Jan-19 31-Dec-19 Type A 19-Dec-14 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Break Out, LLC" 1605 capstone Dr Durham NC 27713 412 Pineland Avenue Durham NC 27704 Durham (919)220-2181 Darnella Warthen 011295 MHL-092-488 Brendex Renea Lee Meeks 19-Feb-02 01-Jan-19 31-Dec-19 Type B 02-May-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Meeks Group Home P.O. Box 1383 Wendell NC 27591 313 West Sycamore Street Zebulon NC 27597 Wake (919)390-4429 110349 MHL-032-451 "Bridging the Gap Residential Services, LLC" 11-Aug-08 01-Jan-20 31-Dec-20 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bridging the Gap Residential Services II 2945 South Miami Boulevard Durham NC 27703 2010 Lime Street Durham NC 27704 Durham (919)956-8959 "Bridging the Gap Residential Services, LLC" 150518 MHL-032-606 "Bridging the Gap Residential Services, LLC" 30-Dec-15 01-Jan-20 31-Dec-20 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bridging the Gap Residential Services III 2945 South Miami Boulevard Durham NC 27703 103 Turkey Oak Drive Durham NC 27704 Durham (919)641-8378 "Bridging the Gap Residential SErvices, LLC" 150556 MHL-032-608 "Bridging the Gap Residential Services, LLC" 19-Jan-16 01-Jan-20 31-Dec-20 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bridging the Gap Residential Services IV "2945 South Miami Boulevard," Durham NC 27703 716 Poplar Street Durham NC 27703 Durham (919)381-6053 "Bridging The Gap Residential Services, LLC" 170196 MHL-032-419 "Bridging the Gap Residential Services, LLC" 08-Oct-07 01-Jan-20 31-Dec-20 Type A 05-Feb-15 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bridging the Gap Residential Services 2945 South Miami Boulevard Durham NC 27703 313 Wellwater Avenue Durham NC 27703 Durham (919)641-8378 "Bridging the Gap Residential Services, LLC" 130576 MHL-092-889 "Brighthaven Home, LLC" 26-Mar-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Brighthaven Home 2705 Brighthaven Drive Raleigh NC 27614 2705 Brighthaven Drive Raleigh NC 27614 Wake (919)846-2308 "Brighthaven Home, LLC" 921166 MHL-097-046 "Brushy Mountain Group Homes, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Swain Street Group Home P. O. Box 1045 North Wilkesboro NC 28659 1224 Swain Street North Wilkesboro NC 28659 Wilkes (336)838-7220 921207 MHL-097-044 "Brushy Mountain Group Homes, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mulberry Group Home P O Box 1045 North Wilkesboro NC 28659 1904 Windy Ridge Road North Wilkesboro NC 28659 Wilkes (336)670-2265 944358 MHL-097-045 "Brushy Mountain Group Homes, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Holly Hills Group Home P O Box 1045 North Wilkesboro NC 28659 179 Holly Brook Street North Wilkesboro NC 28659 Wilkes (336)670-9352 140409 MHL-001-124 Byron White 16-Dec-03 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Triad Healthcare Services 2 P.O. Box 3334 Burlington NC 27215 915 Scott Street Burlington NC 27215 Alamance (919)672-5815 Byron White 140410 MHL-001-107 Byron White 03-Mar-03 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Triad Health Care 1 P.O. Box 3334 Burlington NC 27215 "706 Huffman Mill Road, Building P, Apartment 14" Burlington NC 27215 Alamance (919)672-5815 Byron White 180143 MHL-029-140 "C.F. Marketing, LLC" 03-Dec-18 01-Jan-19 31-Dec-19 Type B 05-Jun-19 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fairview Drive Home 1206 Fairview Drive Lexington NC 27292 1204 Fairview Drive Lexington NC 27292 Davidson (336)843-4041 "C.F. Marketing, LLC" 920150 MHL-013-084 "Cabarrus County Group Homes, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #2 PO Box 1197 Concord NC 28026 1201 Chipola Street Kannapolis NC 28083 Cabarrus (704)932-4172 920151 MHL-013-085 "Cabarrus County Group Homes, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #3 P. O. Box 1197 Concord NC 28026 211 Long Avenue Concord NC 28025 Cabarrus (704)788-8214 920152 MHL-013-086 "Cabarrus County Group Homes, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #4 P. O. Box 1197 Concord NC 28026 169 Spring Street Concord NC 28025 Cabarrus (704)788-2898 920153 MHL-013-083 "Cabarrus County Group Homes, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 28-Jul-11 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home PO Box 1197 Concord NC 28026 65 Creswell Drive Concord NC 28025 Cabarrus (704)788-1714 920208 MHL-080-164 "Cabarrus County Group Homes, Inc." 01-Jul-07 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #5 P.O. Box 1197 Concord NC 28026 106 S. Franklin Street China Grove NC 28023 Rowan (704)857-3017 920351 MHL-080-168 "Cabarrus County Group Homes, Inc." 01-Jul-07 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #9 P.O. Box 1197 Concord NC 28026 355 Hummingbird Circle Salisbury NC 28146 Rowan (704)279-3564 Cabarrus County Group Home #9 920873 MHL-080-165 "Cabarrus County Group Homes, Inc." 01-Jul-07 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #6 PO Box 1197 Concord NC 28026 1212 Stanley Street Salisbury NC 28144 Rowan (704)216-2274 "Cabarrus County Group Home, Inc." 921098 MHL-080-166 "Cabarrus County Group Homes, Inc." 01-Jul-07 01-Jan-19 31-Dec-19 Type A 14-Jan-09 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #7 PO Box 1197 Concord NC 28026 125 Shamrock Drive Salisbury NC 28144 Rowan (704)216-2273 "Cabarrus County Group Homes, Inc." 922316 MHL-080-167 "Cabarrus County Group Homes, Inc." 01-Jul-07 01-Jan-19 31-Dec-19 Type A 13-Mar-09 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #8 P.O. Box 1197 Concord NC 28026 1211 North Church Street Salisbury NC 28144 Rowan (704)216-2276 "Cabarrus County Group Homes, Inc." 944604 MHL-080-169 "Cabarrus County Group Homes, Inc." 01-Jul-07 01-Jan-19 31-Dec-19 Type B 07-May-08 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #10 P.O. Box 1197 Concord NC 28026 160 Camelot Road Salisbury NC 28147 Rowan (704)855-0004 "Cabarrus County Group Homes, Inc." 030145 MHL-092-546 "Canaan Care Home, LLC" 30-Jul-03 01-Jan-19 31-Dec-19 Type B 03-Jan-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Canaan Care Home 429/431 Waldo Street Cary NC 27511 429/431 Waldo Street Cary NC 27511 Wake (919)467-4574 921588 MHL-065-033 "Cape Fear Group Homes, Inc." 01-Feb-92 01-Jan-19 31-Dec-09 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Robert E. Lee Group Home PO Box 4203 Wilmington NC 28406 1519 Robert E. Lee Drive Wilmington NC 28412 New Hanover (910)251-2555 "Cape Fear Group Homes, Inc." 921589 MHL-065-034 "Cape Fear Group Homes, Inc." 01-Feb-92 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Robin Hood Group Home PO Box 4203 Wilmington NC 28406 1507 Robin Hood Road Wilmington NC 28401 New Hanover (910)251-2555 "Cape Fear Group Homes, Inc." 922425 MHL-067-011 "Carobell, Inc." 01-May-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Queen's Pond 198 Cinnamon Drive Hubert NC 28539 561 Queen's Creek Road Hubert NC 28539 Onslow (910)326-7600 "Carobell, Inc." 920111 MHL-099-015 "Carolina Residential Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type B 01-Feb-08 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Boonville Group Home PO Box 286 Rutherford College NC 28671 130 Williams Street Boonville NC 27011 Yadkin (336)367-9039 "Carolina Residential Services, Inc." 920431 MHL-086-039 "Carolina Residential Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type B 08-Jul-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Gilmer Street Group Home P.O. Box 286 Rutherford College NC 28671 145 North Gilmer Street Mount Airy NC 27030 Surry (336)786-4196 "Carolina Residential Services, Inc" 920832 MHL-086-037 "Carolina Residential Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Spring Street Group Home PO Box 286 Rutherford College NC 28671 910 Spring Street Mount Airy NC 27030 Surry (336)786-8032 "Carolina Residential Services, Inc." 940353 MHL-086-038 "Carolina Residential Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Elkin Group Home PO Box 286 Rutherford College NC 28671 534 Elk spur Street Elkin NC 28621 Surry (336)835-1101 "Carolina Residential Services, Inc." 980114 MHL-049-063 "Carolina Residential Services, Inc." 15-Dec-97 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly Group Home P.O. Box 286 Rutherford College NC 28671 804 Hunter Street Statesville NC 28677 Iredell (704)883-0850 Susan Kincaid 980115 MHL-049-064 "Carolina Residential Services, Inc." 15-Dec-97 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mulberry Group Home PO Box 286 Rutherford College NC 28671 730 N. Mulberry Street Statesville NC 28677 Iredell (704)883-0647 Susan Kincaid 991136 MHL-067-102 "Carolina Residential Services, Inc." 05-Dec-99 01-Jan-19 31-Dec-19 Type B 07-Apr-10 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Brynn Marr House PO Box 286 Rutherford College NC 28671 324 Pine Valley Road Jacksonville NC 28546 Onslow (910)353-1415 "Carolina Residential Services, Inc." 140107 MHL-024-103 Carolinas Home Care Agency Inc. 15-Aug-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pinewood House P.O. Box 1723 Whiteville NC 28472 817 Pinewood Drive Whiteville NC 28472 Columbus (910)640-1975 "Carolinas Home Care Agency, Inc." 041651 MHL-009-024 "Carolinas Home Care Agency, Inc." 06-Mar-06 01-Jan-19 31-Dec-19 Type B 24-Aug-11 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Carolinas Home Care Agency, Inc." PO Box 1723 Whiteville NC 28472 1468 Richardson Rd Bladenboro NC 28320 Bladen (910)648-2166 090269 MHL-024-081 "Carolinas Home Care Agency, Inc." 22-Sep-09 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Campground House PO Box 1723 Whiteville NC 28472 475 Campground Road Whiteville NC 28472 Columbus (910)642-3469 "Carolinas Home Care Agency, Inc." 101172 MHL-024-092 "Carolinas Home Care Agency, Inc." 11-Feb-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Washington House PO Box 1723 Whiteville NC 28472 403 Washington Street Whiteville NC 28472 Columbus (910)640-1551 "Carolinas Home Care Agency, Inc." 110327 MHL-078-291 "Carolinas Home Care Agency, Inc." 21-Oct-11 01-Jan-19 31-Dec-19 Type B 05-Dec-17 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Newgate House PO Box 1723 Whiteville NC 28472 455 Newgate Street Lumberton NC 28358 Robeson (910)738-2004 "Carolinas Home Care Agency, Inc." 921530 MHL-024-104 "Carolinas Home Care Agency, Inc." 16-Jan-14 01-Jan-19 31-Dec-19 Type A 12-Oct-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Burkhead Group Home P.O. Box 1723 Whiteville NC 28472 411 West Burkhead Street Whiteville NC 28472 Columbus (910)640-3001 "Carolinas Home Care Agency, Inc." 051028 MHL-098-194 "Carolinas Home Care Agency, Inc." 20-Oct-16 01-Jan-19 31-Dec-19 Type A 11-Apr-18 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Belmont House 603 S. Canal St. Whiteville NC 28472 103 Belmont Avenue Wilson NC 27893 Wilson (252)281-1785 "Carolinas Home Care Agency, Inc." 920173 MHL-026-658 Carolyn Parker 15-Jun-01 01-Jan-19 31-Dec-19 Type B 07-Mar-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Carol's DDA Group Home PO Box 334 Fayetteville NC 28302 334 Moore Street Fayetteville NC 28301 Cumberland (910)323-2575 Carolyn Parker 922749 MHL-026-948 "Carter Clinic, P.A." 07-Nov-13 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF The Carter Clinic Residential Home PO Box 99778 Raleigh NC 27624 235 Kinlaw Street Fayetteville NC 28301 Cumberland (910)488-2049 "Carter Clinic, PA" 921622 MHL-018-008 Catawba Valley Behavioral Healthcare 06-Oct-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Catawba County Group Home #1 327 First Avenue N.W. Hickory NC 28601 401 North Fourth Avenue Maiden NC 28650 Catawba (828)428-9992 Catawba Valley Behavioral Health/Kandi L. Dubuque 921623 MHL-018-015 Catawba Valley Behavioral Healthcare 21-Feb-89 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Catawba County Group Home #2 327 First Avenue NW Hickory NC 28601 608 Fourth Street SW Conover NC 28613 Catawba (828)465-5900 Residential Services Manager 921624 MHL-018-023 Catawba Valley Behavioral Healthcare 18-Sep-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Catawba County Group Home #3 "327 First Avenue, NW" Hickory NC 28601 1516 Steeple Street Conover NC 28613 Catawba (828)466-0348 Kandi L. Dubuque 944845 MHL-018-026 Catawba Valley Behavioral Healthcare 08-Apr-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Catawba County Group Home #4 327 First Avenue NW Hickory NC 28601 722 Eighth Avenue S.W. Conover NC 28613 Catawba (828)465-5678 Kandi L. Dubuque 170458 MHL-041-1161 "Changing Lives Group Home IV, LLC" 07-Mar-18 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Changing Lives Group Home IV, LLC" 823 Day Street Burlington NC 27217 1404 Cushing Street Greensboro NC 27405 Guilford (336)763-1216 "Changing Lives Group Homes IV, LLC" 010030 MHL-019-031 "Chatham County Group Homes, Inc." 23-Apr-01 01-Jan-19 31-Dec-19 Type B 19-May-09 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Nooe House B 217 East Beaver Street Siler City NC 27344 223 Watkins Drive Siler City NC 27344 Chatham (919)742-2510 "Chatham County Group Home, Inc." 010031 MHL-019-030 "Chatham County Group Homes, Inc." 15-Feb-01 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Nooe House A PO Box 207 Siler City NC 27344 225 Watkins Drive Siler City NC 27344 Chatham (919)742-2510 "Chatham County Group Home, Inc." 980633 MHL-019-021 "Chatham County Group Homes, Inc." 23-Nov-98 01-Jan-19 31-Dec-19 Type A 18-Apr-08 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Perkins Place 217 East Beaver Street Siler City NC 27344 400 Carolina Avenue Siler City NC 27344 Chatham (919)742-2789 Chatham County Group Homes 990380 MHL-019-022 "Chatham County Group Homes, Inc." 28-Apr-99 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Winfred West 217 East Beaver Street Siler City NC 27344 506 West Fifth Street Siler City NC 27344 Chatham (919)742-2510 "Chatham County Group Homes, Inc." 990574 MHL-019-023 "Chatham County Group Homes, Inc." 25-Jun-99 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Griffin House PO Box 207 Siler City NC 27344 323 Martin Luther King Boulevard Siler City NC 27344 Chatham (919)742-2510 "Chatham County Group Homes, Inc." 990997 MHL-019-026 "Chatham County Group Homes, Inc." 22-Oct-99 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chatham County Group Home #1 "217 East Beaver Street., Box 207" Siler City NC 27344 320 Martin Luther King Blvd. Siler City NC 27344 Chatham (919)742-7466 "Chatham County Group Homes, Inc." 990998 MHL-019-027 "Chatham County Group Homes, Inc." 22-Oct-99 01-Jan-19 31-Dec-19 Type A 22-Jul-15 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chatham County Group Home #2 217 East Beaver Street Siler City NC 27344 1011 West Fifth Street Siler City NC 27344 Chatham (919)742-3011 "Chatham County Group Homes, Inc." 990999 MHL-019-028 "Chatham County Group Homes, Inc." 22-Oct-99 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chatham County Group Home #3 217 East Beaver Street Siler City NC 27344 813 Tanglewood Drive Siler City NC 27344 Chatham (919)742-5911 "Chatham County Group Homes, Inc." 070660 MHL-092-934 Chika P. Nwanedo 30-Nov-15 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Best Home Care Services 3505 Boren Ct Raleigh NC 27616 604 South East Maynard Road Cary NC 27511 Wake (919)378-9207 Chika P. Nwanedo 020808 MHL-041-655 Chisholm Homes 21-Oct-02 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chisholm Homes III 425 North Scientific Street High Point NC 27260 425 North Scientific Street High Point NC 27260 Guilford (336)887-2402 960563 MHL-041-605 Chisholm Homes II 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chisholm Homes II 431 North Scientific Street High Point NC 27260 305 Newview Road High Point NC 27260 Guilford (336)454-0277 Penny S. Chisholm 041318 MHL-025-221 Cleatrice Campbell 08-Jun-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Blessed Haven 1025 Plymouth Drive New Bern NC 28562 1025 Plymouth Drive New Bern NC 28562 Craven (252)638-4195 Cleatrice Campbell 000119 MHL-092-411 Clifford Thomas 01-Feb-00 01-Jan-19 31-Dec-19 Type A 11-Aug-10 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Thomas Supervised Care 856 Timber Drive Garner NC 27529 7016 Beaverwood Drive Raleigh NC 27616 Wake (919)431-0100 Clifford Thomas 020885 MHL-067-091 "Coastal Residential Services, Inc." 01-Apr-99 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Nantucket P.O. Box 7128 Jacksonville NC 28540 109 Lindsey Drive Jacksonville NC 28540 Onslow (910)347-4154 Attn: Carol Wilson 970265 MHL-067-049 "Coastal Residential Services, Inc." 05-Mar-97 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cape Cod PO Box 7128 Jacksonville NC 28540 202 East Doris Avenue Jacksonville NC 28540 Onslow (910)937-0841 "Coastal Residential Services, Inc." 970384 MHL-067-052 "Coastal Residential Services, Inc." 01-Apr-97 01-Jan-19 31-Dec-19 Type B 29-Feb-08 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Greenbriar-J PO Box 7128 Jacksonville NC 28540 211 Greenbriar Drive Jacksonville NC 28546 Onslow (910)353-9393 "Coastal Residential Services, Inc." 970672 MHL-067-059 "Coastal Residential Services, Inc." 26-Aug-97 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hillside Court PO Box 7128 Jacksonville NC 28540 108 Hillside Court Jacksonville NC 28546 Onslow (910)353-1653 "Coastal Residential Services, Inc." 956955 MHL-014-038 "Com-Serv, Inc." 09-Nov-95 01-Jan-19 31-Dec-19 Type B 07-Oct-06 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Playmore Group Home P.O. Box 1080 Lenoir NC 28645 3252 Playmore Beach Road Morganton NC 28655 Caldwell (828)754-1300 "ComServ, Inc." 020121 MHL-012-085 "ComServ, Inc." 02-Aug-02 01-Jan-19 31-Dec-19 Type A 24-Jul-18 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL 126 Air Park Drive Apt. C PO Box 1080 Lenoir NC 28645 126C Air Park Drive Morganton NC 28655 Burke (828)439-8772 ComServ Inc. 921718 MHL-014-025 "ComServ, Inc." 02-Mar-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Creekside Group Home P.O. Box 1080 Lenoir NC 28645 723 Hills Farm Street Lenoir NC 28645 Caldwell (828)757-9560 921950 MHL-012-043 "ComServ, Inc." 01-Dec-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Hartland Group Home P.O. Box 1080 Lenoir NC 28645 2307 Hartland Road Morganton NC 28655 Burke (828)438-9543 922093 MHL-023-012 "ComServ, Inc." 25-May-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ladell Lane Group Home PO Box 267 Shelby NC 28151 1116 Ladell Lane Shelby NC 28152 Cleveland (704)484-1737 922109 MHL-059-011 "ComServ, Inc." 01-May-91 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Laurelwood Group Home P.O. Box 1080 Lenoir NC 28645 109 Lonon Avenue Marion NC 28752 McDowell (828)659-3524 924798 MHL-012-051 "ComServ, Inc." 22-Apr-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Chesterfield Group Home P.O. Box 1080 Lenoir NC 28645 2287 Hartland Road Morganton NC 28655 Burke (828)433-5630 "Comserv, Inc" 952149 MHL-002-005 "ComServ, Inc." 20-Sep-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Little River Group Home P.O. Box 1080 Lenoir NC 28645-1080 4161 NC Hwy 127 Taylorsville NC 28681 Alexander (828)632-0263 955559 MHL-002-010 "ComServ, Inc." 17-Mar-95 01-Jan-19 31-Dec-09 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Ellendale Group Home P.O. Box 1080 Lenoir NC 28645 4165 NC Highway 127 Taylorsville NC 28681 Alexander (828)632-7615 960194 MHL-014-039 "ComServ, Inc." 01-Mar-96 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Lower Creek Group Home P.O. Box 1080 Lenoir NC 28645 3256 Playmore Beach Road Morganton NC 28655 Caldwell (828)758-2019 "Com Serv, Inc" 090063 MHL-023-048 "ComServ, Inc." 29-Dec-98 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Charles Road A PO Box 267 Shelby NC 28152 829-1 Charles Road A Shelby NC 28152 Cleveland (704)482-4669 "ComServ, Inc." 090064 MHL-023-154 "ComServ, Inc." 19-Aug-09 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Charles Road B PO Box 267 Shelby NC 28151 829-1 Charles Road B Shelby NC 28152 Cleveland (704)482-2114 "ComServ, Inc." 090065 MHL-023-155 "ComServ, Inc." 19-Aug-09 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Charles Road C PO Box 267 Shelby NC 28152 829-1 Charles Road C Shelby NC 28151 Cleveland (704)482-2114 "ComServ, Inc." 020767 MHL-034-172 "Community Assisted Residential Environment, LLC" 28-May-03 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Community Assisted Residential Environment II 1312 Westgate Center Dr. Winston-Salem NC 27103 2530 Merrimont Drive Winston-Salem NC 27107 Forsyth (336)659-4839 "Community Assisted Residential Environment, LLC" 060208 MHL-034-330 "Community Assisted Residential Environment, LLC" 02-Oct-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL CARE #2 1312 Westgate Center Dr. Winston-Salem NC 27103 2661 Nantucket Drive Winston-Salem NC 27103 Forsyth (336)765-4441 "Community Assisted Residential Environment, LLC" 160024 MHL-034-356 "Community Assisted Residential Environment, LLC" 24-Mar-16 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL CARE #6 "1312 Westgate Center Dr.," Winston Salem NC 27103 145 River Crest Court Clemmons NC 27012 Forsyth (336)955-1066 "Community Assisted Residential Environment, LLC" 180004 MHL-059-076 "Community Companion Home Care, LLC" 06-Apr-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Spring Street Home 49-A State Street Marion NC 28752 51 Spring Street Marion NC 28752 McDowell (828)652-8751 "Community Companion Home Care, LLC" 150352 MHL-059-077 "Community Companion Home Care, LLC" 06-Apr-18 01-Jan-19 31-Dec-19 Type A 23-Jan-19 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Stamey Home 1 49-A State Street Marion NC 28752 180 Justice Road Marion NC 28752 McDowell (828)559-2246 "Community Companion Home Care, LLC" 921826 MHL-024-013 "Community Innovations, Inc." 01-Jun-90 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Jean Street 80 Alliance Drive Whiteville NC 28472 102 Jean Street Chadbourn NC 28431 Columbus (910)516-8002 "Community Innovations, Inc." 921889 MHL-041-070 "Community Innovations, Inc." 01-Mar-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Friendway Group Home "4214 Beechwood Drive, Ste 106" Greensboro NC 27410 202 Friendway Road Greensboro NC 27409 Guilford (336)852-2636 "Community Innovations, Inc." 922227 MHL-009-010 "Community Innovations, Inc." 01-Nov-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Midlake Residential 80 Alliance Drive Whiteville NC 28472 68 Hillside Street Clarkton NC 28433 Bladen (910)647-4421 "Community Innovations, Inc." 922313 MHL-009-009 "Community Innovations, Inc." 10-Apr-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Northridge Residential 80 Alliance Drive Whiteville NC 28472 68 Mitchell Ford Road Clarkton NC 28433 Bladen (910)647-2801 "Community Innovations, Inc." 922474 MHL-024-021 "Community Innovations, Inc." 01-Nov-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Riverside Residential 80 Alliance Drive Whiteville NC 28472 353 Elm Street Fairbluff NC 28439 Columbus (910)649-6460 "Community Innovations, Inc." 922626 MHL-024-018 "Community Innovations, Inc." 23-May-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Southwood 80 Alliance Drive Whiteville NC 28472 100 Waccamaw Drive Tabor City NC 28463 Columbus (910)653-5823 "Community Innovations, Inc." 922664 MHL-024-019 "Community Innovations, Inc." 10-Apr-92 01-Jan-19 31-Dec-19 Type B 02-Jul-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Strawberry House 80 Alliance Drive Whiteville NC 28472 303 North Howard Street Chadbourn NC 28431 Columbus (910)654-5355 "Community Innovations, Inc." 922774 MHL-041-017 "Community Innovations, Inc." 01-Nov-82 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Westridge "4214 Beechwood Dr, Ste 106" Greensboro NC 27410 908 Westridge Road Greensboro NC 27410 Guilford (336)297-0890 "Community Innovations, Inc." 922868 MHL-078-049 "Community Innovations, Inc." 01-Jun-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Westside Residential 80 Alliance Drive Whiteville NC 28472 467 Creek Road Orrum NC 28369 Robeson (910)618-0777 "Community Innovations, Inc." 922874 MHL-024-011 "Community Innovations, Inc." 16-May-90 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Whiteville Group Home 80 Alliance Drive Whiteville NC 28472 168 Sweet Farm Road Whiteville NC 28472 Columbus (910)642-5670 "Community Innovations, Inc." 924983 MHL-076-022 "Community Innovations, Inc." 07-Jul-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Brookwood "4214 Beechwood Dr., Ste. 106" Greensboro NC 27410 313 East Brookwood Avenue Liberty NC 27298 Randolph (336)622-3003 "Community Innovations, Inc." 944506 MHL-046-006 "Community Innovations, Inc." 16-Feb-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Roanoke Place 704 Carolina Avenue North Ahoskie NC 27910 704 Carolina Avenue North Ahoskie NC 27910 Hertford (252)209-0111 "Community Innovations, Inc." 944710 MHL-067-019 "Community Innovations, Inc." 01-Aug-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Countryview Residential 1011A Onsville Drive Jacksonville NC 28546 359 Firetower Road Richlands NC 28574 Onslow (910)455-5863 "Community Innovations, Inc." 944820 MHL-053-027 "Community Innovations, Inc." 17-Jun-94 01-Jan-19 31-Dec-19 Type B 05-Jun-19 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pine Ridge Group Home 908 Avent Ferry Road Holly Springs NC 27540 739 Arthur Maddox Road Sanford NC 27330 Lee (919)774-9747 "Community Innovations, Inc." 944999 MHL-076-023 "Community Innovations, Inc." 22-Jul-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Timberlea Group Home "4214 Beechwood Dr., Ste. 106" Climax NC 27410 5691 Mack Lineberry Road Climax NC 27233 Randolph (336)685-4955 "Community Innovations, Inc." 945333 MHL-078-069 "Community Innovations, Inc." 18-Nov-94 01-Jan-19 31-Dec-19 Type A 11-Aug-05 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Corbel Residential 80 Alliance Drive Whiteville NC 28472 483 Creek Road Orrum NC 28369 Robeson (910)738-1967 "Community Innovations, Inc." 945339 MHL-092-131 "Community Innovations, Inc." 23-Jul-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Trotters Bluff 908 Avent Ferry Road Holly Springs NC 27540 912 Avent Ferry Road Holly Springs NC 27540 Wake (919)557-6337 "Community Innovations, Inc." 955632 MHL-092-126 "Community Innovations, Inc." 01-Jun-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Avent Ferry Home 908 Avent Ferry Road Holly Springs NC 27540 904 Avent Ferry Road Holly Springs NC 27540 Wake (919)557-6336 Avent Ferry Home 970465 MHL-024-035 "Community Innovations, Inc." 28-Apr-97 01-Jan-19 31-Dec-19 Type A 31-Oct-18 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL David and David House 80 Alliance Drive Whiteville NC 28472 219 South Madison Street Whiteville NC 28472 Columbus (910)914-6139 "Community Innovations, Inc." 090005 MHL-024-036 "Community Innovations, Inc." 28-Apr-97 01-Jan-19 31-Dec-19 Type B 12-Sep-14 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Deerfield Residential 80 Alliance Drive Whiteville NC 28472 304 West Columbus Street Whiteville NC 28472 Columbus (910)640-2545 "Community Innovations, Inc." 080280 MHL-078-095 "Community Innovations, Inc." 19-Dec-97 01-Jan-19 31-Dec-19 Type A 21-Jun-16 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cedar Street Residential 80 Alliance Drive Whiteville NC 28472 115 Christian Drive Lumberton NC 28358 Robeson (910)671-9962 "Community Innovations, Inc." 980178 MHL-024-041 "Community Innovations, Inc." 16-Feb-98 01-Jan-19 31-Dec-19 Type B 20-Aug-15 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fair Bluff Residential 80 Alliance Drive Whiteville NC 28472 2373 Coleman Cemetery Road Fair Bluff NC 28439 Columbus (910)649-6464 "Community Innovations, Inc." 981061 MHL-024-043 "Community Innovations, Inc." 18-Nov-98 01-Jan-19 31-Dec-19 Type B 26-Oct-12 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL GP Road 80 Alliance Drive Whiteville NC 28472 2838 Georgia Pacific Road Chadbourn NC 28431 Columbus (910)654-6996 GP Road 041614 MHL-024-064 "Community Innovations, Inc." 05-Jul-05 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Honey Hill Residential 80 Alliance Drive Whiteville NC 28472 24 Lakeland Circle Hallsboro NC 28442 Columbus (910)640-2776 "Community Innovations, Inc." 041614 MHL-024-064 "Community Innovations, Inc." 05-Jul-05 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Honey Hill Residential 80 Alliance Drive Whiteville NC 28472 24 Lakeland Circle Hallsboro NC 28442 Columbus (910)640-2776 "Community Innovations, Inc." 120587 MHL-024-039 "Community Innovations, Inc." 19-Dec-97 01-Jan-19 31-Dec-19 Type A 13-Aug-14 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lee Street Residential 80 Alliance Drive Whiteville NC 28472 341 Honey Hill Road Hallsboro NC 28442 Columbus (910)207-6448 "Community Innovations, Inc." 090823 MHL-024-108 "Community Innovations, Inc." 01-Nov-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Enzor House 80 Alliance Drive Whiteville NC 28472 6089 Hinson's Crossroads Fair Bluff NC 28439 Columbus (910)649-7131 "Community Innovations, Inc." 921674 MHL-024-109 "Community Innovations, Inc." 01-Nov-15 01-Jan-19 31-Dec-19 Type A 23-Aug-16 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Columbus House 80 Alliance Drive Whiteville NC 28472 220 East Columbus Street Whiteville NC 28472 Columbus (910)642-5251 "Community Innovations, Inc." 921615 MHL-024-110 "Community Innovations, Inc." 01-Nov-15 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Carroll House 80 Alliance Drive Whiteville NC 28472 605 Nolan Avenue Whiteville NC 28472 Columbus (910)640-3502 "Community Innovations, Inc." 020920 MHL-092-964 "Community Innovations, Inc." 05-Dec-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lord Berkley Home 116 Lord Berkley Rd Raleigh NC 27610 116 Lord Berkley Road Raleigh NC 27610 Wake (919)833-4529 "Community Innovations, Inc." 041069 MHL-032-249 "Comprehensive Community Care, Inc." 16-Jan-01 01-Jan-19 31-Dec-19 Type A 22-Sep-14 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hickory Glen Home 3308 Durham Chapel Hill Blvd. Durham NC 27707 104 Hickory Glen Lane Durham NC 27703 Durham (919)596-4142 "Comprehensive Community Care, Inc." 170107 MHL-032-248 "Comprehensive Community Care, Inc." 07-Nov-00 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Montclair Group Home 3308 Durham Chapel Hill Blvd Bldg F Durham NC 27707 106 Montclair Circle Durham NC 27713 Durham (984)219-6512 "Comprehensive Community Care, Inc." 960153 MHL-007-032 "Country Living Guest Home, Inc." 09-Oct-02 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Country Living Guest Home 3094 Market Street Extension Washington NC 27889 3094 Market Street Extension Washington NC 27889 Beaufort (252)975-1875 060908 MHL-007-058 "Country Living Guest Home, Inc." - - 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Country Living Guest Home #5 204 Stewart Drive Washington NC 27889 204 Stewart Drive Washington NC 27889 Beaufort (252)946-0319 100270 MHL-007-076 "Country Living Guest Home, Inc." 09-Jun-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Country Living Guest Home #6 3134 Market Street Extension Washington NC 27889 252 Dan Taylor Road Washington NC 27889 Beaufort (252)946-6374 "Country Living Guest Home, Inc." 000438 MHL-096-115 "Country Pines, Inc." 01-Jun-00 01-Jan-19 31-Dec-19 Type A 27-Feb-07 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Country Pines #2 2307 North Beston Road LaGrange NC 28551 2600 North Beston Road LaGrange NC 28551 Wayne (919)778-1244 000439 MHL-096-117 "Country Pines, Inc." 01-Jun-00 01-Jan-19 31-Dec-19 Type A 18-Sep-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Country Pines #1 2307 North Beston Road LaGrange NC 28551 2307 North Beston Road LaGrange NC 28551 Wayne (919)778-7669 "Country Pines, inc." 190100 MHL-001-074 "Cozie's Supervised Living, Inc." 06-Jun-00 02-Apr-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cozie's Supervised Living 3341 Oak Tree Lane Liberty NC 27298 3341 Oak Tree Lane Liberty NC 27298 Alamance (336)622-4536 "Cozie's Supervised Living, Inc." 070246 MHL-041-845 "Creative Custom Living, Inc." 24-Sep-07 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Creative Custom Living, Inc." PO Box 638 Pleasant Garden NC 27313 406 Memphis Street Greensboro NC 27406 Guilford (336)378-0764 "Jerry A. Allred, Sr." 920287 MHL-026-643 Cumberland Residential & Employment Services & Training 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL C.R.E.S.T. Group Home #5 PO Box 877 Fayetteville NC 28302 250 Prince Charles Drive Fayetteville NC 28311 Cumberland (910)630-2331 "C.R.E.S.T., Inc." 920477 MHL-026-639 Cumberland Residential & Employment Services & Training 15-Jun-01 01-Jan-19 31-Dec-19 Type B 14-Feb-14 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL C.R.E.S.T. Group Home #1 PO Box 877 Fayetteville NC 28302 1533 Mintz Drive Fayetteville NC 28303 Cumberland (910)822-8758 "C.R.E.S.T., Inc." 920478 MHL-026-640 Cumberland Residential & Employment Services & Training 15-Jun-01 01-Jan-19 31-Dec-19 Type B 02-Mar-11 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL C.R.E.S.T. Group Home #2 PO Box 877 Fayetteville NC 28302 323 Sinclair Street Fayetteville NC 28311 Cumberland (910)488-1007 "C.R.E.S.T., Inc." 920479 MHL-026-641 Cumberland Residential & Employment Services & Training 15-Jun-01 01-Jan-19 31-Dec-19 Type A 02-Apr-12 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL C.R.E.S.T. Group Home #3 PO Box 877 Fayetteville NC 28302 635 Dashland Drive Fayetteville NC 28303 Cumberland (910)868-6208 "C.R.E.S.T., Inc." 940288 MHL-026-642 Cumberland Residential & Employment Services & Training 15-Jun-01 01-Jan-19 31-Dec-19 Type B 24-Feb-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL C.R.E.S.T. Group Home #4 PO Box 877 Fayetteville NC 28302 224 Randolph Avenue Fayetteville NC 28311 Cumberland (910)822-5551 "C.R.E.S.T., Inc." 960362 MHL-001-085 Curtis E. Torain 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sixth Street D.D.A. Group Home 313 E. Sixth Street Burlington NC 27215 313 E. Sixth Street Burlington NC 27215 Alamance (336)222-1812 100694 MHL-098-155 Cynthia L. Powell 22-Oct-10 01-Jan-19 31-Dec-19 Type A 17-Feb-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Gentle Hands I 1615 Washington Street Wilson NC 27893 1615 Washington Street Wilson NC 27893 Wilson (252)991-2838 Cynthia L. Powell 944300 MHL-026-851 "D & L Health Care Services, Incorporated" 15-Apr-08 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Holliday's Place Group Home 1234 Hoke Loop Road Fayetteville NC 28314 1108 Quail-Meadow Drive Fayetteville NC 28314 Cumberland (910)864-4300 "D & L Health Care Services, Incorporated" 920884 MHL-039-029 "D. D. Residential Services, Inc." 15-Jun-01 20-Mar-19 31-Dec-09 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Oxford Group Home P.O. Box 88 Henderson NC 27536 605 North Country Club Drive Oxford NC 27565 Granville (919)693-1694 "D. D. Residential Services, Inc." 921022 MHL-091-061 "D. D. Residential Services, Inc." 15-Jun-01 20-Mar-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Roanoke Avenue Group Home PO Box 88 Henderson NC 27536 264 S. Beckford Drive Henderson NC 27536 Vance (252)438-7030 "D. D. Residentail Services, Inc." 921286 MHL-091-062 "D. D. Residential Services, Inc." 15-Jun-01 20-Mar-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Vance Adult Group Home P O Box 88 Henderson NC 27536 941 Hwy 158 By Pass Henderson NC 27536 Vance (252)492-7778 "D. D. Residential Services, Inc." 921306 MHL-093-031 "D. D. Residential Services, Inc." 15-Jun-01 20-Mar-19 31-Dec-19 Type A 18-Nov-14 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Warren County Group Home P. O. Box 88 Henderson NC 27536 109 Mustian Rd. Norlina NC 27563 Warren (252)456-3177 "D.D. Residential Services, Inc." 920404 MHL-035-035 "D.D. Residential Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type B Imposed 21-Feb-19 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Franklin County Group Home #1 PO Box 88 Henderson NC 27536 663 Moulton Road Louisburg NC 27549 Franklin (919)496-6377 Franklin County Group Home #1 920452 MHL-091-060 "D.D. Residential Services, Inc." 15-Jun-01 20-Mar-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Graham Avenue Group Home PO Box 88 Henderson NC 27536 1642 Graham Avenue Henderson NC 27536 Vance (252)492-9545 "D.D. Residential Services, Inc." 944748 MHL-035-036 "D.D. Residential Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type B Imposed 18-Apr-17 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Franklin County Group Home #2 PO Box 88 Henderson NC 27536 29 Strange Road Louisburg NC 27549 Franklin (919)496-6957 Franklin County Group Home 2 070324 MHL-064-125 "Daniels Family Care, Inc." 05-Aug-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Daniels Family Care, Inc." 1400 West Mount Drive Rocky Mount NC 27803 1400 West Mount Drive Rocky Mount NC 27803 Nash (252)972-6995 "Daniels Family Care, Inc." 150422 MHL-034-376 David L. Brown and Johnnie S. Brown 02-Mar-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL House of LUV 3203 Meadow Lane Winston Salem NC 27107 3203 Meadow Lane Winston Salem NC 27107 Forsyth (336)331-3886 David L. Brown and Johnnie S. Brown 130446 MHL-020-046 "Davidson Homes, Inc." 28-Feb-08 01-Jan-19 31-Dec-19 Type B 22-Sep-15 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Deep Creek Brady Home 2084 Highway 70 Swannanoa NC 28778 22676 US Highway 19 Andrews NC 28901 Cherokee (828)321-2281 "Davidson Homes, Inc." 020930 MHL-041-689 Dawn & Keith Milton 14-Aug-03 01-Jan-19 31-Dec-19 Type B 22-Oct-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL M&M Special Services PO Box 7674 Greensboro NC 27417-0674 2621 Grimsley Street Greensboro NC 27403 Guilford (336)681-8242 M&M Special Services 010851 MHL-032-270 "Devereux Residential Services, LLC" 05-Dec-01 01-Jan-19 31-Dec-19 Type A 04-Sep-07 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Devereux Residential Services-Alpha Drive "115 Market St., Ste. 204G" Durham NC 27701 906 Alpha Drive Durham NC 27703 Durham (919)598-9911 Devereux Residential Services LLC 990943 MHL-032-228 "Devereux Residential Services, LLC" 27-Sep-99 10-Apr-19 31-Dec-19 Type A 23-Jan-14 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Devereux Residential Services-Kincaid Court 115 Market St Ste 204G Durham NC 27701 5 Kincaid Court Durham NC 27703 Durham (919)598-8636 Devereux Residential LLC 180485 MHL-060-1019 "Diamond's Community Based Services, Inc." 31-May-07 27-Mar-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Diamond's House #1 5711 Kelyn Hills Drive Charlotte NC 28278 228 Goff Street Charlotte NC 28208 Mecklenburg (704)537-1424 "Diamond's Community Based Services, Inc." 070425 MHL-041-1096 Dianne Nowlin 25-Mar-14 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sarah and Hattie's Home 2703 Ponderosa Drive Greensboro NC 27406 3012 Branderwood Drive Greensboro NC 27406 Guilford (336)299-6668 Dianne Nowlin 120112 MHL-077-071 "Diligent Care, Inc." 19-Jul-12 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Diligent Care Group Home #1 310 Magnolia Square Crt Aberdeen NC 28315 161 Bowen Street Hoffman NC 28347 Richmond (910)944-7500 "Diligent Care, Inc." 921092 MHL-077-044 "Divine Koncepts, Inc." 01-Nov-05 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Steele Street House 502 E. Broad Ave Rockingham NC 28379 418 Steele Street Rockingham NC 28379 Richmond (910)895-7199 "Divine Koncepts,Inc." 956262 MHL-029-103 "Dream Makers Assisted Living Services, LLC" 25-Jan-06 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Dream Makers Assisted Living Services LLC 6 West Hemstead Street Lexington NC 27292 168 Roy Lopp Road Lexington NC 27292 Davidson (336)300-0370 Dream Makers Assisted Living Services. Inc. 920711 MHL-031-038 "Duplin Sampson Group Homes, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 04-Oct-06 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Magnolia Group Home PO Box 1190 Clinton NC 28329 240 North Peterson Street Magnolia NC 28453 Duplin (910)289-4270 "DSGH, Inc." 921054 MHL-082-042 "Duplin Sampson Group Homes, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type B Imposed 25-Jan-19 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sampson Group Home PO Box 1190 Clinton NC 28329 300 Jacobs Street Clinton NC 28328 Sampson (910)592-5856 "Duplin Sampson Group Homes, Inc." 991056 MHL-031-039 "Duplin Sampson Group Homes, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Warsaw Group Home PO Box 1190 Clinton NC 28329 716 Curtis Road Warsaw NC 28398 Duplin (910)293-7871 "Duplin Sampson Group Homes, Inc." 920423 MHL-082-041 "Duplin-Sampson Group Homes, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Garland Group Home PO Box 1190 Clinton NC 28329 168 Herring Avenue Garland NC 28441 Sampson (910)529-2301 "Duplin-Sampson Group Homes, Inc." 920156 MHL-032-266 "Durham County Community Living Programs, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type B 27-Nov-18 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cambian Place Group Home PO Box 51159 Durham NC 27717-1159 23 Cambian Place Durham NC 27704 Durham (919)687-4564 "Durham Co. Community Living Prog, Inc." 920178 MHL-032-264 "Durham County Community Living Programs, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Carpenter-Fletcher Road Group Home PO Box 51159 Durham NC 27717-1159 1119 Carpenter Fletcher Road Durham NC 27713 Durham (919)544-2433 "Durham Co. Community Living Prog, Inc." 920312 MHL-032-267 "Durham County Community Living Programs, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 17-Apr-09 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Dixon Road Group Home PO Box 51159 Durham NC 27717-1159 3520 Dixon Road Durham NC 27707 Durham (919)493-5377 "Durham Co Community Living Prog, Inc." 920481 MHL-032-263 "Durham County Community Living Programs, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 29-May-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Watts Street Group Home PO Box 51159 Durham NC 27717-1159 506 Watts Street Durham NC 27701 Durham (919)688-8641 "Durham County Community Living Programs, Inc." 920775 MHL-032-265 "Durham County Community Living Programs, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Melbourne Street Group Home PO Box 51159 Durham NC 27717-1159 311 Melbourne Street Durham NC 27703 Durham (919)596-8156 Durham County Community Living Prog 920991 MHL-032-261 "Durham County Community Living Programs, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Regis Avenue Group Home PO Box 51159 Durham NC 27717-1159 4425 Regis Avenue Durham NC 27705 Durham (919)382-7463 Durham County Community Living Prog 944301 MHL-032-262 "Durham County Community Living Programs, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type B 07-Nov-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Westglen Road Group Home PO Box 51159 Durham NC 27717-1159 3523 Westglen Road Durham NC 27705 Durham (919)493-7783 Durham Co. Community Living Prog. 030843 MHL-092-559 Eagle Healthcare Services Inc. 08-Oct-03 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Eagle Home III 1708 Trawick Rd Suite 101-105 Raleigh NC 27604 5800 Brambleton Avenue Raleigh NC 27610 Wake (919)773-2276 Eagle Healthcare Services Inc 020678 MHL-092-512 "Eagle Healthcare Services, Inc." 25-Sep-02 01-Jan-19 31-Dec-19 Type A 10-Feb-09 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Eagle Home II 1708 Trawick Rd Suite 101-105 Raleigh NC 27604 3300 New Hope Road Raleigh NC 27604 Wake (919)872-7686 "Eagle Healthcare Services, Inc." 920338 MHL-059-038 "East Court Group Care, Inc." 01-Apr-08 01-Jan-19 31-Dec-19 Type B 01-May-15 - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL East Court Group Care 571 East Court Street Marion NC 28752 571 East Court Street Marion NC 28752 McDowell (828)652-8755 "East Court Group Care,Inc." 001666 MHL-065-130 "Easter Seals UCP North Carolina & Virginia, Inc." 30-Mar-01 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL EL Ogden 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 129 El Ogden Drive Wilmington NC 28405 New Hanover (910)681-0936 "Easer Seals UCP NC, Inc." 920084 MHL-092-471 "Easter Seals UCP North Carolina & Virginia, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Easter Seals UCP NC Raleigh Group Home 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 1529 Ben Lloyd Drive Raleigh NC 27604 Wake (919)856-9547 Heather Humphrey-Greer 920470 MHL-040-019 "Easter Seals UCP North Carolina & Virginia, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 16-Sep-15 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Easter Seals UCP-Greene County Group Home "5171 Glenwood Avenue, Suite 211" Raleigh NC 27612 704 S.E. Second Street Snow Hill NC 28580 Greene (252)747-3654 "Easter Seals UCP North Carolina, Inc." 920494 MHL-042-037 "Easter Seals UCP North Carolina & Virginia, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 03-Mar-08 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Easter Seals UCP NC Halifax Group Home 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 2202 Roanoke Avenue Roanoke Rapids NC 27870 Halifax (252)537-9520 UCP Halifax County Group Home 921273 MHL-090-123 "Easter Seals UCP North Carolina & Virginia, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 20-Mar-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Easter Seals UCP NC-Union County Group Home 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 2010 Timber Ridge Road Monroe NC 28112 Union (704)283-7799 921386 MHL-092-476 "Easter Seals UCP North Carolina & Virginia, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 06-Jun-19 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Easter Seals UCP-Zebulon Group Home 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 120 East Lee Street Zebulon NC 27597 Wake (919)269-6353 922148 MHL-055-014 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Nov-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lithia Inn Group Home 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 408 Lithia Inn Road Lincolnton NC 28092 Lincoln (704)735-2126 Easter Seals 941271 MHL-053-040 "Easter Seals UCP North Carolina & Virginia, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lee County Group Home "5171 Glenwood Avenue, Suite 211" Raleigh NC 27612 4334 Lee Avenue Sanford NC 27330 Lee (919)774-8313 Heather Humphrey-Greer 971289 MHL-060-402 "Easter Seals UCP North Carolina & Virginia, Inc." 08-Sep-97 01-Jan-19 31-Dec-19 Type A 14-Mar-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Commonwealth Group Home 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 3601 Commonwealth Avenue Charlotte NC 28205 Mecklenburg (704)535-9171 971295 MHL-060-403 "Easter Seals UCP North Carolina & Virginia, Inc." 08-Sep-97 01-Jan-19 31-Dec-19 Type B 15-May-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ashcraft Home "5171 Glenwood Ave, Ste 211" Raleigh NC 27612 1351 Ashcraft Lane Charlotte NC 28209 Mecklenburg (704)527-7737 021013 MHL-040-022 "Easter Seals UCP North Carolina & Virginia, Inc." 04-Nov-02 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Shady Grove 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 944 Shady Grove Church Road Snow Hill NC 28580 Greene (252)747-7185 050480 MHL-074-158 "Easter Seals UCP North Carolina & Virginia, Inc." 06-Jul-05 01-Jan-19 31-Dec-19 Type B 16-Aug-19 - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wimbledon Supervised Living 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 1650 Wimbledon Drive #101 Greenville NC 27858 Pitt (252)355-0223 Easter Seals UCP 031077 MHL-034-253 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Apr-10 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Salem House 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 2710 Burlwood Drive Winston-Salem NC 27103 Forsyth (336)768-8823 "Easter Seals UCP NC, Inc." 061112 MHL-074-230 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Feb-11 01-Jan-19 31-Dec-19 Type A 24-Sep-15 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Camelot Supervised Living 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 108 Guinevere Lane Greenville NC 27858 Pitt (252)321-7136 Easter Seals 921353 MHL-098-167 "Easter Seals UCP North Carolina & Virginia, Inc." 11-Aug-11 01-Jan-19 31-Dec-19 Type A 25-Jun-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wilson County Group Home #4 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 1502 Pineview Avenue Wilson NC 27896 Wilson (252)360-1806 Easter Seals UCP North Carolina & Virginia 921352 MHL-098-168 "Easter Seals UCP North Carolina & Virginia, Inc." 11-Aug-11 01-Jan-19 31-Dec-19 Type B 19-Oct-15 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wilson County Group Home #3 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 1300 Gold Street Wilson NC 27893 Wilson (252)360-1340 "Easter Seals UCP North Carolina & Virginia, Inc." 921350 MHL-098-169 "Easter Seals UCP North Carolina & Virginia, Inc." 11-Aug-11 01-Jan-19 31-Dec-19 Type B 22-Jun-12 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wilson County Group Home #1 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 308 Bragg Street Wilson NC 27893 Wilson (252)360-1810 "Easter Seals UCP North Carolina & Virginia, Inc." 921351 MHL-098-170 "Easter Seals UCP North Carolina & Virginia, Inc." 11-Aug-11 01-Jan-19 31-Dec-19 Type A 14-Oct-15 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wilson County Group Home #2 5171 Glenwood Avenue Ste 211 Raleigh NC 27612 3108 Tilghman Road Wilson NC 27896 Wilson (252)360-1410 "Easter Seals UCP North Carolina & Virginia, Inc." 921801 MHL-036-068 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Jan-05 01-Jan-19 31-Dec-19 Type A 03-Jul-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Elizabeth Group Home 5171 Glenwood Avenue Suite 211 Raleigh NC 27612 1015 Elizabeth Drive Dallas NC 28034 Gaston (704)854-4893 Easter Seals UCP North Carolina 140379 MHL-060-1296 "Easter Seals UCP North Carolina & Virginia, Inc." 13-May-15 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bass Lane Group Home "5171 Glenwood Ave., Ste. 211" Raleigh NC 27612 622 Bass Lane Charlotte NC 28270 Mecklenburg (704)246-5417 "Easter Seals UCP North Carolina & Virginia, Inc." 955401 MHL-041-603 "Easter Seals UCP North Carolina and Virginia, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type B 19-Jan-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Easter Seals UCP NC Greensboro Group Home 5171 Glenwood Avenue Suite 211 Raleigh NC 2612 4809 Hilltop Road Greensboro NC 27407 Guilford (336)294-2621 "Easter Seals UCP North Carolina, Inc." 956347 MHL-092-444 EduCare Community Living Corporation - North Carolina 24-Jan-01 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Goshawk Lane "1001 Navaho Dr., Ste 101" Raleigh NC 27609 2022 Fordgates Drive Garner NC 27529 Wake (919)779-3270 EduCare Community Living Corp.-NC 061106 MHL-060-245 EduCare Community Living Corporation-North Carolina 27-Jan-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Browne Group Home 818 Tyvola Rd Suite 104 Charlotte NC 28217 8205 Browne Road Charlotte NC 28269 Mecklenburg (704)405-1509 EduCare Community Living Corp.-North Carolina 030150 MHL-064-057 Educare Community Living Corporation - North Carolina 19-Jan-01 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL South Rocky Mount Home 1600 W. Thomas Street Rocky Mount NC 27804 3192 Gypsy Trail Rocky Mount NC 27803 Nash (252)446-1965 Kimberly Hale 921504 MHL-092-057 Educare Community Living Corporation - North Carolina 01-May-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Blanche Drive "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 6208 Blanche Drive Raleigh NC 27607 Wake (919)859-1450 Community Alternatives-NC 921735 MHL-092-022 Educare Community Living Corporation - North Carolina 01-Apr-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Dartmouth Road Group Home "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 210 Dartmouth Road Raleigh NC 27606 Wake (919)782-2895 Educare Community Living Corp 921876 MHL-092-044 Educare Community Living Corporation - North Carolina 01-Feb-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Forest Creek Group Home "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 5117 Forest Creek Drive Raleigh NC 27606 Wake (919)833-1371 EduCare Community Living Corp.-NC 921907 MHL-092-041 Educare Community Living Corporation - North Carolina 01-Aug-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Georgia Court "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 107 Miss Georgia Court Cary NC 27511 Wake (919)467-2857 Educare Community Living Corp.-NC 922502 MHL-092-045 Educare Community Living Corporation - North Carolina 01-Sep-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Rolling Meadows "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 2533 Rolling Meadows Drive Raleigh NC 27603 Wake (919)662-0047 Edu-Care Community Living Corp. 925240 MHL-060-236 Educare Community Living Corporation - North Carolina 31-Oct-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Leaves 818 Tyvola Road Suite 104 Charlotte NC 28217 7106 Leaves Lane Charlotte NC 28213 Mecklenburg (704)598-9932 ResCare Community Alternatives of NC 945043 MHL-060-224 Educare Community Living Corporation - North Carolina 28-Jul-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Heathcroft 818 Tyvola Rd Suite 104 Charlotte NC 28217 3046 Heathcroft Court Charlotte NC 28269 Mecklenburg (704)593-0674 ResCare Community Alternatives of NC 952399 MHL-060-125 Educare Community Living Corporation - North Carolina 01-Feb-91 01-Jan-19 31-Dec-19 Type B 12-Dec-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Starnes Group Home "818 Tyvola Road, Suite 104" Charlotte NC 28217 2823 Starnes Road Charlotte NC 28214 Mecklenburg (704)399-0018 Rescare-Community Alternatives 955748 MHL-092-137 Educare Community Living Corporation - North Carolina 19-Oct-93 01-Jan-19 31-Dec-19 Type B 06-Apr-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Stonegate "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 8609 Stonegate Drive Raleigh NC 27615 Wake (919)847-8628 Community Alternatives - NC 955749 MHL-092-138 Educare Community Living Corporation - North Carolina 01-Dec-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Rockwood "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 4409 Rockwood Drive Raleigh NC 27612 Wake (919)571-0230 EduCare Community Living Corp.-NC 970227 MHL-092-261 Educare Community Living Corporation - North Carolina 19-Feb-97 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Huntleigh "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 3300 Huntleigh Drive Raleigh NC 27604 Wake (919)876-3834 Community Alternatives-NC 080102 MHL-023-150 Educare Community Living Corporation - North Carolina 15-Nov-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Wooding Place Group Home "301 Tenth Street NW, Suite B101" Conover NC 28613 112 Wooding Place Kings Mountain NC 28086 Cleveland (704)730-8194 Community Alternatives North Carolina 960656 MHL-033-033 "Edwards Enterprises of Rocky Mount, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type B 28-Feb-11 - - 8 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Edwards Residential Care PO Box 1812 Rocky Mount NC 27802 1852 Old Wilson Road Rocky Mount NC 27801 Edgecombe (252)442-4248 Edwards Enterprises of Rocky Mount 020899 MHL-084-047 "Elite Care Services, Inc." 25-Feb-03 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lincoln St. Group Home 723 Aquadale Rd Albemarle NC 28001 206 Lincoln Street Badin NC 28009 Stanly (704)422-3486 "Elite Care Services, Inc." 040548 MHL-084-056 "Elite Care Services, Inc." 22-Jul-04 01-Jan-19 31-Dec-19 Type A 20-Dec-12 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lowder Reunion Group Home 723 Aquadale Rd Albemarle NC 28001 33973 Lowder Reunion Road Albemarle NC 28001 Stanly (704)983-3402 080117 MHL-084-067 "Elite Care Services, Inc." 11-Jul-08 01-Jan-19 31-Dec-19 Type A 21-Aug-17 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL New London Group Home 723 Aquadale Rd Albemarle NC 28001 40163 Highway 740 New London NC 28127 Stanly (704)422-1080 "Elite Care Services, Inc." 090749 MHL-084-075 "Elite Care Services, Inc." 22-Apr-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Moss Lane I 723 Aquadale Rd Albemarle NC 28001 42424 Moss Lane New London NC 28127 Stanly (704)422-4033 "Elite Care Services, Inc." 130185 MHL-084-084 "Elite Care Services, Inc." 12-Dec-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mountain Place 723 Aquadale Rd Albemarle NC 28001 619 Mountain Place Albemarle NC 28001 Stanly (704)982-0112 "Elite Care Services, Inc." 160018 MHL-060-1313 "Elite Care Services, Inc." 18-Apr-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Farm Pond Group Home 723 Aquadale Rd Albemarle NC 28001 4933 Farm Pond Lane Charlotte NC 28212 Mecklenburg (980)498-5914 "Elite Care Services, Inc." 160017 MHL-084-090 "Elite Care Services, Inc." 20-Apr-16 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Coggins Group Home 723 Aquadale Rd Albemarle NC 28001 235 Coggins Avenue Albemarle NC 28001 Stanly (980)581-8116 "Elite Care Services, Inc." 080024 MHL-090-184 "Elite Care Services, Inc." 01-Jun-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Southwood Place Group Home #1 723 Aquadale Rd Albemarle NC 28001 134 East Avenue Monroe NC 28110 Union (980)210-3305 "Elite Care Services, Inc." 001448 MHL-090-185 "Elite Care Services, Inc." 01-Jun-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Southwood Place Group Home #2 723 Aquadale Rd Albemarle NC 28001 309 Hamilton Street Monroe NC 28112 Union (704)776-4043 "Elite Care Services, Inc." 150169 MHL-084-089 "Elite Care, Inc." 06-Jul-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Moss Lane II 723 Aquadale Rd Albemarle NC 28001 42414 Moss Lane New London NC 28127 Stanly (704)982-4068 "Elite Care, Inc." 040197 MHL-026-830 Ella Mae Alford 29-Nov-06 01-Jan-19 31-Dec-19 Type B Imposed 03-Jul-08 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mother's Love Group Home 3210 Vardaman Ave Hope Mills NC 28348 2926 Peacock Street Hope Mills NC 28348 Cumberland (910)425-4148 Ella Mae Alford 031070 MHL-092-579 Eloise M. Dowtin 16-Jan-04 01-Jan-19 31-Dec-19 Type A 08-Sep-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Emmanuel Home III PO Box 26153 Raleigh NC 27611 5212 Sweetbriar Drive Raleigh NC 27609 Wake (919)510-0146 Eloise M. Dowtin 000326 MHL-026-655 Elva Colvin 15-Jun-01 01-Jan-19 31-Dec-19 Type B 14-Aug-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Graceland Manor DDA #3 PO Box 35174 Fayetteville NC 28303 408 Pelt Drive Fayetteville NC 28301 Cumberland (910)630-1755 Elva Colvin 930448 MHL-026-654 Elva Colvin 15-Jun-01 01-Jan-19 31-Dec-19 Type B Imposed 25-Oct-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Graceland Manor DDA #1 PO Box 35174 Fayetteville NC 28303 600 Dowfield Drive Fayetteville NC 28301 Cumberland (910)630-1741 Elva Colvin 030820 MHL-032-568 "Enhancement Health Care, Inc." 09-Dec-11 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Enhancement Health Care PO Box 15335 Durham NC 27704 917 Lancaster Street Durham NC 27705 Durham (919)416-4940 "Enhancement Health Care, Inc." 030752 MHL-032-592 "Enhancement Health Care, Inc." 10-Feb-14 01-Jan-19 31-Dec-19 Type A 06-Aug-18 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Care Health Services II "2402 South Miami Blvd, Ste. 105" Durham NC 27703 2801 Darrow Road Durham NC 27704 Durham (919)682-8452 "Enhancement Health Care, Inc." 070576 MHL-092-705 "Etta's Residential Services and Supports, Inc." 29-Feb-08 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Etta's Residential Services & Supports, Inc." 4833 Tolley Court Raleigh NC 27616 4833 Tolley Court Raleigh NC 27616 Wake (984)200-4422 Leon Christopher Rogers 120269 MHL-004-043 "F & J Community Services, Inc." 10-Oct-16 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "F & J Community Services, Inc." 128 Johnson Street Wadesboro NC 28170 7612 Highway 52 South Morven NC 28119 Anson (704)851-9000 920191 MHL-001-083 Faiger Blackwell 15-Jun-01 01-Jan-19 31-Dec-19 Intent to Revoke 16-Feb-17 - - 8 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cedars DDA Group Home 838 Ross Street Burlington NC 27217 838 Ross Street Burlington NC 27217 Alamance (336)227-0988 Faiger Blackwell 922670 MHL-041-071 "Family Affair Care Group Management, Inc." 01-Mar-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Summerlyn 1012 Gregory Street Greensboro NC 27403 6113 Blue Lantern Road Gibsonville NC 27249 Guilford (336)449-5690 "Family Affair Care Group Mgmt, Inc." 120179 MHL-079-132 "Fayetteville Street Community Living Home, LLC" 30-Aug-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fayetteville Street Community Living Homes #3 855 Morgan Road Eden NC 27288 855 Morgan Road Eden NC 27288 Rockingham (336)627-3559 "Fayetteville Street Community Living Home, LLC" 061020 MHL-010-057 "Focus, LLC" 08-Jun-07 01-Jan-19 31-Dec-19 Type B 13-Aug-15 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Trinity Home PO Box 2458 Leland NC 28451 1117 Old Fayetteville Road Leland NC 28451 Brunswick (910)371-1066 130226 MHL-019-051 Frankie Baldwin 19-Nov-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pleasant Hill 856 Timber Drive Garner NC 27529 6128 Pleasant Hill Church Road Siler City NC 27344 Chatham (919)642-0075 Frankie A. Baldwin 010598 MHL-026-889 "Fresh Start Residential Facility, Inc." 13-Apr-10 01-Jan-19 31-Dec-19 Type A 28-Dec-15 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Fresh Start Residential Facility, Inc. #3" 7866 Adrian Drive Fayetteville NC 28314 2639 Dumbarton Road Fayetteville NC 28306 Cumberland (910)426-0785 "Fresh Start Residential Facility, Inc. #3" 060099 MHL-026-822 "Fresh Start Residential Facility, Inc." 31-Aug-06 01-Jan-19 31-Dec-19 Type B 06-Dec-16 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Fresh Start Residential Facility, Inc." 7866 Adrian Drive Fayetteville NC 28314 7866 Adrian Drive Fayetteville NC 28314 Cumberland (910)867-3591 060401 MHL-034-311 "Friendly People That Care, LLC" 03-Jun-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Friendly People that Care 485 W. Sheperd St. Winston Salem NC 27103 1660 Reynolds Forest Road Winston-Salem NC 27107 Forsyth (336)788-1878 080519 MHL-034-312 "Friendly People That Care, LLC" 03-Jun-13 01-Jan-19 31-Dec-19 Type A 10-Feb-14 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Friendly People That Care 2 485 Sheperd St Winston Salem NC 27103 4304 Oak Glen Drive Winston-Salem NC 27107 Forsyth (336)293-6642 040894 MHL-034-314 "Friendly People That Care, LLC" 03-Jun-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Friendly People That Care 4 485 Sheperd St. Winston-Salem NC 27103 400 Corbin Street Winston-Salem NC 27107 Forsyth (336)785-0968 111041 MHL-034-315 "Friendly People That Care, LLC" 03-Jun-13 01-Jan-19 31-Dec-19 Type A 20-Dec-13 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Friendly People That Care 5 485 Sheperd St Winston-Salem NC 27103 7015 Idols Road Clemmons NC 27012 Forsyth (336)602-2115 150014 MHL-034-337 "Friendly People That Care, LLC" 17-Mar-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Friendly People That Care 6 485 Shepherd Street Winston-Salem NC 27103 7025 Idols Road Clemmons NC 27012 Forsyth (336)766-9193 "Friendly People That Care, LLC" 160577 MHL-034-313 "Friendly People That Care, LLC" 03-Jun-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Friendly People That Care 3 485 Shepherd Street Winston-Salem NC 27103 6936 Bridgewood Road Clemmons NC 27102 Forsyth (336)602-2115 "Firendly People That Care, LLC" 170342 MHL-034-373 "Friendly People That Care, LLC" 19-Sep-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Friendly People That Care 7 485 Shepherd Street Winston-Salem NC 27103 3482 Bramlet Court Clemmons NC 27012 Forsyth (336)661-8648 "Friendly People That Care, LLC" 921401 MHL-084-017 GHA Autism Supports 01-Aug-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF A. Jack Wall Group Home PO Box 2487 Albemarle NC 28002 1213 Moss Springs Road Albemarle NC 28001 Stanly (704)983-6696 GHA Autism Supports 922483 MHL-084-015 GHA Autism Supports 01-Sep-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Robert W. Thompson Group Home PO Box 2487 Albemarle NC 28002 1920 Woodhaven Drive Albemarle NC 28001 Stanly (704)982-9480 GHA Autism Supports 955629 MHL-084-022 GHA Autism Supports 01-Jun-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Gary Cowan Group Home PO Box 2487 Albemarle NC 28002 510 N. Fourth Street Albemarle NC 28001 Stanly (704)983-0999 GHA Autism Supports 960650 MHL-084-029 GHA Autism Supports 14-Aug-96 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Durrett Home PO Box 2487 Albemarle NC 28002 824 Blake Road Albemarle NC 28001 Stanly (704)982-0682 GHA Autism Supports 970374 MHL-084-030 GHA Autism Supports 14-Mar-97 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Holbrook Home PO Box 2487 Albemarle NC 28002 112 Linwood Drive Albemarle NC 28001 Stanly (704)983-4806 GHA Autism Supports 010049 MHL-084-054 GHA Autism Supports 20-Jan-04 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Carolina Farms Group Home #1 PO Box 2487 Albemarle NC 28002 31719 Herb Farm Circle Albemarle NC 28001 Stanly (704)983-2059 GHA Autism Supports 030833 MHL-084-057 GHA Autism Supports 19-Aug-04 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Carolina Farms Group Home #2 PO Box 2487 Albemarle NC 28002 31713 Herb Farm Circle Albemarle NC 28001 Stanly (704)983-2569 "GHA, Autism Supports" 031013 MHL-084-061 GHA Autism Supports 05-Oct-05 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Carolina Farms Group Home #3 PO Box 2487 Albemarle NC 28002 31711 Herb Farm Circle Albemarle NC 28001 Stanly (704)983-2545 "GHA, Autism Supports" 060762 MHL-084-064 GHA Autism Supports 15-Aug-06 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Starr Apartments A B C D PO Box 2487 Albemarle NC 28002 501 Heathwood Drive #2 Albemarle NC 28001 Stanly (704)986-6524 GHA Autism Supports 090227 MHL-084-073 GHA Autism Supports 22-Oct-09 01-Jan-19 31-Dec-19 Type A 16-Feb-18 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Martin Apartment PO Box 2487 Albemarle NC 28002 1519 East Main Street Albemarle NC 28001 Stanly (704)982-0310 GHA Autism Supports 110412 MHL-084-082 GHA Autism Supports 24-Aug-11 01-Jan-19 31-Dec-19 Type A 07-Mar-18 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Taylor Home PO Box 2487 Albemarle NC 28002 804 West Main Street Albemarle NC 28001 Stanly (704)550-5920 GHA Autism Supports 110410 MHL-084-083 GHA Autism Supports 17-Oct-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lowder Home PO Box 2487 Albemarle NC 28002 34230 Herlocker Road New London NC 28127 Stanly (704)463-7958 GHA Autism Supports 120425 MHL-084-070 GHA Autism Supports 07-Jul-09 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Morrell Home PO Box 2487 Albemarle NC 28002 1705 Trotters Ridge Road Stanfield NC 28163 Stanly (704)485-2292 "GHA Autism Supports, Inc." 120479 MHL-084-068 GHA Autism Supports 23-Oct-08 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Burress Home PO Box 2487 Albemarle NC 28002 20386 NC Highway 73 Albemarle NC 28001 Stanly (704)982-0314 GHA Autism Supports 140061 MHL-084-088 GHA Autism Supports 04-Jun-14 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Locust Home PO Box 2487 Albemarle NC 28002 705 North Central Avenue Locust NC 28097 Stanly (980)354-8090 GHA Autism Supports 170146 MHL-084-079 GHA Autism Supports 15-Oct-10 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Doby Home PO Box 2487 Albemarle NC 28002 1621 Saunders Lane Albemarle NC 28001 Stanly (704)550-9343 GHA Autism Supports 180599 MHL-065-232 GHA Autism Supports 24-Jun-11 22-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hollinger Home 3013 Russellborough Dr. Wilmington NC 28405 3013 Russellborough Drive Wilmington NC 28405 New Hanover (910)399-5865 GHA Autism Supports 180598 MHL-065-231 GHA Autism Supports 24-Jun-11 05-Feb-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL McGee - Hudson Home 1304 Ducks Bill Court Wilmington NC 28411 1304 Ducks Bill Court Wilmington NC 28411 New Hanover (910)399-5946 GHA Autism Supports 070163 MHL-079-089 Gail 's Garden of Gold Corporation 12-Oct-07 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Eaves Estates 904 Irving Avenue Eden NC 27288 904 Irving Avenue Eden NC 27288 Rockingham (336)627-3939 Gail Brooklin Eaves 921645 MHL-036-022 "Gaston Residential Services - ICF/MR, Inc." 01-Aug-88 30-Mar-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Cherryville Group Home 905-A North New Hope Road Gastonia NC 28054 1102 Requa Road Cherryville NC 28021 Gaston (704)802-4037 "Gaston Residential Services-ICF/MR, Inc." 010111 MHL-036-174 "Gaston Residential Services, Inc." 22-Mar-01 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Second Avenue 905-A North New Hope Road Gastonia NC 28054 510 West Second Avenue Gastonia NC 28052 Gaston (704)671-2857 Gaston Resd'l Svcs 922108 MHL-036-023 "Gaston Residential Services, Inc." 01-May-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Laurel Lane Group Home 905-A North New Hope Road Gastonia NC 28054 1047 Laurel Lane Gastonia NC 28054 Gaston (704)671-2854 Gaston Residential Services 922919 MHL-036-049 "Gaston Residential Services, Inc." 01-Dec-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL York-Chester Group Home 905-A North New Hope Road Gastonia NC 28054 417 West 10th Avenue Gastonia NC 28052 Gaston (704)671-2875 Gaston Resd'l Svcs 931877 MHL-036-051 "Gaston Residential Services, Inc." 01-Mar-93 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Forestbrook Group Home 905-A North New Hope Road Gastonia NC 28054 1030 Forestbrook Drive Gastonia NC 28054 Gaston (704)671-4149 Gaston Resd'l Svcs 944458 MHL-036-060 "Gaston Residential Services, Inc." 05-Nov-93 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Gardner Park Group Home 905-A North New Hope Road Gastonia NC 28054 605 Rosemary Lane Gastonia NC 28054 Gaston (704)671-4166 Gaston Resd'l Svcs 090003 MHL-036-239 "Gaston Residential Services, Inc." 08-Jun-06 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fairview Home 905-A North New Hope Road Gastonia NC 28054 1009 Fairfield Drive Gastonia NC 28054 Gaston (704)671-2987 "Gaston Residential Services, Inc." 921886 MHL-036-046 "Gaston Residential Services- ICF/MR, Inc." 01-Dec-92 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Franklin Group Home 905-A North New Hope Road Gastonia NC 28054 1101 East Franklin Boulevard Gastonia NC 28054 Gaston (704)866-7084 Gaston Resd'l Svcs 945217 MHL-036-069 "Gaston Residential Services- ICF/MR, Inc." 17-Oct-94 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Springdale Lane Group Home 905-A North New Hope Road Gastonia NC 28054 934 Springdale Lane Gastonia NC 28052 Gaston (704)671-2350 Gaston Resd'l Svcs 951717 MHL-036-016 "Gaston Residential Services- ICF/MR, Inc." 01-Jul-87 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Belmont Group Home 905-A North New Hope Road Gastonia NC 28054 "PO Box 563 - Loop Road/ 205 Wimmer Cir.," Belmont NC 28012 Gaston (704)825-7422 Gaston Resd'l Svcs 922222 MHL-036-011 "Gaston Residential Services-ICF/MR, Inc." 01-Feb-89 30-Mar-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Meek Road Group Home 905-A North New Hope Road Gastonia NC 28054 138 Meek Road Gastonia NC 28056 Gaston (704)671-2743 "Gaston Residential Services-ICF/MR, Inc." 922222 MHL-036-011 "Gaston Residential Services-ICF/MR, Inc." 01-Feb-89 30-Mar-19 31-Dec-19 - - - - 1 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Meek Road Group Home 905-A North New Hope Road Gastonia NC 28054 138 Meek Road Gastonia NC 28056 Gaston (704)671-2743 "Gaston Residential Services-ICF/MR, Inc." 090237 MHL-001-148 "Genesis Residential Care Center, LLC" 20-May-07 01-Jan-19 31-Dec-19 Type B 24-Apr-15 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Restorations PO Box 1966 Burlington NC 27216 2211 Rogers Street Burlington NC 27217 Alamance (336)350-9327 "Genesis Residential Care Center, LLC" 010115 MHL-041-599 "Gentlehands of NC, Inc." 23-Jul-01 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Gentlehands Home 7 Wimbledon Lane Greensboro NC 27455 7 Wimbledon Lane Greensboro NC 27455 Guilford (336)282-2938 050048 MHL-041-772 "Gentlehands of NC, Inc." 30-Jan-06 01-Jan-20 31-Dec-20 Type A 18-Feb-15 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Gentlehands Adult Home 6005 White Chapel Way Greensboro NC 27455 6005 White Chapel Way Greensboro NC 27455 Guilford (336)285-5785 100095 MHL-041-961 "Gentlehands of NC, Inc." 27-Apr-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Claire's Home 7 Wimbledon Lane Greensboro NC 27455 7 Grace Chapel Court Greensboro NC 27405 Guilford (336)514-8952 "Gentlehands of North Carolina, Inc." 090669 MHL-092-871 Gloria Daniels 01-Jul-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Glorious Home Care 856 Timber Drive Garner NC 27529 4418 Karlbrook Lane Raleigh NC 27616 Wake (919)875-3193 "Q-1 Clinical Consultants, Inc./Glorious Home Care" 920181 MHL-041-622 Gregory Carter 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Carter Group Home 3101 East Bessemer Avenue Greensboro NC 27405 3101 East Bessemer Avenue Greensboro NC 27405 Guilford (336)275-2985 Gregory Carter 070598 MHL-041-856 "Griffin Home, Inc." 18-Dec-07 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Griffin Home, Inc." 2 Partnership Court Greensboro NC 27405 2 Partnership Court Greensboro NC 27405 Guilford (336)907-3241 "Griffin Home, Inc." 010323 MHL-093-034 "Guardian Angel Healthcare, LLC" 19-Feb-02 01-Jan-19 31-Dec-19 Type A 07-Dec-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Willow Road Facility PO Box 2002 Henderson NC 27536 474 Macon-Embro Road Macon NC 27551 Warren (252)204-0556 Cornelius Williams 030673 MHL-091-087 "Guardian Angel Healthcare, LLC" 23-Jan-08 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Esther's Place P.O. Box 2002 Henderson NC 27536 270 Charles Street Henderson NC 27536 Vance (252)598-0833 "Guardian Angel Healthcare, LLC" 041119 MHL-096-149 Gwendalyn Howell/Dorothy Howell 29-Oct-04 01-Jan-19 31-Dec-19 Type B 06-Mar-15 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Howell & Howell's 823 Riverbark Lane Durham NC 27703 725 Luther Drive Goldsboro NC 27530 Wayne (919)751-0031 Howell & Howell's 000238 MHL-001-260 Gwendolyn C. Mebane 13-Jun-19 13-Jun-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL House of Hope 1404 Sweet Gum Way Meban NC 27302 412 Maple Avenue Burlington NC 27215 Alamance (336)350-7713 Gwendolyn C. Mebane 160298 MHL-080-204 HANDS LLC of Rowan 03-Feb-16 01-Jan-19 31-Dec-19 Intent to Revoke 18-Jan-17 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Richard Street 919 Richard Street Salisbury NC 28144 919 Richard Street Salisbury NC 28144 Rowan (980)643-4137 Hands LLC of Rowan 010064 MHL-045-048 "Halcyon, LLC" 29-Mar-01 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Halcyon L.L.C #B PO Box 1082 Hendersonville NC 28793 717 Loop Rd. Hendersonville NC 28792 Henderson (828)694-0554 050258 MHL-032-356 Hattie Joann Dunham 15-Nov-05 01-Jan-19 31-Dec-19 Type A 23-Sep-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inez's House HC 209 Ganyard Farm Way Durham NC 27703 2811 Independence Avenue Durham NC 27703 Durham (919)596-3416 Hattie Joann Dunham 050306 MHL-092-866 "Heavenly Place, LLC" 04-Apr-13 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Heavenly Place, LLC" PO Box 41153 Raleigh NC 27629 8600 Neuse Hunter Drive Raleigh NC 27616 Wake (919)819-3882 "Heavenly Place, LLC" 050083 MHL-092-399 Herbert Reid 22-Oct-99 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Herbert Reid Home PO Box 1057 Holly Springs NC 27540 3733 Heritage Meadow Lane Holly Springs NC 27540 Wake (919)363-5311 130154 MHL-098-171 "Herbert Reid Home, Inc." 30-Aug-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Herbert Reid Home, Inc." PO Box 1057 Holly Springs NC 27540 3307 Teal Drive Wilson NC 27893 Wilson (252)206-1337 990586 MHL-098-192 "Herbert Reid Home, Inc." 06-Aug-15 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Herbert Reid Home #5 P.O. Box 1057 Holly Springs NC 27540 2824-B Daisy Lane Wilson NC 27895 Wilson (252)246-0644 "Herbert Reid Home, Inc." 080766 MHL-032-398 "Herbert Way of Living, LLC" 02-Feb-07 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Herbert Way of Living, LLC" 519 East Club Blvd. Durham NC 27704-4501 519 East Club Boulevard Durham NC 27704-4501 Durham (919)317-1270 "Herbert Way of Living, LLC" 110338 MHL-041-1151 "Hicks House of Care, LLC" 09-Aug-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hicks House of Care 2015 Blue Rock Ct. Greensboro NC 27405 2611 Zola Drive Greensboro NC 27405 Guilford (336)681-1653 "Hicks House of Care, LLC" 120547 MHL-060-1257 "Hinds' Feet Farm, Inc." 16-Jan-13 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hinds' Feet Farm-Puddin's Place PO Box 2842 Huntersville NC 28070 14645 Black Farms Road Huntersville NC 28078 Mecklenburg (704)992-5762 "Hinds' Feet Farm, Inc." 150341 MHL-060-1306 "Hinds' Feet Farm, Inc." 07-Dec-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Hinds' Feet Farm, Inc.-Hart Cottage" P.O. Box 2842 Huntersville NC 28070 14525 Black Farms Road Huntersville NC 28078 Mecklenburg (704)948-2333 "Hinds' Feet Farm, Inc." 942619 MHL-036-041 "Holy Angels, Inc." 01-Aug-92 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Holy Angels, Inc.-South Point" 6600 Wilknson Blvd. Belmont NC 28012 2352 South Point Road Belmont NC 28012 Gaston (704)825-4161 "Holy Angels, Inc." 944929 MHL-036-058 "Holy Angels, Inc." 01-Oct-93 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Holy Angels, Inc. - Lakewood" 6600 Wilkinson Blvd.-P.O. Box 710 Belmont NC 28012 302 Greenwood Place Belmont NC 28012 Gaston (704)825-4161 "Holy Angels, Inc." 980056 MHL-036-111 "Holy Angels, Inc." 08-Jan-98 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Holy Angels Inc.-The Carrabaun Home 6600 Wilkinson Blvd. Belmont NC 28012 303 McAuley Circle Belmont NC 28012 Gaston (704)825-4161 "Holy Angels, Inc." 980057 MHL-036-112 "Holy Angels, Inc." 08-Jan-98 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Holy Angels, Inc.-Gary Home" 6600 Wilkinson Blvd. Belmont NC 28012 301 McAuley Circle Belmont NC 28012 Gaston (704)825-4161 "Holy Angels, Inc." 140176 MHL-034-223 "Home Care Solutions of NC, LLC" 18-Dec-07 01-Jan-19 31-Dec-19 Type B 17-Aug-18 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Home Care Solutions 4401 North Cherry Street Ste 30 Winston Salem NC 27105 187 Scotland Ridge Drive Winston Salem NC 27107 Forsyth (336)546-7862 "Home Care Solutions of NC, LLC" 140146 MHL-034-323 "Home Care Solutions of NC, LLC" 13-Jun-14 01-Jan-19 31-Dec-19 Type B 25-Aug-17 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Home Care Solutions @ Rhue Road 4401 North Cherry Street Winston Salem NC 27105 1234 Rhue Road Winston Salem NC 27107 Forsyth (336)788-5915 "Home Care Solutions of NC, LLC" 160015 MHL-034-336 "Home Care Solutions of NC, LLC" 17-Mar-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Home Care Solutions @ Inland Drive 4401 North Cherry Street Ste 30 Winston Salem NC 27105 719 Inland Drive Kernersville NC 27284 Forsyth (336)767-4514 "Home Care Solutions of NC, LLC" 170289 MHL-034-286 "Home Care Solutions of NC, LLC" 01-Oct-11 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Home Care Solutions @ Fieldmount Road "4401 N. Cherry Street, Suite 30" Winston-Salem NC 27105 1487 Fieldmount Road Kernersville NC 27284 Forsyth (336)497-5740 "Home Care Solutions of NC, LLC" 170514 MHL-034-296 "Home Care Solutions of NC, LLC" 28-Mar-12 01-Jan-20 31-Dec-20 Type A 05-Mar-19 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Home Care Solutions at Kaymoore Drive "4401 N Cherry St., Ste 30" Winston-Salem NC 27105 3020 Kaymoore Drive Winston-Salem NC 27103 Forsyth (336)767-8552 "Home Care Solutions of NC, LLC" 180392 MHL-034-382 "Home Care Solutions of NC, LLC" 20-Sep-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Home Care Solutions @ Folkstone Ridge "4401 N. Cherry St., Ste 30" Winston-Salem NC 27105 1166 Folkstone Ridge Lane Winston-Salem NC 27127 Forsyth (336)245-8577 "Home Care Solutions of NC, LLC" 140227 MHL-032-243 "House of Care, Inc." 17-Jul-00 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "House of Care, Inc." "3500 Westgate Dr., Ste. 103" Durham NC 27707 5800 Lake Elton Road Durham NC 27713 Durham (919)401-6466 "House of Care, Inc." 160537 MHL-032-613 "House of Care, Inc." 14-Jan-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "House of Care, Inc." "3500 Westgate Dr., Ste. 103" Durham NC 27707 1118 Kimball Drive Durham NC 27712 Durham (919)493-6871 "House of Care, Inc." 920501 MHL-054-095 "Howell Support Services, LLC" 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hardee Road Group Home PO Box 10946 Goldsboro NC 27532 1612 Hardee Road Kinston NC 28501 Lenoir (252)686-0902 "Howell Support Services, LLC" 920650 MHL-054-096 "Howell Support Services, LLC" 15-Jun-01 01-Jan-19 31-Dec-19 Suspension of Admission 12-Feb-09 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Larkspur House PO Box 10946 Goldsboro NC 27532 601 Larkspur Road Kinston NC 28501 Lenoir (252)686-0903 "Howell Support Services, LLC" 920877 MHL-054-093 "Howell Support Services, LLC" 15-Jun-01 01-Jan-19 31-Dec-19 Suspension of Admission 23-Jan-08 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Old Farm Home PO Box 10946 Goldsboro NC 27534 1510 Farmgate Road Kinston NC 28504 Lenoir (252)686-6822 "Howell Support Services, LLC" 921002 MHL-054-094 "Howell Support Services, LLC" 15-Jun-01 01-Jan-19 31-Dec-19 Type B 08-Jun-10 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rhem Group Home PO Box 10946 Goldsboro NC 27534 902 Rhem Street Kinston NC 28501 Lenoir (252)686-0904 "Howell Support Services, LLC" 942503 MHL-054-008 "Howell Support Services, LLC" 01-Dec-84 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Roseanne Group Home P.O. Box 10946 Goldsboro NC 27532 900 Roseanne Drive Kinston NC 28504 Lenoir (252)686-0906 990139 MHL-096-099 "Howell Support Services, LLC" 03-Feb-99 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Northwood Group Home PO Box 10946 Goldsboro NC 27532 2708 Northwood Drive Goldsboro NC 27534 Wayne (919)288-2560 "Howell Support Services, LLC" 180610 MHL-053-068 "I Innovation, Inc." 01-Jan-11 03-May-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "I Innovations, Inc. - 2105 Live Oak Drive" PO Box 1553 Sanford NC 27331 2105 Live Oak Drive Sanford NC 27330 Lee (919)498-3668 "I Innovations, Inc." 160616 MHL-043-098 "I Innovations, Inc." 21-Apr-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "I Innovations, Inc. - 2071 Heritage Way" PO Box 1553 Sanford NC 27331 2071 Heritage Way Cameron NC 28326 Harnett (919)895-8032 "I Innovations, Inc." 170462 MHL-042-080 "IGR Collaboration Homes, LLC" 10-Apr-19 10-Apr-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL IGR Collaborations 212 Pine Ridge Drive Roanoke Rapids NC 27870 212 Pine Ridge Drive Roanoke Rapids NC 27870 Halifax (252)541-1096 IGR Collaboration Homes LLC 150549 MHL-067-187 "IQUOLIOC, Inc." 21-Jul-10 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Eagles Nest Retreat 211 Drummer Kellum Rd. Jacksonville NC 28546 320 Chisholm Trail Jacksonville NC 28546 Onslow (910)968-0219 IQuOLIOC Inc. 130038 MHL-098-184 "In God's Hands IGH, LLC" 18-Mar-13 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL In God's Hands IGH 403 Harrison Drive Wilson NC 27893 403 Harrison Drive Wilson NC 27893 Wilson (252)991-5664 "In God's Hands IGH, LLC" 070700 MHL-034-224 "Independent Living Group Home, LLC" 21-Dec-07 01-Jan-20 31-Dec-20 Type B 22-Nov-16 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Independent Living Group Home 1107 Constantine Court Kernersville NC 27284 924 Cloister Drive Winston Salem NC 27127 Forsyth (336)788-4199 "Independent Living Group Home, LLC" 110144 MHL-034-288 "Independent Living Group Home, LLC" 01-Oct-11 01-Jan-20 31-Dec-20 Type A 11-Feb-19 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Independent Living Group Home at Old Salisbury Road 1107 Constantine Court Kernersville NC 27284 2415 Old Salisbury Road Winston-Salem NC 27127 Forsyth (336)788-2319 "Independent Living Group Home, LLC" 130031 MHL-034-308 "Independent Living Group Home, LLC" 09-May-13 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Independent Living at Calvert Drive "4401 N. Cherry St., Ste. 40" Winston Salem NC 27105 1316 Calvert Drive Winston Salem NC 27107 Forsyth (336)785-2329 "Independent Living Group Home, LLC" 140056 MHL-034-267 "Independent Living Group Home, LLC" 19-Oct-10 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Independent Living @ Thompson Drive "4401 N. Cherry St., Ste. 40" Winston Salem NC 27105 1712 Thompson Drive Winston Salem NC 27127 Forsyth (336)788-5781 "Independent Living Group Home, LLC" 922217 MHL-060-152 Inreach 01-Jan-92 01-Jan-19 31-Dec-19 Type B 11-Apr-17 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/ Shamrock Road 4530 Park Road Suite 300 Charlotte NC 28209 4724 Shamrock Drive Charlotte NC 28215 Mecklenburg (704)563-9885 922453 MHL-060-161 Inreach 01-Feb-92 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Crosby Road 4530 Park Road Suite 300 Charlotte NC 28209 3018 Crosby Road Charlotte NC 28211 Mecklenburg (704)366-8667 922454 MHL-060-159 Inreach 01-Feb-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Forsythia Circle 4530 Park Road Suite 300 Charlotte NC 28209 1631 Forsythia Circle Charlotte NC 28208 Mecklenburg (704)399-4826 922455 MHL-060-157 Inreach 01-Feb-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Greywood Drive 4530 Park Road Suite 300 Charlotte NC 28209 4922 Greywood Drive Charlotte NC 28212 Mecklenburg (704)563-0105 922456 MHL-060-158 Inreach 01-Feb-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Lisa Circle 4530 Park Road Suite 300 Charlotte NC 28209 7401 Lisa Circle Charlotte NC 28215 Mecklenburg (704)537-8188 922457 MHL-060-156 Inreach 01-Feb-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Nevins Road 4530 Park Road Suite 300 Charlotte NC 28209 3446 Nevins Road Charlotte NC 28269 Mecklenburg (704)598-6097 922458 MHL-060-160 Inreach 01-Feb-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Stillwell Oaks 4530 Park Road Suite 300 Charlotte NC 28209 232 Stillwell Oaks Charlotte NC 28212 Mecklenburg (704)568-7198 922459 MHL-060-162 Inreach 01-Feb-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/The Plaza 4530 Park Road Suite 300 Charlotte NC 28209 6637 Plaza Road Charlotte NC 28215 Mecklenburg (704)535-5360 922460 MHL-060-155 Inreach 01-Feb-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Williams Road 4530 Park Road Suite 300 Charlotte NC 28209 6312 Williams Road Charlotte NC 28215 Mecklenburg (704)535-0739 922680 MHL-060-146 Inreach 01-Dec-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Swans Run Road 4530 Park Road Suite 300 Charlotte NC 28209 7108 Swans Run Road Charlotte NC 28226 Mecklenburg (704)544-1225 944381 MHL-060-214 Inreach 09-Nov-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Gaynelle Drive 4530 Park Road Suite 300 Charlotte NC 28211 4525 Gaynelle Drive Charlotte NC 28215 Mecklenburg (704)536-5539 945346 MHL-060-239 Inreach 22-Dec-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Old Bell Road 4530 Park Road Suite 300 Charlotte NC 28209 215 Old Bell Road Charlotte NC 28270 Mecklenburg (704)362-2534 945347 MHL-060-240 Inreach 22-Dec-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Larkhaven Road 4530 Park Road Suite 300 Charlotte NC 28209 8223 Larkhaven Road Charlotte NC 28216 Mecklenburg (704)391-3013 041010 MHL-060-954 Inreach 15-Nov-04 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Chelmsford Road 4530 Park Road Suite 300 Charlotte NC 28209 4231 Chelmsford Road Charlotte NC 28211 Mecklenburg (704)366-3745 100905 MHL-060-1285 Inreach 01-Sep-14 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach - Falls Church Road 4530 Park Road Suite 300 Charlotte NC 28209 712 Falls Church Road Charlotte NC 28270 Mecklenburg (704)845-0668 Inreach 922044 MHL-011-036 "Irene Wortham Residential Center, Inc." 24-Jul-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Irene Wortham Residential Center-Azalea 916 West Chapel Road Asheville NC 28803 16 Azalea Street Asheville NC 28803 Buncombe (828)274-7518 Matthew Henry 956171 MHL-011-108 "Irene Wortham Residential Center, Inc." 07-Jul-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF IWRC-Dogwood 916 W. Chapel Road Asheville NC 28803 2 Rose Street W Asheville NC 28803 Buncombe (828)274-7518 130466 MHL-092-895 JACE Healthcare Services Inc. 11-Jun-14 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL JACE Healthcare 1921 Waters Drive Raleigh NC 27610 1921 Waters Drive Raleigh NC 27610 Wake (919)821-5426 JACE Healthcare Services Inc. 130578 MHL-041-1095 JMJ Enterprises LLC 25-Mar-14 01-Jan-19 31-Dec-19 Type B 08-Mar-18 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL PALM House 2020 Textile Drive Greensboro NC 27405 3212 Presley Way Greensboro NC 27405 Guilford (336)621-6982 "JMJ Enterprises, LLC" 140358 MHL-041-1115 "JMJ Enterprises, LLC" 13-Mar-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL J. Gee's House 2020 Textile Drive Greensboro NC 27405-5857 2006 Old Jones Road Greensboro NC 27406-5624 Guilford (336)763-4421 "JMJ Enterprises, LLC" 060725 MHL-032-382 Jennifer Williams 16-Aug-06 01-Jan-19 31-Dec-19 Type A 02-Oct-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Devereux Residential Services, LLC" 115 Market St Ste 204G Durham NC 27701 2 Callahan Circle Durham NC 27703 Durham (919)957-0145 "Devereux Residential Services, LLC" 030471 MHL-035-048 Joan Hewitt 15-Nov-07 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hewitt Home Care 36 Forest Hills Ct. Louisburg NC 27549 36 Forest Hills Court Louisburg NC 27549 Franklin (919)494-5829 Joan Hewitt 100368 MHL-098-160 Joyce Adams 25-Mar-11 01-Jan-19 31-Dec-19 Type A 19-Oct-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Circle Of Love 6722 Jaycross Road Fremont NC 27830 6722 Jaycross Road Fremont NC 27830 Wilson (252)281-4577 Joyce Adams 944963 MHL-081-069 K D Support Services 01-Jan-07 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly's Care 158 U.S. Hwy. 221 A Forest City NC 28043 2073 Harris-Henrietta Road Mooresboro NC 28114 Rutherford (828)657-4757 kdsupportservices@charter.net 950303 MHL-081-076 "KD Support Services, LLC" 01-Jan-08 01-Jan-19 31-Dec-19 Type A 02-Aug-19 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly's Care II 158 US Hwy 221A Forest City NC 28043 521 Oscar Justice Road Rutherfordton NC 28139 Rutherford (828)245-4011 Kenneth Dellinger 920271 MHL-081-087 "KD Support Services, LLC" 04-Jun-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly's Care 6 158 US Hwy 221-A Forest City NC 28043 156 US Highway 221-A Forest City NC 28043 Rutherford (828)245-8223 KD Support Services 940476 MHL-081-091 "KD Support Services, LLC" 15-Dec-10 01-Jan-19 31-Dec-19 Type B 12-Jul-17 - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly's Care #8 158 US Highway 221A Forest City NC 28043 1366 Cooper's Gap Road Rutherfordton NC 28139 Rutherford (828)286-4044 "KD Support Services, LLC" 100996 MHL-081-104 "KD Support Services, LLC" 09-Oct-13 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly's Care #7 158 US Hwy 221A Forest City NC 28043 1998 Harris-Henrietta Road Mooresboro NC 28114 Rutherford (828)657-9737 "KD Support Services, LLC" 140232 MHL-081-094 "KD Support Services, LLC" 16-Apr-12 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly's Care #3 158 US Hwy 221-A Forest City NC 28043 133 Keeter Road Mooresboro NC 28114 Rutherford (828)286-0596 "KD Support Services, LLC" 160225 MHL-081-120 "KD Support Services, LLC" 21-Sep-16 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly's Care #4 158 US Highway 221-A Forest City NC 28043 487 West Main Street Forest City NC 28043 Rutherford (828)245-4011 "KD Support Services, LLC" 120048 MHL-072-008 Karen Clarke 27-Aug-09 01-Jan-19 31-Dec-19 Type B 06-Dec-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL TLC on the water 210 Soundward Lane Hertford NC 27944 210 Soundward Lane Hertford NC 27944 Perquimans (252)404-0129 Karen Clarke 120577 MHL-060-1102 "Kerr Homes, Inc." 26-Mar-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kerr Homes 1048 Hearst Lane SW Concord NC 28025 10025 Northwoods Forest Drive Charlotte NC 28214 Mecklenburg (704)277-3783 "Kerr Homes, Inc." 180007 MHL-060-1142 "Kerr Homes, Incorporated" 27-Apr-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Kerr Homes, Inc." "1048 Hearth Lane, SW" Concord NC 28025 5518 Stone Bluff Court Charlotte NC 28214 Mecklenburg (980)498-2864 Kerr Homes Incorporated 110328 MHL-096-266 "Kyseem's Unity Group Home, LLC" 17-Nov-16 01-Jan-17 31-Dec-17 Provisional 31-Dec-17 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Emmaus Road Group Home PO Box 129 Pinetops NC 27864 1202 Emmaus Church Road Dudley NC 28333 Wayne (919)988-9127 "Kyseem's Unity Group Home, LLC" 170450 MHL-098-197 "Kyseem's Unity Group Home, LLC" 17-Nov-16 01-Jan-19 31-Dec-19 Type A 21-Nov-18 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kyseem's Unity Group Home LLC #3 PO Box 129 Pinetops NC 27864 102 Brentwood Drive N Wilson NC 27893-1808 Wilson (252)237-0251 "Kyseem's Unity Group Home, LLC" 170451 MHL-098-198 "Kyseem's Unity Group Home, LLC" 17-Nov-16 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kyseem's Unity Group Home LLC #4 PO Box 129 Pinetops NC 27864 408 Tarboro Street E. Wilson NC 27893 Wilson (252)237-0251 "Kyseem's Unity Group Home, LLC" 000118 MHL-001-073 "L & J Homes, Inc." 18-Feb-00 01-Jan-19 31-Dec-19 Type A 04-Jun-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL L & J Homes PO Box 2273 Burlington NC 27217 803 Elizabeth Street Burlington NC 27217 Alamance (336)227-5593 "L & J Homes, Inc." 990635 MHL-001-106 "L & J Homes, Inc." 29-Jan-03 01-Jan-19 31-Dec-19 Type A 22-Oct-18 - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "L & J Homes, Inc.-Richmond Avenue" PO Box 2273 Burlington NC 27215 511 Richmond Avenue Burlington NC 27217 Alamance (336)226-5561 "L & J Homes, Inc." 060482 MHL-001-142 "L & J Homes, Inc." 17-Nov-06 01-Jan-19 31-Dec-19 Type A 22-Oct-18 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL L & J Homes -Apple Street PO Box 2273 Burlington NC 27217 816 Apple Street Burlington NC 27217 Alamance (336)228-1456 921754 MHL-042-001 "LIFE, Inc." 01-Feb-89 01-Jan-19 31-Dec-19 Type A 18-Nov-08 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Deerfield 2609 Royall Avenue Goldsboro NC 27534 105 Deerfield Place Roanoke Rapids NC 27870 Halifax (252)537-4263 "Life, Inc." 921767 MHL-007-008 "LIFE, Inc." 18-Jan-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Dixon Road Group Home" 2609 Royall Ave. Goldsboro NC 27534 1383 Dixon Road Chocowinity NC 27817 Beaufort (252)975-1220 "Life, Inc." 921798 MHL-007-006 "LIFE, Inc." 11-Dec-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Edgewood Group Home" 2609 Royall Ave. Goldsboro NC 27534 77 Edgewood Drive Chocowinity NC 27817 Beaufort (252)975-6468 "LIFE, Inc." 944598 MHL-065-040 "LIFE, Inc." 06-Sep-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Cherokee Trail Group Home" 2609 Royal Avenue Goldsboro NC 27534 105 Cherokee Trail Wilmington NC 28409 New Hanover (910)799-9517 "LIFE, Inc." 944709 MHL-064-020 "LIFE, Inc." 23-Sep-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc/ Green Tee Lane" 2609 Royall Avenue Goldsboro NC 27534 1320 Green Tee Lane Rocky Mount NC 27804 Nash (252)972-6975 "LIFE, Inc." 944843 MHL-016-011 "LIFE, Inc." 28-Jul-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Grey Fox Run Group Home" 2609 Royall Avenue Goldsboro NC 27534 312 Grey Fox Run Newport NC 28570 Carteret (252)223-2466 "Life, Inc." 944844 MHL-016-012 "LIFE, Inc." 16-Jul-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Nine Foot Road Group Home" 2609 Royall Avenue Goldsboro NC 27534 1229 Nine Foot Road Newport NC 28570 Carteret (252)223-3774 "Life, Inc." 952101 MHL-096-002 "LIFE, Inc." 01-Oct-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Walnut Street Group Home" 2609 Royall Avenue Goldsboro NC 27534 1011 East Walnut Street Goldsboro NC 27530 Wayne (919)736-7668 "LIFE, Inc." 956891 MHL-007-014 "LIFE, Inc." 31-Oct-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Beaufort Heights Group Home" 2609 Royall Avenue Goldsboro NC 27534 103 Circle Street Washington NC 27889 Beaufort (252)946-4133 956892 MHL-007-015 "LIFE, Inc." 31-Oct-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Minute Man Group Home" 2609 Royall Ave. Goldsboro NC 27534 388 Minute Man Lane Washington NC 27889 Beaufort (252)946-5563 "LIFE, Inc." 150017 MHL-020-068 "LIFESPAN, Inc." 23-Jun-15 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "LIFESPAN, Inc.-Payton Place Home" 1511 Shopton Road Suite A Charlotte NC 28217 291 Stewart Road Andrews NC 28901 Cherokee (828)321-6034 "LIFESPAN, Inc." 011036 MHL-034-374 LSM Enterprizes Inc. 15-Jul-09 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Disability Management Services 3365 New Walkertown Road Winston-Salem NC 27105 3365 New Walkertown Road Winston-Salem NC 27105 Forsyth (336)893-7155 "LSM Enterprizes, Inc." 920383 MHL-041-620 Lathay L. Coltrane 15-Jun-01 01-Jan-19 31-Dec-19 Type B 30-Jun-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Coltrane's Group Home PO Box 79113 Greensboro NC 27417 3811 Repon Street Greensboro NC 27407 Guilford (336)299-9757 150222 MHL-079-129 "Laverne's Haven Residential Services, LLC" 12-May-16 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Laverne's Haven Residential Home Services 195 Brookside Drive Eden NC 27288 195 Brookside Drive Eden NC 27288 Rockingham (336)635-9384 "Laverne's Haven Residential Home Services, LLC" 000105 MHL-039-027 Learning Services Corporation 23-Apr-01 01-Jan-19 31-Dec-19 Type A 29-Apr-08 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Learning Services Neurobehavioral Institute 807 Recovery Drive Creedmoor NC 27522 807 Recovery Drive Creedmoor NC 27522 Granville (919)529-1241 011171 MHL-039-031 Learning Services Corporation 12-Apr-02 01-Jan-19 31-Dec-19 Type A 12-Mar-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Learning Services Neurobehavioral Institute 2 807 Recovery Drive Creedmoor NC 27522 800 Recovery Drive Creedmoor NC 27522 Granville (919)529-1241 Ally Milford 920662 MHL-053-039 "Lee County Group Homes, Inc." 15-Jun-01 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Lee County Group Home, Inc. # I" P.O. Box 1373 Sanford NC 27331 3101 Carbonton Road Sanford NC 27330 Lee (919)774-6647 "Lee County Group Homes, Inc." 920663 MHL-053-041 "Lee County Group Homes, Inc." 15-Jun-01 01-Jan-20 31-Dec-20 Type A 20-Feb-15 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lee County Group Home II PO Box 1373 Sanford NC 27330 2412 Knollwood Drive Sanford NC 27330 Lee (919)776-7822 "Lee County Group Homes, Inc." 170044 MHL-041-1154 "Lee Street Services, LLC" 01-Oct-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Lee Street House "1202 East Mountain Street, Unit C" Kernersville NC 27284 5001 East Lee Street Greensboro NC 27406 Guilford (336)898-1998 "Lee Street Services, LLC" 111021 MHL-041-777 Letithia P. Parker 22-Mar-06 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Tangle Drive Group Home 602 Tangle Drive Jamestown NC 27282 602 Tangle Drive Jamestown NC 27282 Guilford (336)885-9012 A Place for TJ Healthcare 120539 MHL-041-1081 Letithia P. Parker 02-Jul-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Maxine Drive Group Home 602 Tangle Drive Jamestown NC 27282 2612 Maxine Drive High Point NC 27265 Guilford (336)812-3748 Letithia P. Parker 120336 MHL-017-022 Levan Place 28-Jan-10 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Levan Place PO Box 393 Reidsville NC 27320 281 W. Main Street Yanceyville NC 27379 Caswell (336)694-3372 180358 MHL-001-257 Levan Place 25-Oct-18 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Levan Place III PO Box 393 Reidsville NC 27320 1622 Flora Avenue Burlington NC 27215 Alamance (336)280-1661 Levan Place 040950 MHL-064-132 Lewis E. Williams 02-May-12 01-Jan-19 31-Dec-19 Intent to Revoke 10-Jul-19 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL My Brother's Keeper II 1021 Gold Rock Road Rocky Mount NC 27804 1021 Gold Rock Road Rocky Mount NC 27804 Nash (252)210-3642 Lewis E Williams 981097 MHL-087-005 "Liberty Corner Enterprises, Inc." 09-Nov-98 01-Jan-19 31-Dec-19 Type A 28-Mar-19 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bryson City Home "119 Tunnel Rd, Suite 120" Asheville NC 28805 30 Arlington Extension Bryson City NC 28713 Swain (828)488-0292 010330 MHL-011-214 "Liberty Corner Enterprises, Inc." 19-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Clearview Terrace 119 Tunnel Road Asheville NC 28805 521 Clearview Terrace Asheville NC 28801 Buncombe (828)251-5515 970408 MHL-011-096 "Liberty Corner Enterprises, Inc." 16-Nov-94 01-Jan-19 31-Dec-19 Type A 27-Nov-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Marne "119 Tunnel Rd., Ste 120" Asheville NC 28805 62 Marne Road Asheville NC 28803 Buncombe (828)253-6742 "Liberty Corner Enterprises, Inc." 980807 MHL-044-023 "Liberty Corner Enterprises, Inc." 17-Aug-98 01-Jan-19 31-Dec-19 Type B 25-Apr-17 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Dogwood Acres 723 Fairview Road Asheville NC 28803 211 Nellie John Drive Clyde NC 28721 Haywood (828)627-1997 "Liberty Corner Enterprises, Inc." 980997 MHL-011-167 "Liberty Corner Enterprises, Inc." 23-Oct-98 01-Jan-19 31-Dec-19 Type B Imposed 20-Jul-15 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Farm School Road Home 119 Tunnel Rd Asheville NC 28805 23 Old Farm School Road Asheville NC 28805 Buncombe (828)299-9508 "Liberty Corner Enterprises, Inc." 120573 MHL-044-061 "Liberty Corner Enterprises, Inc." 25-Jan-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Balsam Road Home "119 Tunnel Rd, Suite 120" Asheville NC 28805 35 Aquifer Brae Lane Waynesville NC 28786 Haywood (828)456-7510 "Liberty Corner Enterprises, Inc." 921644 MHL-025-001 "Life, Inc." 06-Oct-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Cherry Lane" 2609 Royall Ave. Goldsboro NC 27534 1104 Cherry Lane New Bern NC 28560 Craven (252)633-5565 "Life, Inc." 921857 MHL-010-008 "Life, Inc." 07-Apr-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Folly Street Group Home" 2609 Royall Ave Goldsboro NC 27534 65 Folly Street SW Supply NC 28462 Brunswick (910)754-2855 "Life, Inc." 921906 MHL-042-006 "Life, Inc." 01-Dec-86 01-Jan-19 31-Dec-19 Type A 10-Dec-10 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Life, Inc./ Georgia Avenue" 2609 Royal Avenue Goldsboro NC 27534 700 Georgia Ave. Roanoke Rapids NC 27870 Halifax (252)535-5660 "Life, Inc." 922027 MHL-042-009 "Life, Inc." 01-Aug-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Idlewood Group Home 2609 Royall Avenue Goldsboro NC 27534 28 Wood Glenn Road Roanoke Rapids NC 27870 Halifax (252)537-4386 922097 MHL-042-010 "Life, Inc." 01-Oct-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./ Lakeview" 2609 Royall Ave. Goldsboro NC 27534 102 Midway Lane Roanoke Rapids NC 27870 Halifax (252)535-4031 922100 MHL-096-003 "Life, Inc." 01-Apr-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./William Street Home" 2609 Royall Avenue Goldsboro NC 27534 407 North William Street Goldsboro NC 27530 Wayne (919)734-1402 "Life, Inc." 922110 MHL-025-014 "Life, Inc." 25-Jul-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Lavenham Group Home" 2609 Royall Avenue Goldsboro NC 27534 3700 Lavenham Road New Bern NC 28560 Craven (252)633-5559 "LIFE, Inc. / Lavenham Group Home" 922152 MHL-010-009 "Life, Inc." 07-Apr-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Lockwood Street Group Home" 2609 Royall Ave. Goldsboro NC 27534 156 Country Side Drive Supply NC 28462 Brunswick (910)754-2854 "Life, Inc." 922202 MHL-098-012 "Life, Inc." 01-Nov-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF McKeel Loop Road Home 2609 Royall Avenue Goldsboro NC 27534 5910 Farmwood Loop Road Wilson NC 27893 Wilson (252)291-9647 922323 MHL-025-013 "Life, Inc." 15-Jul-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Oakdale Home" 2609 Royall Avenue Goldsboro NC 27534 907 Oakdale Ave New Bern NC 28560 Craven (252)636-1288 "Life, Inc." 922436 MHL-098-011 "Life, Inc." 01-Aug-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Life/Raven Ridge Group Home 2609 Royall Avenue Goldsboro NC 27534 4105 Raven Ridge Drive Wilson NC 27893 Wilson (252)291-8348 "Life, Inc." 925415 MHL-094-004 "Life, Inc." 30-Jan-95 01-Jan-19 31-Dec-19 Type A 10-Jul-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc/ Wilson Street Group Home" 2609 Royall Ave. Goldsboro NC 27534 1116 Wilson Street Extension Plymouth NC 27962 Washington (252)793-6440 Barbara Parker 925427 MHL-094-003 "Life, Inc." 30-Jan-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Old Roper Road Group Home" 2609 Royall Ave. Goldsboro NC 27534 206 A Old Roper Road Plymouth NC 27962 Washington (252)793-9177 944505 MHL-021-005 "Life, Inc." 21-Feb-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Luke Street 2609 Royall Avenue Goldsboro NC 27534 206 Luke Street Edenton NC 27932 Chowan (252)482-8900 "Life, Inc." 955501 MHL-007-013 "Life, Inc." 10-Mar-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Slatestone Road Group Home" 2609 Royall Ave. Goldsboro NC 27534 332 Slatestone Road Washington NC 27889 Beaufort (252)946-9055 Life Inc. 955544 MHL-058-006 "Life, Inc." 24-Mar-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Twin Acres Group Home" 2609 Royall Avenue Goldsboro NC 27534 2767 Wildcat Road Williamston NC 27892 Martin (252)792-9158 Barbara W. Parker 955733 MHL-021-006 "Life, Inc." 12-Jun-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Albemarle Group Home" 2609 Royall Ave. Goldsboro NC 27534 243 Coke Avenue Edenton NC 27932 Chowan (252)482-7909 "Life, Inc." 955734 MHL-021-007 "Life, Inc." 12-Jun-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Chowan Group Home" 2609 Royall Avenue Goldsboro NC 27534 249 Coke Avenue Edenton NC 27932 Chowan (252)482-5456 "Life, Inc." 955735 MHL-021-008 "Life, Inc." 12-Jun-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Coke Avenue Group Home" 2609 Royall Avenue Goldsboro NC 27534 255 Coke Avenue Edenton NC 27932 Chowan (252)482-8121 "Life, Inc." 970428 MHL-042-028 "Life, Inc." 05-Feb-98 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Life Inc./King Street Group Home 2609 Royall Avenue Goldsboro NC 27534 117 King Street Halifax NC 27839 Halifax (252)583-1984 970429 MHL-042-027 "Life, Inc." 05-Feb-98 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF McFarland Road 2609 Royall Ave Goldsboro NC 27534 214 McFarland Road Enfield NC 27832 Halifax (252)445-1498 "Life, Inc." 922162 MHL-021-013 "Life, Inc." 01-Oct-06 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Luke Street Facility-Edenton 2609 Royall Avenue Goldsboro NC 27534 200 Luke Street Edenton NC 27932 Chowan (252)482-8746 "Life, Inc." 922734 MHL-070-041 "Life, Inc." 01-Oct-06 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Scott House 2609 Royall Avenue Goldsboro NC 27534 801 Second Street Elizabeth City NC 27909 Pasquotank (252)338-1304 "Life, Inc." 922876 MHL-015-004 "Life, Inc." 01-Oct-06 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wickham Road Facility 2609 Royal Avenue Goldsboro NC 27534 258 Wickham Road Shiloh NC 27974 Camden (252)336-4142 "Life, Inc" 944915 MHL-027-007 "Life, Inc." 01-Oct-06 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Currituck Home 2609 Royall Avenue Goldsboro NC 27534 139 Barnard Road Grandy NC 27939 Currituck (252)453-4857 "Life, Inc." 922477 MHL-028-013 "Life, Inc." 01-Oct-06 01-Jan-19 31-Dec-19 Type A 17-Feb-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Roanoke Trail Facility 2609 Royall Avenue Goldsboro NC 27534 185 Roanoke Trail Manteo NC 27954 Dare (252)473-2137 "Life, Inc." 944716 MHL-072-007 "Life, Inc." 01-Oct-06 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Perquimans County Group Home 2609 Royall Avenue Goldsboro NC 27534 142 Riverwood Drive Hertford NC 27944 Perquimans (252)426-1926 "Life, Inc." 921514 MHL-060-120 Lifespan Incorporated 01-Mar-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Bon Rea Drive Group Home "1511 Shopton Rd, Suite A" Charlotte NC 28217-3127 3747 Bon Rea Drive Charlotte NC 28226 Mecklenburg (704)541-7334 Lifespan Incorporated 921849 MHL-060-150 Lifespan Incorporated 01-Jan-92 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Flowe Drive Group Home "1511 Shopton Rd, Suite A" Charlotte NC 28217 628 Flowe Drive Charlotte NC 28213 Mecklenburg (704)598-6002 LifeSpan Attn:Christopher White 990150 MHL-060-018 Lifespan Incorporated 05-Jan-87 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Oak Street Group Home-St. Mark "1511 Shopton Rd., Ste. A" Charlotte NC 28217 1801 Oak Street Charlotte NC 28269 Mecklenburg (704)596-4135 160084 MHL-020-073 "Lifespan, Inc." 25-May-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kenzie Kamp-Lifespan 1511 Shopton Road Suite A Charlotte NC 28217 360 Duke Lodge Road Murphy NC 28906 Cherokee (828)837-9614 "Lifespan, Inc." 920652 MHL-045-125 "Lifespan, Inc." 28-Nov-16 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hendersonville Group Home-LIFESPAN 1511 Shopton Road Charlotte NC 28217 318 Primrose Lane Hendersonville NC 28739 Henderson (828)696-8526 "Lifespan, Inc." 000417 MHL-060-1333 "Lifespan, Inc." 01-Jan-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lifespan/Farmgate Drive "1511 Shopton Rd., Ste. A" Charlotte NC 28217 7533 Farmgate Charlotte NC 28213 Mecklenburg (704)531-8328 "Lifespan, Inc." 030970 MHL-060-1335 "Lifespan, Inc." 01-Jan-17 01-Jan-20 31-Dec-20 Type A 14-Jan-19 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lifespan//Banfshire Drive "1511 Shopton Rd., Ste. A" Charlotte NC 28217 5009 Banfshire Drive Charlotte NC 28215 Mecklenburg (704)563-2478 "Lifespan, Inc." 050167 MHL-060-1336 "Lifespan, Inc." 01-Jan-17 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lifespan/Farmpond Lane "1511 Shopton Rd., Ste. A" Charlotte NC 28217 4806 Farm Pond Lane Charlotte NC 28212 Mecklenburg (704)536-7739 "Lifespan, Inc." 921795 MHL-065-013 "Lifetime Resources, Inc." 01-Sep-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Lifetime Resources, Inc. Echo Farms Group Home" 1316 S. 16th Street Wilmington NC 28401 220 Dorchester Place Wilmington NC 28412 New Hanover (910)762-1189 "Lifetime Resources, Inc." 921928 MHL-065-014 "Lifetime Resources, Inc." 01-Sep-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Greenville Loop Group Home 1316 S. 16th Street Wilmington NC 28401 6100 Greenville Loop Road Wilmington NC 28409 New Hanover (910)762-1189 "Lifetime Resources, Inc." 922262 MHL-065-022 "Lifetime Resources, Inc." 01-Sep-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Myrtle Grove Group Home 1316 S. 16th Street Wilmington NC 28401 6732 Myrtle Grove Road Wilmington NC 28409 New Hanover (910)762-1189 "Lifetime Resources, Inc." 110740 MHL-079-121 Lillie P. Neal 17-Feb-12 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Vision of Hope 123 Fawn Road Eden NC 27288 906 Sharpe Avenue Eden NC 27288 Rockingham (336)635-0184 Lillie P. Neal 101189 MHL-092-805 "Living With Autism, Inc." 19-Jan-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Living With Autism, Inc." 102 Solitude Way Cary NC 27518 2817 Tobermory Lane Raleigh NC 27606 Wake (919)917-7681 Hannah Ellis 180056 MHL-092-959 "Living With Autism, Inc." 28-Mar-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Living With Autism 2 2817 Tobermory Lane Raleigh NC 27606 7401 Denlee Road Raleigh NC 27603 Wake (919)706-5249 "Living With Autism, Inc." 010537 MHL-040-018 "Lucille's Behavioral, Inc." 24-Aug-01 04-Jan-19 31-Dec-19 Type B 23-Sep-08 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Lucille's Behavioral, Inc." 204 Highway 58 North Snow Hill NC 28580 204 Highway 58 North Snow Hill NC 28580 Greene (252)747-2451 "Lucille's Behavioral, Inc." 051383 MHL-040-030 "Lucille's Behavioral, Inc." 09-Mar-06 01-Jan-19 31-Dec-19 Type A 23-Apr-19 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Lucille's Behavioral, Inc. #2" 204 Hwy 58 North Snow Hill NC 28580 351 Holloman Road Walstonburg NC 27888 Greene (252)753-4888 040554 MHL-047-086 Lucy Sharp 13-Jul-04 01-Jan-19 31-Dec-19 Type A 05-May-06 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sharper Images 3203 McChoen Drive Fayetteville NC 28301 303 Woodberry Circle Raeford NC 28376 Hoke (910)875-3146 Sharper Images 970911 MHL-026-723 Lucy Sharp 24-Jul-02 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sharper Images 3203 McChoen Drive Fayetteville NC 28301 1700 Bridger Street Fayetteville NC 28301 Cumberland (910)484-1684 Lucy Sharp 921335 MHL-092-475 Lutheran Family Services in the Carolinas 15-Jun-01 01-Jan-19 31-Dec-19 Type A 20-Aug-19 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Whittecar Group Home 3257 Lake Woodard Drive Raleigh NC 27604 3257 Lake Woodard Drive Raleigh NC 27604 Wake (919)231-1399 921983 MHL-034-045 Lutheran Family Services in the Carolinas 01-Apr-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Wilson Smith Cottage PO Box 12818 Winston Salem NC 27117 185 Martindale Road Winston Salem NC 27107 Forsyth (336)785-3813 Lutheran Family Services 922255 MHL-036-031 Lutheran Family Services in the Carolinas 01-May-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Mountain Ridge Group Home 810 King Arthur Drive Gastonia NC 28056 810 King Arthur Drive Gastonia NC 28054 Gaston (704)824-8941 Lutheran Family Services in the Carolinas 030658 MHL-034-174 Lutheran Family Services in the Carolinas 09-Dec-03 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lippard Lodge 6590 Rollingwood Drive Clemmons NC 27012 6590 Rollingwood Drive Clemmons NC 27012 Forsyth (336)766-9833 Lutheran Family Services in the Carolinas 110553 MHL-041-1133 M & S Supervised Living LLC 15-Jun-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL M & S Supervised Living LLC Creekside II 7311-A Friendship Church Rd Brown Summit NC 27214 5706 Pettress Lane Brown Summit NC 27214 Guilford (336)656-4578 M & S Supervised Living LLC 010595 MHL-041-613 "M & S Supervised Living, LLC" 09-Nov-01 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "M & S Supervised Living, LLC" 7312 Friendship Church Road Brown Summit NC 27214 7311-A Friendship Church Road Browns Summit NC 27214 Guilford (336)656-7809 M/S Supervised Living LLC 140111 MHL-041-1101 "M & S Supervised Living, LLC" 17-Nov-11 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL M & S Creekside 7312 Friendship Church Rd Brown Summit NC 27214 7312 Friendship Church Road Brown Summit NC 27214 Guilford (336)656-7780 "M & S Supervised Living, LLC" 041659 MHL-074-159 "MAAL-CARE, LLC" 23-Sep-05 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Evans Home 2226 Otter Creek Church Road Foutain NC 27852 1200 Old Fire Tower Road Winterville NC 28590 Pitt (252)883-8329 "MAAL-CARE, LLC" 000134 MHL-054-174 MacBill Inc. 24-Jun-14 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Harlee Mac Group Home - II PO Box 1444 Kinston NC 28503 2206 Rouse Road Kinston NC 28501 Lenoir (252)686-0464 MacBill Inc. 921949 MHL-056-004 "Macon Citizens Habilities, Inc." 01-Jan-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Harrison Avenue Group Home P.O. Box 698 Franklin NC 28744 734 Harrison Avenue Franklin NC 28744 Macon (828)524-8231 922041 MHL-056-005 "Macon Citizens Habilities, Inc." 01-Oct-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Iotla Street Group Home P.O. Box 698 Franklin NC 28744 406 Iotla Street Franklin NC 28734 Macon (828)524-5888 922166 MHL-056-003 "Macon Citizens Habilities, Inc." 01-Feb-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Macon County Group Home P.O. Box 698 Franklin NC 28744 170 Second Street Franklin NC 28744 Macon (828)524-5888 922855 MHL-050-014 "Macon Citizens Habilities, Inc." 01-Sep-91 01-Jan-19 31-Dec-19 - - - - 1 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Webster Group Home PO Box 698 Franklin NC 28744 103 Little Savannah Road Webster NC 28788 Jackson (828)586-3796 942605 MHL-050-004 "Macon Citizens Habilities, Inc." 01-Aug-85 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Smoky ICF/MR Group Home PO Box 698 Franklin NC 28744 115 Storybook Lane Sylva NC 28779 Jackson (828)586-9277 956949 MHL-056-009 "Macon Citizens Habilities, Inc." 17-Nov-95 12-Apr-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Yonce House P.O. Box 698 Franklin NC 28744 722 Harrison Avenue Franklin NC 28734 Macon (828)369-3373 Christie Huff 150530 MHL-076-125 "Marsh's Residential Living, LLC" 30-Mar-16 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Marsh's Residential Living, LLC" 27 Sycamore Lake Rd. Siler City NC 27344 615 East Swannanoa Avenue Liberty NC 27298 Randolph (336)622-0252 "Marsh's Residential Living, LLC" 944359 MHL-058-004 "Martin Co. Res. Serv., Inc. d.b.a. Martin Enterprises" 26-Jan-94 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Martin Enterprises ARC Group Home PO Box 1042 Williamston NC 27892 310 North Haines Street Williamston NC 27892 Martin (252)792-5435 Martin Enterprises 922207 MHL-058-003 "Martin Co. Res. Servs., Inc. d/b/a Martin Enterprises" 01-Nov-89 01-Jan-20 31-Dec-20 Type A 12-Apr-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL McLawhorne Home PO Box 1042 Williamston NC 27892 1044 McLawhorne Road Robersonville NC 27871 Martin (252)795-5396 Martin Enterprises 010162 MHL-073-041 "McDaniel Homes, LLC" 30-Jul-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL McDaniel Home #2 PO Box 1636 Roxboro NC 27573 3830 McGhees Mill Road Semora NC 27343 Person (336)599-7727 "McDaniel Homes, LLC" 090125 MHL-073-047 "McDaniel Homes, LLC" 03-Apr-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL McDaniel Home #3 PO Box 1636 Roxboro NC 27573 1790 McGhee Mill Road Roxoboro NC 27574 Person (336)599-9171 Peggy Davis-McDaniel 944718 MHL-073-061 "McDaniel Homes, LLC" 21-Mar-12 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL McDaniel Home #1 P.O. Box 1636 Roxboro NC 27573 192 Country Club Road Roxboro NC 27573 Person (336)599-5473 "McDaniel Homes, LLC" 030561 MHL-032-498 "Melody House, LLC" 25-Aug-09 01-Jan-19 31-Dec-19 Type A 11-Jun-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Melody House #1, LLC" PO Box 11343 Durham NC 27703 3116 Cedarwood Drive Durham NC 27701 Durham (919)251-9692 "Melody House , LLC" 130176 MHL-092-901 "Mentor ABI, LLC" 02-Oct-14 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Neuro Restorative - Windemere 1510 Seneca Dr Blacksburg VA 27604 3601 Windemere Place Raleigh NC 27604 Wake (919)874-6237 "Mentor ABI, LLC" 170025 MHL-060-1387 "Mentor ABI, LLC" 21-Nov-18 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL NeuroRestorative-Sardis 151 North Sardis Rd Charlotte NC 28270 151 North Sardis Road Charlotte NC 28270 Mecklenburg (704)367-5100 "Mentor ABI, LLC" 021297 MHL-082-079 "Mercy Care, Inc." 07-Apr-10 01-Jan-19 31-Dec-19 Type B Imposed 10-May-10 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mercy Care II 218 Moore Street Clinton NC 28328 3950 Roseboro Highway Clinton NC 28328 Sampson (910)590-2236 "Mercy Care, Inc." 140085 MHL-082-060 "Mercy Care, Inc." 06-Jun-06 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mercy Care I 218 Moore Street Clinton NC 28328 508 Royal Lane Clinton NC 28328 Sampson (910)592-5746 "Mercy Care, Inc." 061378 MHL-041-911 "Mercy Home Services, Inc." 01-May-09 01-Jan-19 31-Dec-19 Type A 04-Apr-18 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mercy Home Services II 2 Ridge Grove Ct. Greensboro NC 27455 907 Dillard Street Greensboro NC 27403 Guilford (336)617-8940 "Mercy Home Services, Inc." 061295 MHL-041-736 "Mercy Home Services, Inc." 01-Oct-04 01-Jan-19 31-Dec-19 Type A 08-Dec-16 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Mercy Home Services, Inc." 2 Ridge Grove Court Greensboro NC 27455 127 Robbins Avenue Jamestown NC 27282 Guilford (336)454-6825 061258 MHL-032-415 "Michael's Place, Inc." 30-Jul-07 01-Jan-19 31-Dec-19 Type B 09-Apr-12 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Michael's Place, Inc." 114 Crosswood Drive Durham NC 27703 2815 Cascadilla Street Durham NC 27704 Durham (919)491-5720 "Michael O. Young, Sr." 170407 MHL-076-129 Michele D. Rumph / Ruthena Marley 16-Mar-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Brown Supervised Living 92 Tremont Street Thomasville NC 27360 1080 Walden Road Asheboro NC 27205 Randolph (336)736-8699 Michele D. Rumph / Ruthena Marley 944895 MHL-026-054 "Mid State Health Services, Inc." 20-Mar-90 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF No Place Like Home P. O. Box 64724 Fayetteville NC 28306 4309 NC Hwy 87 South Fayetteville NC 28306 Cumberland (910)483-4043 944879 MHL-026-943 "Midstate Health Systems, Inc." 21-Jun-13 01-Jan-19 31-Dec-19 Type B 26-Feb-19 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF My Place 3721 Legion Road Hope Mills NC 28348 1050 Hogan Street Fayetteville NC 28301 Cumberland (910)488-2459 "Midstate Health Systems, Inc." 922748 MHL-026-944 "Midstate Health Systems, Inc." 21-Jun-13 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Thomas S. Decatur Home 3721 Legion Road Hope Mills NC 28348 7559 Decatur Drive Fayetteville NC 28303-1989 Cumberland (910)867-7675 "Midstate Health Systems, Inc." 920779 MHL-030-026 "Milling Manor, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type B 29-Oct-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Milling Manor, Inc." P.O. Box 1053 Mocksville NC 27028 253 Milling Road Mocksville NC 27028 Davie (336)751-3276 920293 MHL-030-034 "Milling Manor, Inc." 09-Mar-17 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Milling Manor, Inc.-Sanford House" PO Box 1053 Mocksville NC 27028 785 Sanford Avenue Mocksville NC 27028 Davie (336)751-3276 "Milling Manor, Inc." 030262 MHL-035-033 Milltrene B. Newell 18-May-01 01-Jan-19 31-Dec-19 Suspension of Admission 30-Jan-18 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Ainuddin's Home PO Box 1086 Louisburg NC 27549 123 Bullock Drive Louisburg NC 27549 Franklin (919)729-1551 The Ainuddin's Home 020675 MHL-098-088 "Miss Daisy's & Associates, Inc." 16-Aug-02 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Miss Daisy's PO Box 1991 Wilson NC 27894 203 Spruce Street Wilson NC 27893 Wilson (252)291-4915 "Miss Daisy's & Associates, Inc." 970159 MHL-098-163 "Miss Daisy's & Associates, Inc." 17-May-11 01-Jan-19 31-Dec-19 Type B 29-Jun-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Miss Daisy's Homesite PO Box 1991 Wilson NC 27894 1307 Grove Street Wilson NC 27893 Wilson (252)237-0518 "Miss Daisy's & Associates, Inc." 030136 MHL-098-165 "Miss Daisy's & Associates, Inc." 17-May-11 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Miss Daisy's 1309 PO Box 1991 Wilson NC 27894 1309 Grove Street Wilson NC 27893 Wilson (252)234-2122 "Miss Daisy's & Associates, Inc." 920787 MHL-061-008 "Mitchell County Group Home, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mitchell County Group Home 86 Richmond Road Bakersville NC 28705 86 Richmond Road Bakersville NC 28705 Mitchell (828)688-2521 001523 MHL-084-039 Monarch 20-Dec-00 01-Jan-19 31-Dec-19 Type B 06-Mar-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Troy Road Group Home "350 Pee Dee Ave, Ste 101" Albemarle NC 28001 2228 East Main Street Albemarle NC 28001 Stanly (704)985-1870 Monarch 920027 MHL-084-040 Monarch 15-Jun-01 01-Jan-19 31-Dec-19 Type A 30-Jan-13 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Anderson Road Group Home "350 Pee Dee Ave, Ste 101" Albemarle NC 28001 207 Anderson Road Albemarle NC 28001 Stanly (704)982-3540 Monarch 921285 MHL-084-042 Monarch 15-Jun-01 01-Jan-19 31-Dec-19 Type A 12-Mar-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Valleyview Group Home "350 Pee Dee Ave, Ste 101" Albemarle NC 28001 506 Valleyview Drive Albemarle NC 28001 Stanly (704)983-5722 Monarch 921406 MHL-052-001 Monarch 01-Apr-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Jones County Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 2280 Oak Grove Road Trenton NC 28585 Jones (252)224-1041 Monarch 921407 MHL-016-005 Monarch 01-Jun-86 01-Jan-19 31-Dec-19 Type A 16-Jul-14 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Newport "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 2331 North Lakeview Drive Newport NC 28570 Carteret (252)223-3925 Monarch 921447 MHL-004-003 Monarch 25-Sep-90 01-Jan-19 31-Dec-19 Type A 25-Jan-19 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Anson Group Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 405 Burns Street Wadesboro NC 28170 Anson (704)694-4069 Monarch 921449 MHL-004-004 Monarch 19-Jun-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Ansonville Group Home "350 Pee Dee Ave, Suite 101" Albermarle NC 28001 1215 Ansonville/Polkton Rd. Ansonville NC 28007 Anson (704)826-6233 Monarch 921650 MHL-025-002 Monarch 31-Mar-83 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Brices Creek Road Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 3000 Brices Creek Road New Bern NC 28560 Craven (252)635-5377 Monarch 921769 MHL-025-007 Monarch 01-Jun-86 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Dogwood House "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 2401 Dogwood Drive New Bern NC 28560 Craven (252)638-2845 Monarch 921986 MHL-047-009 Monarch 01-Mar-90 01-Jan-19 31-Dec-19 Type A 29-May-15 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hoke County Group Home #1 "350 Pee Dee Ave, Suite101" Albemarle NC 28001 170 Oak Street Raeford NC 28376 Hoke (910)875-4211 Monarch 922049 MHL-025-008 Monarch 06-Mar-85 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Vanceboro "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 143 James Street Vanceboro NC 28586 Craven (252)244-0048 Monarch 922077 MHL-090-026 Monarch 01-Aug-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Karen Lane Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 3224 Karen Lane Monroe NC 28112 Union (704)283-2336 Monarch 922094 MHL-090-025 Monarch 01-Jun-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lake Monroe Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 1708 Lake Monroe Drive Monroe NC 28112 Union (704)289-6655 Monarch 922171 MHL-077-006 Monarch 01-Mar-85 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Mallard Lane Center "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 142 Mallard Lane Rockingham NC 28379 Richmond (910)895-3428 Monarch 922212 MHL-090-010 Monarch 01-May-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Meadowview Home "350 Pee Dee Ave, Suite 101" Albrmarle NC 28001 2723 Bobwhite Circle Wingate NC 28174 Union (704)233-9368 Monarch 922240 MHL-062-004 Monarch 01-May-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Montgomery Group Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 321 Taft Street Troy NC 27371 Montgomery (910)576-0640 Monarch 922249 MHL-084-011 Monarch 01-Aug-90 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Moss I Group Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 1617 Moss Springs Road Albemarle NC 28001 Stanly (704)983-3911 Monarch 922263 MHL-062-006 Monarch 01-Jun-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Myrtlewood Group Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 175 Myrtlewood Drive Mt. Gilead NC 27306 Montgomery (910)439-5496 Monarch 922349 MHL-069-001 Monarch 01-Aug-89 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pamlico County Group Home 350 Pee Dee Avenue Suite 101 "Albemarle," NC 28001 554 Highway 306 North Grantsboro NC 28529 Pamlico (252)745-7303 Monarch 922387 MHL-085-005 Monarch 01-Feb-89 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pilotview "350 Pee Dee Ave, Suite101" Albemarle NC 28001 209 Pilot View Drive King NC 27021 Stokes (336)983-0493 Monarch 922393 MHL-034-010 Monarch 01-Apr-83 01-Jan-19 31-Dec-19 Type B Imposed 16-Feb-06 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pineview "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 5260 Pineview Drive Winston-Salem NC 27105 Forsyth (336)744-1805 Monarch 922466 MHL-077-007 Monarch 01-Nov-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Richmond Adult Group Home "350 Pee Dee Ave, Suite 101" Albermarle NC 28001 190 East Church Street Ellerbe NC 28338 Richmond (910)652-3277 Monarch 922471 MHL-090-027 Monarch 01-Aug-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Ridgefield Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 730 Fisher Ridge Road Monroe NC 28110 Union (704)896-1500 Monarch 922541 MHL-016-009 Monarch 01-Jun-79 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Schooner Shores "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 681 Highway 101 Beaufort NC 28516 Carteret (252)728-1251 Monarch 922725 MHL-081-005 Monarch 01-Dec-83 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Oaks "350 Pee Dee Ave, Suite 101" Albemarle NC 28002 175 West Main Drive Forest City NC 28043 Rutherford (828)245-9208 Monarch 942772 MHL-081-008 Monarch 01-Oct-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Tri-City Group Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 132 Bellvue Street Forest City NC 28043 Rutherford (828)245-2417 "ARC Services, Inc. dba Monarch" 944464 MHL-084-041 Monarch 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL East Main Street Group Home "350 Pee Dee Ave, Ste 101" Albemarle NC 28001 610 East Main Street Albemarle NC 28001 Stanly (704)983-2710 Monarch 944856 MHL-025-045 Monarch 01-Apr-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hoke Street Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 313-A Hoke Street New Bern NC 28562 Craven (252)636-9051 Monarch 955460 MHL-084-026 Monarch 17-Feb-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lafayette Group Home "350 Pee Dee Ave, Ste 101" Albemarle NC 28001 1100 Lafayette Drive Albemarle NC 28001 Stanly (704)982-3741 Monarch 060531 MHL-025-069 Monarch 14-Mar-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Kimberly Road "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 1503 Kimberly Road New Bern NC 28563 Craven (252)634-1715 Monarch 090221 MHL-076-033 Monarch 10-Jul-96 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Asheboro School Road "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 2046 North Asheboro School Road Asheboro NC 27203 Randolph (336)629-6679 Monarch 960398 MHL-076-049 Monarch 17-Aug-98 01-Jan-19 31-Dec-19 Type A 13-Aug-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mainstream "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 933 East Salisbury Street Asheboro NC 27203 Randolph (336)626-0875 Monarch 980118 MHL-076-046 Monarch 02-Feb-98 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hope House "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 836 Joyce Street Asheboro NC 27203 Randolph (336)629-6181 Monarch 980212 MHL-047-010 Monarch 01-Mar-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hoke County Group Home #2 "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 106 South Wright Street Raeford NC 28376 Hoke (910)875-3141 Monarch 051464 MHL-076-050 Monarch 01-Sep-98 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Oakwood Acres "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 837 Oakwood Acres Rd. Asheboro NC 27205 Randolph (336)328-0671 Monarch 990891 MHL-084-036 Monarch 23-Aug-99 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cohen House "350 Pee Dee Ave, Ste 101" Albemarle NC 28001 436 South Main Street Norwood NC 28128 Stanly (704)474-3624 Monarch 030472 MHL-013-117 Monarch 10-Feb-04 01-Jan-19 31-Dec-19 Type B 13-Feb-15 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Circle Drive Group Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 900 Circle Drive Mount Pleasant NC 28124 Cabarrus (704)436-2573 Monarch 060969 MHL-084-065 Monarch 24-Aug-06 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Moss II Group Home "350 Pee Dee Ave, Suite 101" Albemarle NC 28001 1615 Moss Springs Road Albemarle NC 28001 Stanly (704)982-5882 Monarch 922578 MHL-064-091 Monarch 01-Oct-08 01-Jan-19 31-Dec-19 Type B 12-Feb-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Simbelyn "350 Pee Dee Ave., Ste 101" Albemarle NC 28001 211 Simbelyn Drive Nashville NC 27856 Nash (252)459-7620 Monarch 921816 MHL-064-092 Monarch 01-Oct-08 01-Jan-19 31-Dec-19 Type B 07-Mar-12 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Evergreen "350 Pee Dee Ave., Ste. 101" Albemarle NC 28001 827 Evergreen Road Rocky Mount NC 27804 Nash (252)446-8675 Monarch 942848 MHL-033-058 Monarch 01-Oct-08 01-Jan-19 31-Dec-19 Type B 21-Sep-10 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Way Farer Court 350 Pee Dee Ave. Ste. 101 Albemarle NC 28001 145 Way Farer Court Rocky Mount NC 27801 Edgecombe (252)977-3747 Monarch 920797 MHL-063-091 Monarch 03-May-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Middleton Street 350 Pee Dee Avenue Suite 101 Albemarle NC 28001 340 North Middleton Street Robbins NC 27325 Moore (910)948-2120 Monarch 920796 MHL-063-092 Monarch 03-May-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Green Street 350 Pee Dee Avenue Suite 101 Albemarle NC 28001 250 South Green Street Robbins NC 27325 Moore (910)948-4209 Monarch 981046 MHL-063-093 Monarch 03-May-10 01-Jan-19 31-Dec-19 Type B 15-Sep-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Oak Drive "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 185 Oak Drive Southern Pines NC 28387 Moore (910)692-4860 Monarch 990465 MHL-077-060 Monarch 03-May-10 01-Jan-19 31-Dec-19 - - - - 7 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Charlotte Street 350 Pee Dee Avenue Suite 101 Albemarle NC 28001 113 Charlotte Street Hamlet NC 28345 Richmond (910)582-3780 Monarch 920799 MHL-063-095 Monarch 03-May-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pennsylvania Avenue 350 Pee Dee Avenue Suite 101 Albemarle NC 28001 340 East Pennsylvania Avenue Southern Pines NC 28387 Moore (910)692-8605 Monarch 920798 MHL-063-096 Monarch 03-May-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Connecticut Avenue 350 Pee Dee Avenue Suite 101 Albemarle NC 28001 335 West Connecticut Avenue Southern Pines NC 28387 Moore (910)692-2104 922667 MHL-041-1018 Monarch 01-Jul-11 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Southridge Road "350 Pee Dee Ave., Ste.101" Albemarle NC 28001 301 Southridge Road Jamestown NC 27282 Guilford (336)454-1213 Monarch 000031 MHL-041-1019 Monarch 01-Jul-11 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Corvair Drive "350 Pee Dee Ave., Ste. 101" Albemarle NC 28001 3417 Corvair Drive High Point NC 27265 Guilford (336)869-8034 000050 MHL-041-1020 Monarch 01-Jul-11 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Dogwood Circle "350 Pee Dee Ave., Ste. 101" Albemarle NC 28001 400 Dogwood Circle High Point NC 27260 Guilford (336)884-8278 Monarch 000069 MHL-041-1021 Monarch 01-Jul-11 01-Jan-19 31-Dec-19 Type A 08-May-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Andrea Drive "350 Pee Dee Ave., Ste. 101" Albemarle NC 28001 101 Andrea Drive Jamestown NC 27409 Guilford (336)294-9873 Monarch 920608 MHL-051-208 Monarch 19-Aug-13 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL West Blanche Street "350 Pee Dee Ave., Suite 101" Albemarle NC 28001 505 West Blanche Street Pine Level NC 27568 Johnston (919)965-0158 Monarch 920607 MHL-051-209 Monarch 19-Aug-13 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL North 7th Street "350 Pee Dee Ave., Suite 101" Albemarle NC 28001 300 North 7th Street Smithfield NC 27577 Johnston (919)934-8782 Monarch 920606 MHL-051-210 Monarch 23-Aug-13 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL George Street "350 Pee Dee Ave., Ste.101" Albemarle NC 28001 217 George Street Four Oaks NC 27524 Johnston (919)980-9001 Monarch 960024 MHL-070-061 Monarch 01-Feb-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fort Bragg "350 Pee Dee Ave., Ste. 101" Albemarle NC 28001 111 Fort Bragg Drive Elizabeth City NC 27909 Pasquotank (252)335-1089 Monarch 956219 MHL-080-210 Monarch 01-Sep-17 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Stokes Ferry Road Home "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 2602 Stokes Ferry Road Salisbury NC 28146 Rowan (704)636-2040 Monarch 991026 MHL-036-324 Monarch 01-Sep-17 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL 14th Street I "350 Pee Dee Avenue, Suite 101" Albemarle NC 28001 404 North Fourteenth Street Bessemer City NC 28016 Gaston (704)629-4244 Monarch 041501 MHL-039-036 "More Than Conquerors Youth Center, Inc." 15-Nov-05 01-Jan-20 31-Dec-20 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL More Than Conquerors 408 East E Street Butner NC 27509 408 East E Street Butner NC 27509 Granville (919)575-0746 "More Than Conquerors Youth Center, Inc." 150122 MHL-034-383 "Morgan Support Services, Inc." 20-Dec-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Stanley Court Home 4625 Stanley Court Winston-Salem NC 27101 4625 Stanley Court Winston-Salem NC 27101 Forsyth (336)293-8064 "Morgan Support Services, Inc." 921653 MHL-011-024 "Mountain Area Residential Facilities, Inc." 28-Jan-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Chiles Avenue Group Home 46 St.Dunstans Circle Asheville NC 28813 22 Chiles Avenue Asheville NC 28803 Buncombe (828)254-8068 941140 MHL-011-222 "Mountain Area Residential Facilities, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL St. Dunstan Manor Group Home 46 St Dunstans Circle Asheville NC 28813 46 St. Dunstan Circle Asheville NC 28803 Buncombe (828)254-1799 000485 MHL-092-424 Mrs. Deborah Peebles 21-Jul-00 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Elmhurst Ridge Court Home 856 Timber Drive Garner NC 27529 4800 Elmhurst Ridge Court Raleigh NC 27616 Wake (919)862-8166 Deborah Peebles 060990 MHL-034-211 "Multi-Therapeutic Services, Inc." 19-Jan-07 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cheval Group Home 2625 Neudorf Road Suite 600 Clemmons NC 27012 8380 Cheval Street Clemmons NC 27012 Forsyth (336)893-5111 Toni Jones 100880 MHL-098-139 "Myles Services, Inc." 04-Nov-09 01-Jan-19 31-Dec-19 Type A 23-Sep-10 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Myles's Services PO Box 4696 Wilson NC 27893 4338 US Hwy 264 Alt East Wilson NC 27893 Wilson (252)281-1880 "Frederick Myles, Jr. c/o: Myles Services" 140039 MHL-092-898 "NC Unity Services, LLC" 22-Jun-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL NC Unity Services 1301 Southgate Drive Raleigh NC 27610 3105 Vico Terrace Raleigh NC 27610 Wake (919)890-5578 "NC Unity Services, LLC" 030550 MHL-020-078 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Crossing PO Box 11247 Richmond VA 23230-1247 48 Brittain Trace Andrews NC 28901 Cherokee (828)321-0496 "NCG Acquisition, LLC" 945007 MHL-020-079 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Risin' PO Box 11247 Richmond VA 23230-1247 201 Hampton Church Road Murphy NC 28906 Cherokee (828)837-5991 "NCG Acquisition, LLC" 010896 MHL-020-082 "NCG Acquisition, LLC" 01-Jul-17 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The River House PO Box 11247 Richmond VA 23230-1247 284 Smokeford Road Murphy NC 28906 Cherokee (828)837-3368 "NCG Acquisition, LLC" 040779 MHL-020-083 "NCG Acquisition, LLC" 01-Jul-17 03-Apr-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Overlook PO Box 444 Murphy NC 28906 205 Hampton Church Road Murphy NC 28906 Cherokee (828)835-3179 "NCG Acquisition, LLC" 922849 MHL-096-020 "NOVA IC, Inc." 01-Dec-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Highway 117 Group Home PO Box 11077 Goldsboro NC 27532 3801 US 117 North Goldsboro NC 27530 Wayne (919)734-8803 NOVA I.C. Inc. 922850 MHL-096-021 "NOVA IC, Inc." 01-Dec-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Airport Road Group Home PO Box 11077 Goldsboro NC 27532 195 Airport Road Goldsboro NC 27530 Wayne (919)734-1718 NOVA I.C. Inc. 945081 MHL-054-038 "NOVA IC, Inc." 29-Aug-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Washington Street East Group Home PO Box 11077 Goldsboro NC 27532 407 West Washington Street LaGrange NC 28551 Lenoir (252)566-2955 NOVA IC 000055 MHL-096-110 "NOVA-IC, Inc." 21-Jan-00 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Norwood Avenue Home PO Box 11077 Goldsboro NC 27532 2510 Norwood Avenue Goldsboro NC 27530 Wayne (919)731-4745 "NOVA-IC, Inc." 180493 MHL-042-079 "New Beginning Day Treatment Center, LLC" 29-Jan-19 29-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cheryl's Place 544 Julian R. Allsbrook Hwy Roanoke Rapids NC 27870 1507 Murphy Street Roanoke Rapids NC 27870 Halifax (252)541-4367 "New Beginnings Day Treatment Center, LLC" 952292 MHL-003-003 "New River Cottage, Inc." 10-Oct-84 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "New River Cottage, Inc." P.O. Box 488 Sparta NC 28675 82 Davis Lane Sparta NC 28675 Alleghany (336)372-2592 920843 MHL-059-036 "North Carolina Outreach Group Homes, LLC" 20-Dec-07 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Nebo Supervised Living PO Box 249 Nebo NC 28761 2121 Old Highway #10 E. Nebo NC 28761 McDowell (828)652-7613 Nebo Group Home 160426 MHL-059-071 "North Carolina Outreach Group Homes, LLC" 18-Jan-17 01-Jul-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL West Marion Supervised Living PO Box 249 Nebo NC 28761 145 Lukin Street Marion NC 28752 McDowell (828)559-2680 "North Carolina Outreach Group Homes, LLC" 000342 MHL-096-114 "Nova IC, Inc." 12-Apr-00 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Holly Street Home PO Box 11077 Goldsboro NC 27532 1509 Holly Street Goldsboro NC 27530 Wayne (919)734-8803 Nova I.C. Inc. 922264 MHL-054-019 "Nova IC, Inc." 01-Dec-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF LaGrange Home PO Box 11077 Goldsboro NC 27532 405 West Washington Street La Grange NC 28551 Lenoir (252)566-2080 "Nova-IC, Inc." 955398 MHL-096-037 "Nova IC, Inc." 18-Jan-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Daughtry Field Road Group Home PO Box 11077 Goldsboro NC 27532 135 Daughtry Field Road Mount Olive NC 28365 Wayne (919)734-8803 "Nova IC, Inc." 020861 MHL-096-216 "Nova IC, Inc." 08-Dec-08 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF North Drive Group Home 2307-G Norwood Ave. Goldsboro NC 27534 1216 North Drive Goldsboro NC 27534 Wayne (919)580-0188 "Nova IC, Inc." 070119 MHL-092-726 "Novella's Place, Inc." 28-Sep-07 01-Jan-19 31-Dec-19 Type B 10-Dec-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Novella's Place, Inc." PO Box 98493 Raleigh NC 27624 2128 Old Milburnie Road Raleigh NC 27604 Wake (919)266-0146 Ronald Evans 040550 MHL-060-1060 "One Step Forward Outreach, Inc." 19-Jun-08 01-Jan-19 31-Dec-19 Type A 02-Dec-11 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL One Step Forward Outreach 10000 Woody Ridge Road Charlotte NC 28273 10000 Woody Ridge Road Charlotte NC 28273 Mecklenburg (704)523-4299 921208 MHL-023-081 One on One Care Inc. 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL One on One Care Home C PMB 109 1137 East Marion Street Shelby NC 28150 1977 Eaves Road Shelby NC 28152 Cleveland (704)487-7713 One on One Care Inc. 981043 MHL-023-082 One on One Care Inc. 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL One on One Care Home D PMB 109-1137 E. Marion Street Shelby NC 28150 908 West Cabaniss Road Shelby NC 28151 Cleveland (704)434-2622 One on One Care 091001 MHL-023-158 One on One Care Inc. 08-Dec-09 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Caring Way 104 "1137 East Marion Street, PMB 109" Shelby NC 28150 104 Caring Way Shelby NC 28150 Cleveland (704)487-7722 "One on One Care, Inc." 091003 MHL-023-160 One on One Care Inc. 08-Dec-09 01-Jan-19 31-Dec-19 Type B 11-Oct-10 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Caring Way 114 "1137 East Marion Street, PMB 109" Shelby NC 28150 114 Caring Way Shelby NC 28150 Cleveland (704)481-2171 "One on One Care, Inc." 091002 MHL-023-159 One on One Care Inc. 08-Dec-09 01-Jan-19 31-Dec-19 Type A 29-Apr-16 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Caring Way 110 "1137 East Marion Street, PMB 109" Shelby NC 28150 110 Caring Way Shelby NC 28150 Cleveland (704)487-6611 "One on One Care, Inc." 110300 MHL-023-170 One on One Care Inc. 13-Sep-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL One on One Care - Caring Way (1137 East Marion Street) PMB 109 Shelby NC 28150 115 Caring Way Shelby NC 28150 Cleveland (704)484-2345 "One on One Care, Inc." 110301 MHL-023-161 One on One Care Inc. 01-Dec-09 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Caring Way 118 (1137 East Marion Street) PMB 109 Shelby NC 28150 118 Caring Way Shelby NC 28150 Cleveland (704)481-1278 "One on One Care, Inc." 041356 MHL-023-190 "One on One Care, Inc." 27-Feb-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL One on One Care Home A PMB 109 1137 East Marion St Shelby NC 28150 607 West Dixon Blvd. Shelby NC 28150 Cleveland (704)484-8927 "One On One Care, Inc." 090039 MHL-033-065 "Open Arms Family Services, Inc." 24-Jun-09 01-Jan-19 31-Dec-19 Type B 03-Jan-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Open Arms Family Services, Inc." 612 Mayfair Drive Rocky Mount NC 27803 1649 Harper Street Rocky Mount NC 27801 Edgecombe (252)210-2941 051432 MHL-001-130 "Open Arms, LLC" 27-Feb-06 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Open Arms, LLC ""Serenity""" 1009-A E Webb Avenue Burlington NC 27217 1009-A E. Webb Avenue Burlington NC 27217 Alamance (336)228-7662 "Open Arms, LLC" 160060 MHL-036-329 "Opportunity Awaits, Inc." 10-Jan-18 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Patriots 760A North New Hope ROad Gastonia NC 28054 1208-L East Hudson Boulevard Gastonia NC 28054 Gaston (980)320-8861 "Opportunity Awaits, Inc." 180575 MHL-036-328 "Opportunity Awaits, Inc." 10-Jan-18 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Buckingham 760-A North New Hope Rd Gastonia NC 28054 5036 Broad Leaf Court Dallas NC 28034 Gaston (980)289-1290 "Opportunity Awaits, Inc." 080430 MHL-041-903 "Outward Bound One, LLC" 01-Apr-09 01-Jan-19 31-Dec-19 Type A 29-Aug-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Umbrella Group 624 Guilford College Rd Ste E Greensboro NC 27409 4308 Britley Court Greensboro NC 27406 Guilford (336)697-9310 "Outward Bound One, LLC" 050230 MHL-091-075 P & W Group LLC 08-Nov-05 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL P & W Group Homes 2636 Warrenton Road Henderson NC 27537 2636 Warrenton Road Henderson NC 27537 Vance (252)438-2510 James E. Watkins 050070 MHL-032-349 P.H.P. of N.C. Inc. 01-Aug-05 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Winburn PO Box 20014 Durham NC 27702 2415 Winburn Avenue Durham NC 27704 Durham (919)808-8341 "P.H.P. of NC, Inc." 001396 MHL-032-245 "P.H.P. of N.C., Inc." 27-Sep-00 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Nixon Place PO Box 20014 Durham NC 27707 1525 Nixon Street Durham NC 27707 Durham (919)682-5780 "P.H.P. of N.C., Inc." 960147 MHL-032-133 "P.H.P. of N.C., Inc." 05-Mar-96 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Sherman House PO Box 20014 Durham NC 27702 1712 Sherman Avenue Durham NC 27707 Durham (919)688-6454 "P.H.P. of N.C., Inc." 180225 MHL-043-103 "PAMCO Care - NC, LLC" 17-Dec-18 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Peach Farm Road 8905 Yorkshire Ln Manassas VA 20111 1391 Peach Farm Road Lillington NC 27546 Harnett (910)814-3848 "PAMCO - NC, LLC" 961021 MHL-032-597 "PHP of NC, Inc." 27-Jan-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Athens Place 4125 Ben Franklin Blvd Durham NC 27704 1921 Athens Avenue Durham NC 27707 Durham (919)220-0021 "PHP of NC, Inc." 990752 MHL-026-933 "PTP-Lisbon, Inc." 30-Aug-12 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hearts of Hope Home Place 4132 Lisbon Road Council NC 28434 1808 Conover Drive Fayetteville NC 28304 Cumberland (910)426-7992 "PTP-Lisbon, Inc." 030461 MHL-074-136 "Paradigm, Inc." 23-Oct-03 01-Jan-19 31-Dec-19 Type A 09-Aug-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Paradigm, Inc." PO Box 31091 Greenville NC 27833 4001 Old Pactolus Road Greenville NC 27834 Pitt (252)561-8112 "Paradigm, Inc." 120416 MHL-074-242 "Paradigm, Inc." 28-Sep-12 01-Jan-19 31-Dec-19 Type A 15-Aug-14 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Paradigm III PO Box 31091 Greenville NC 27833 4003 Old Pactolus Road Greenville NC 27834 Pitt (252)565-8152 "Paradigm, Inc." 130081 MHL-074-231 "Paradigm, Inc." 18-Apr-11 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Paradigm II PO Box 31091 Greenville NC 27833 1216-A Masters Lane Greenville NC 27833 Pitt (252)215-0114 "Paradigm, Inc." 150092 MHL-074-246 "Paradigm, Inc." 23-Mar-15 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Paradigm VI PO Box 31091 Greenville NC 27833 4558 Reedy Branch Road Winterville NC 28590 Pitt (252)689-2620 "Paradigm, Inc." 030053 MHL-026-766 "Patterson Home Care, Inc." 02-Jun-03 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Patterson Home Care, Inc." PO Box 64013 Fayetteville NC 28306-0013 6331 Rannock Drive Fayetteville NC 28314 Cumberland (910)527-8427 021034 MHL-041-938 "Paul's Loving Care, Inc." 28-Jan-10 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Paul's Loving Care, Inc." 1114 Shaw St Burlington NC 27217 3406 Fern Place Greensboro NC 27408 Guilford (336)790-0277 "Paul's Lovings Care, Inc." 990616 MHL-086-032 "Peace Lily Development, Inc." 12-Jul-99 01-Jan-19 31-Dec-19 Type A 11-Jul-16 - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Peace Lily #2 P.O. Box 705 Dobson NC 27017 101 Peace Lily Lane Dobson NC 27017 Surry (336)386-8458 990633 MHL-086-034 "Peace Lily Development, Inc." 02-Jul-99 01-Jan-19 31-Dec-19 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Peace Lily #1 PO Box 705 Dobson NC 27017 103 Peace Lily Lane Dobson NC 27017 Surry (336)386-8289 Kathy Lewis/Huffman 920382 MHL-041-776 Penny S. Chisholm 07-Mar-06 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chisholm Homes I 431 N. Scientific Street High Point NC 27260 431 N. Scientific Street High Point NC 27260 Guilford (336)887-2402 001343 MHL-073-036 "Person County Group Homes, Inc." 21-Nov-00 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wesleyan Heights Group Home PO Box 721 Roxboro NC 27573 205 Wesleyan Heights Roxboro NC 27573 Person (336)599-9421 "Person County Group Homes, Inc" 001344 MHL-073-035 "Person County Group Homes, Inc." 21-Nov-00 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Morehead Street Group Home PO Box 721 Roxboro NC 27573 26 Morehead Street Roxboro NC 27573 Person (336)599-3680 "Person County Group Homes, Inc." 001349 MHL-073-037 "Person County Group Homes, Inc." 21-Nov-00 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Winhaven Street Group Home PO Box 721 Roxboro NC 27573 230 Winhaven Street Roxboro NC 27573 Person (336)597-2101 "Person County Group Homes, Inc." 001397 MHL-073-034 "Person County Group Homes, Inc." 21-Nov-00 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Main Street Group Home PO Box 721 Roxboro NC 27573 411 South Main Street Roxboro NC 27573 Person (336)599-2997 "Person County Group Homes, Inc." 921625 MHL-073-005 "Person County Group Homes, Inc." 01-Aug-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Cates Street ICF/MR PO Box 721(202 North Main St.) Roxboro NC 27573 306 Cates Street Roxboro NC 27573 Person (336)599-0973 "Person County Group Homes, Inc." 944323 MHL-073-012 "Person County Group Homes, Inc." 26-Jan-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Frank Street ICF/MR PO Box 721 Roxboro NC 27573 719 Frank Street Roxboro NC 27573 Person (336)599-6722 "Person County Group Homes, Inc." 960612 MHL-073-019 "Person County Group Homes, Inc." 21-Aug-96 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Farm PO Box 721 Roxboro NC 27573 363 Jerry Dixon Road Leasburg NC 27291 Person (336)599-1348 "Person County Group Homes, Inc." 980522 MHL-073-026 "Person County Group Homes, Inc." 01-May-98 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Willow Lane PO Box 721 Roxboro NC 27573 380 Jerry Dixon Road Leasburg NC 27291 Person (336)599-7663 "Person County Group Homes, Inc." 980523 MHL-073-027 "Person County Group Homes, Inc." 01-May-98 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Winhaven Street Supported Living Program PO Box 721 Roxboro NC 27573 222 Winhaven Street Roxboro NC 27573 Person (336)599-7055 "Person County Group Homes, Inc." 990519 MHL-041-537 Phil White and Alan Palmer 24-May-99 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Exodus House "305 South Westgate Drive, Suite D" Greensboro NC 27407 3951 Eastland Avenue Greensboro NC 27401 Guilford (336)691-0107 Chris Charis 922880 MHL-013-019 "Piedmont Residential Development Center, Inc." 18-Jun-90 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Wilhelm Place Home P.O. Box 909 Concord NC 28026-0909 630 Wilhelm Place Concord NC 28026 Cabarrus (704)782-1706 951655 MHL-013-018 "Piedmont Residential Development Center, Inc." 30-Jan-90 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Christy Woods Group Home P.O. Box 909 Concord NC 28026-0909 10100 Mt. Olive Road Mt. Pleasant NC 28124 Cabarrus (704)436-6013 942386 MHL-013-005 "Piedmont Residential Developmental Center, Inc." 01-Mar-84 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Michigan Street Home P.O. Box 909 Concord NC 28026 1006 Michigan Street Kannapolis NC 28083 Cabarrus (704)788-2304 070714 MHL-074-097 "Pitt Co GH Board for MR, Autistic Persons, Inc." 23-Feb-00 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pitt County Group Home #3 PO Box 9 Grifton NC 28530 6962 Church Street Grifton NC 28530 Pitt (252)524-3723 Mary Grace Bright 922406 MHL-074-015 "Pitt Co GH Board for MR, Autistic Persons, Inc." 01-Jul-89 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pitt County Group Home #2 P.O. Box 9 Grifton NC 28530 4263 N. Edge Road Ayden NC 28513 Pitt (252)524-4950 922403 MHL-074-003 "Pitt Co. GH Board for MR, Autistic Persons, Inc." 01-Mar-85 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pitt County Group Home #1 PO Box 9 Grifton NC 28530 6570 Fairway Drive Grifton NC 28530 Pitt (252)524-3993 Pitt County Group Homes 944723 MHL-074-037 "Pitt Co. GH Board for MR, Autistic Persons, Inc." 26-Aug-93 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pitt County Group Home #5 PO Box 9 Grifton NC 28530 2240 Edgewater Drive Winterville NC 28590 Pitt (252)321-6961 Pitt Co. Group Homes 922405 MHL-074-021 "Pitt Co. GH Board for Mentally Retarded, Autistic Perso" 01-Sep-96 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pitt County Group Home #4 PO Box 9 Grifton NC 28530 1203 Red Banks Road Greenville NC 27834 Pitt (252)355-6398 Pitt Co. GH Board for Mentally Ret 090201 MHL-071-025 "Plumb Line Services, Inc." 04-Aug-09 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Alexander House PO Box 909 Burgaw NC 28425 2195 New Road Burgaw NC 28425 Pender (910)300-6450 "Plumb Line Services, Inc." 140223 MHL-041-959 "Positive Connection Care, Inc." 15-Apr-10 01-Jan-19 31-Dec-19 Suspension of Admission 14-Aug-15 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Positive Connection Care DD Home P.O. Box 16851 Greensboro NC 27416 1413 Gracewood Drive Greensboro NC 27408 Guilford (336)288-8958 "Positive Connection Care, Inc." 030466 MHL-043-047 "Professional Family Care Services, Inc." 21-Jul-03 01-Jan-19 31-Dec-19 Type A 13-Dec-16 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Professional Family Care Home #4 PO Box 35150 Fayetteville NC 28303 122 Orchard Crest Circle Sanford NC 27330 Harnett (919)343-1343 Professional Family Care Svcs 040895 MHL-043-059 "Professional Family Care Services, Inc." 10-Nov-04 01-Jan-19 31-Dec-19 Type B 10-Oct-06 06-Nov-06 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Professional Family Care Home #5 PO Box 35150 Fayetteville NC 28303 19 Susie Circle Cameron NC 28326 Harnett (919)498-0163 "Professional Family Care Services," 020190 MHL-026-926 "Professional Family Care Services, Inc." 30-Dec-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Professional Family Care Home #2 P.O. Box 35150 Fayetteville NC 28303 1016 Patrick Drive Fayetteville NC 28314 Cumberland (910)487-9868 "Professional Family Care Services, Inc." 920339 MHL-059-054 "Quality Adult Care, Inc." 20-Sep-11 01-Jan-19 31-Dec-19 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Quality Adult Care 180 East Court St. Marion NC 28752 180 East Court Street Marion NC 28752 McDowell (828)652-3931 "Quality Adult Care, Inc." 170591 MHL-041-994 "Quality Care III, LLC" 22-Nov-10 01-Jan-19 31-Dec-19 Type A 10-Jul-18 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Quality Care III, LLC / Hickory Tree Home" 1594 Candace Ridge Drive Greensboro NC 27406 4010 Hickory Tree Lane Greensboro NC 27406 Guilford (336)617-3512 "Quality Care III, LLC" 190009 MHL-041-1177 "Quality Care III, LLC" 04-Mar-19 04-Mar-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Quality Care III, LLC / Shirley's House" 1594 Candace Ridge Dr. Greensboro NC 27406-8595 1596 Candace Ridge Drive Greensboro NC 27406-8595 Guilford (336)617-3462 "Quality Care III, LLC" 050259 MHL-041-758 "Quality Life Services, Inc." 26-Jul-05 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Brushwood Home 2614 Greengate Drive Greensboro NC 27406 210 Brushwood Road Greensboro NC 27410 Guilford (336)855-1736 Quality Life Svcs. Inc. 080886 MHL-041-904 "Quality Life Services, Inc." 23-Apr-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Creekbrook Court Home 2614 Greengate Drive Greensboro NC 27406 6212 Creekbrook Court Brown Summit NC 27405 Guilford (336)375-3001 "Quality Life Services, Inc." 160204 MHL-041-905 "Quality Life Services, Inc." 24-Apr-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Elsworth Court Home 2614 Greengate Drive Greensboro NC 27406 5 Elsworth Court McLeansville NC 27301 Guilford (336)895-4397 "Quality Life Services, Inc." 190057 MHL-041-706 "Quality Life Services, Inc." 22-Jan-04 17-Mar-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Colony Drive Home 2614 Greengate Drive Greensboro CA 27406 3118 Colony Drive Jamestown NC 27282 Guilford (336)885-0761 "Quality Life Services, Inc." 000203 MHL-041-616 "RHA Health Services NC, LLC" 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Green Acres Group Home "1701 Westchester Dr, Ste. 940" High Point NC 27262 119 Green Acres Lane Greensboro NC 27410 Guilford (336)286-8209 "RHA Health Services NC, LLC" 000328 MHL-080-095 "RHA Health Services NC, LLC" 05-Apr-00 01-Jan-19 31-Dec-19 Type A 20-Jun-14 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Newsome Road 195 Ervin Woods Dr. Kannapolis NC 28081 615 Newsome Road Salisbury NC 28144 Rowan (704)633-9562 "RHA Health Services NC, LLC" 000333 MHL-080-096 "RHA Health Services NC, LLC" 05-Apr-00 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Brentwood 195 Ervin Woods Dr. Kannapolis NC 28081 609 Newsome Road Salisbury NC 28144 Rowan (704)636-7121 "RHA Health Services NC, LLC" 000335 MHL-080-097 "RHA Health Services NC, LLC" 05-Apr-00 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hickory Lane 195 Ervin Woods Dr. Kannapolis NC 28081 208 Hickory Lane Salisbury NC 28146 Rowan (704)633-5438 "RHA Health Services NC, LLC" 001430 MHL-055-062 "RHA Health Services NC, LLC" 26-Sep-00 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Turner 3 1564 D Union Road Gastonia NC 28092 311 Turner Street Lincolnton NC 28092 Lincoln (704)864-3450 "RHA Health Services NC, LLC" 010028 MHL-055-067 "RHA Health Services NC, LLC" 05-Feb-01 01-Jan-19 31-Dec-19 Type A 21-Feb-18 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bessemer Heights 1564 D Union Rd. Gastonia NC 28054 202 Massapoag Rd. Lincolnton NC 28092 Lincoln (704)864-3450 "RHA Health Services NC, LLC" 921154 MHL-041-608 "RHA Health Services NC, LLC" 11-Mar-92 01-Jan-19 31-Dec-19 Type B 06-Jun-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Benton Lane "1701 Westchester Dr, Ste. 940" High Point NC 27262 2205 Benton Lane Greensboro NC 27455 Guilford (336)282-6081 "RHA Health Services NC, LLC" 921156 MHL-041-607 "RHA Health Services NC, LLC" 15-Jun-01 01-Jan-19 31-Dec-19 Type A 02-Dec-10 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Jane Street Group Home "1701 Westchester Dr, Ste. 940" High Point NC 27262 2001 Jane Street Greensboro NC 27407 Guilford (336)855-6644 "RHA Health Services NC, LLC" 921396 MHL-018-014 "RHA Health Services NC, LLC" 03-Feb-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF 23rd Street Home 1754 GKN Way Newton NC 28658 804 East 23rd Street Newton NC 28658 Catawba (828)465-2114 "RHA Health Services NC, LLC" 921463 MHL-047-006 "RHA Health Services NC, LLC" 01-Jan-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Ashley Heights Home 2248 Wingate Road Fayetteville NC 28304 2990 Reservation Road Aberdeen NC 28315-5414 Hoke (910)424-2121 "RHA Health Services NC, LLC" 921518 MHL-030-006 "RHA Health Services NC, LLC" 01-Oct-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Boxwood Acres 211 Roseman Avenue Cleveland NC 27013 3464 US Highway 601 South Mocksville NC 27028 Davie (704)278-9681 "RHA Health Services NC, LLC" 921534 MHL-055-008 "RHA Health Services NC, LLC" 01-Jul-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Brookwood Home 1754 GKN Way Newton NC 28658 1254 Brookhaven Drive Lincolnton NC 28092 Lincoln (704)735-3199 "RHA Health Services NC, LLC" 921586 MHL-051-011 "RHA Health Services NC, LLC" 01-May-86 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Canterbury Road Home 501-C South Wall Street Benson NC 27504 214 Canterbury Road Smithfield NC 27577 Johnston (919)934-5907 "RHA Health Services NC, LLC" 921633 MHL-032-043 "RHA Health Services NC, LLC" 01-Sep-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Chandler Road 2527 E. Lyon Station Rd Creedmoor NC 27522 342 Chandler Road Durham NC 27707 Durham (919)598-2558 "RHA Health Services NC, LLC" 921669 MHL-043-012 "RHA Health Services NC, LLC" 01-Feb-90 01-Jan-19 31-Dec-19 Type A 12-Aug-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Jackson Street Group Home 501-C South Wall Street Benson NC 27504 141 East Jackson Street Coats NC 27521 Harnett (919)897-3566 "RHA Health Services NC, LLC" 921672 MHL-083-009 "RHA Health Services NC, LLC" 01-Feb-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF College Park 15235 Airport Road Maxton NC 28364 1900 Lake Drive Laurinburg NC 28352 Scotland (910)276-0011 "RHA Health Services NC, LLC" 921706 MHL-051-009 "RHA Health Services NC, LLC" 01-Apr-86 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Country Manor Group Home 501-C South Wall Street Benson NC 27504 1070 Packing Plant Road Smithfield NC 27577 Johnston (919)934-9424 "RHA Health Services NC, LLC" 921730 MHL-049-018 "RHA Health Services NC, LLC" 01-Apr-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Dal-Wan Heights Group Home 190 Commerce Blvd. Statesville NC 28625 748 Sharon Dr. Statesville NC 28625 Iredell (704)872-2583 "RHA Health Services NC, LLC" 921774 MHL-039-004 "RHA Health Services NC, LLC" 01-Nov-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Dove Road Home 2527 E. Lyon Station Rd Creedmoor NC 27522 102 Dove Road Creedmoor NC 27522 Granville (919)528-2558 "RHA Health Services NC, LLC" 921792 MHL-078-010 "RHA Health Services NC, LLC" 01-Apr-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Eastbrook 15235 Airport Road Maxton NC 28364 110 Eastbrook Drive Red Springs NC 28377 Robeson (910)843-3804 "RHA Health Services NC, LLC" 921813 MHL-043-013 "RHA Health Services NC, LLC" 01-Jun-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Erwin #2 Group Home 501-C South Wall Street Benson NC 27504 202 West B Street Erwin NC 28339 Harnett (910)897-2854 "RHA Health Services NC, LLC" 921814 MHL-043-006 "RHA Health Services NC, LLC" 01-Jun-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Erwin Avenue Home 501-C South Wall Street Benson NC 27504 100 Erwin Avenue Erwin NC 28339 Harnett (910)897-8093 "RHA Health Services NC, LLC" 921835 MHL-049-014 "RHA Health Services NC, LLC" 01-Apr-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Fanjoy Home #1 190 Commerce Boulevard Statesville NC 28625 235 Fanjoy Road Statesville NC 28625 Iredell (704)872-3257 "RHA Health Services NC, LLC" 921836 MHL-049-020 "RHA Health Services NC, LLC" 01-Sep-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Fanjoy Home #2 190 Commerce Boulevard Statesville NC 28625 450 Twin Oaks Road Statesville NC 28625 Iredell (704)872-3257 "NC Health Services NC, LLC" 921878 MHL-034-042 "RHA Health Services NC, LLC" 01-Feb-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Forsyth Group Home #1 "1701 Westchester Dr, Ste. 940" High Point NC 27262 216 Linville Springs Road Kernersville NC 27284 Forsyth (336)996-7457 "RHA Health Services NC, LLC" 921880 MHL-034-043 "RHA Health Services NC, LLC" 01-Feb-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Forsyth Group Home #2 "1701 Westchester Dr., Ste. 940" High Point NC 27262 8460 Belews Creek Road Belews Creek NC 27009 Forsyth (336)595-2128 "RHA Health Services NC, LLC" 921934 MHL-041-078 "RHA Health Services NC, LLC" 01-Oct-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Guilford #1 "1701 Westchester Dr., Ste. 940" High Point NC 27262 416 Boxwood Drive Greensboro NC 27410 Guilford (336)298-6688 "RHA Health Services NC, LLC" 921935 MHL-041-080 "RHA Health Services NC, LLC" 01-Nov-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Guilford #2 "1701 Westchester Dr., Ste. 940" High Point NC 27262 1800 Strathmore Drive Greensboro NC 27410 Guilford (336)288-1900 "RHA Health Services NC, LLC" 921962 MHL-051-010 "RHA Health Services NC, LLC" 01-Jun-86 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Heath Avenue Home 501-C South Wall Street Benson NC 27504 105 East Heath Avenue Smithfield NC 27577 Johnston (919)934-1573 "RHA Health Services NC, LLC" 921984 MHL-077-011 "RHA Health Services NC, LLC" 01-Aug-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Hoffman Group Home 15235 Airport Road Maxton NC 28364 104 Teal Street Hoffman NC 28347 Richmond (910)281-5623 "RHA Health Services NC, LLC" 921990 MHL-049-025 "RHA Health Services NC, LLC" 01-Jul-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Hollingswood Group Home 190 Commerce Boulevard Statesville NC 28625 214 Hollingswood Drive Statesville NC 28625 Iredell (704)872-3257 "RHA Health Services NC, LLC" 922011 MHL-041-108 "RHA Health Services NC, LLC" 01-Aug-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Ridgely Oak 1508 Gatewood Ave Greensboro NC 27405 1307 Westridge Road Greensboro NC 27410 Guilford (336)288-3482 "RHA Health Services NC, LLC" 922012 MHL-041-074 "RHA Health Services NC, LLC" 01-May-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF West Friendly 1508 Gatewood Ave Greensboro NC 27405 4011 West Friendly Avenue Greensboro NC 27410 Guilford (336)294-5345 "RHA Health Services NC, LLC" 922013 MHL-041-105 "RHA Health Services NC, LLC" 01-May-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Westminister 1508 Gatewood Ave Greensboro NC 27405 1111 Westridge Road Greensboro NC 27410 Guilford (336)852-3855 "RHA Health Services NC, LLC" 922014 MHL-041-076 "RHA Health Services NC, LLC" 01-Sep-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Westridge 1508 Gatewood Ave Greensboro NC 27405 1609 Westridge Road Greensboro NC 27410 Guilford (336)282-7477 "RHA Health Services NC, LLC" 922015 MHL-041-087 "RHA Health Services NC, LLC" 01-Mar-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Rollingwood 1508 Gatewood Ave Greensboro NC 27405 4206 West Friendly Avenue Greensboro NC 27410 Guilford (336)294-4733 "RHA Health Services NC, LLC" 922099 MHL-097-015 "RHA Health Services NC, LLC" 01-Feb-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Lakewood 176 Wildcat Road Deep Gap NC 28618 554 Ridge Lane Wilkesboro NC 28697 Wilkes (336)973-2725 "RHA Health Services NC, LLC" 922107 MHL-080-006 "RHA Health Services NC, LLC" 01-Feb-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Laura Springs Road Home 211 Roseman Lane Cleveland NC 27013 309 Laura Springs Drive Salisbury NC 28144 Rowan (704)278-9681 "RHA Health Services NC, LLC" 922117 MHL-083-007 "RHA Health Services NC, LLC" 01-Dec-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Lee Forest Home 15235 Airport Road Maxton NC 28364 1209 Pellham Drive Laurinburg NC 28352 Scotland (910)844-9664 "RHA Health Services NC, LLC" 922126 MHL-097-011 "RHA Health Services NC, LLC" 01-Aug-89 01-Jan-19 31-Dec-19 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Lewis Fork Homes I & II 176 Wildcat Road Deep Gap NC 28618 1388 Lewis Fork Baptist Church Rd. Ferguson NC 28624 Wilkes (336)973-8151 "RHA Health Services NC, LLC" 922139 MHL-043-005 "RHA Health Services NC, LLC" 01-May-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Lillington Group Home 501-C South Wall Street Benson NC 27504 1110 NC 210 South Lillington NC 27546 Harnett (910)893-9121 "RHA Health Services NC, LLC" 922147 MHL-055-016 "RHA Health Services NC, LLC" 01-Jul-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Linoak Group Home 1754 GKN Way Newton NC 28658 3175 Bank St. Lincolnton NC 28092 Lincoln (828)428-0552 "RHA Health Services NC, LLC" 922167 MHL-063-012 "RHA Health Services NC, LLC" 01-Aug-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Magnolia Group Home 15235 Airport Road Maxton NC 28364 928 Magnolia Drive Aberdeen NC 28315 Moore (910)944-2611 "RHA Health Services NC, LLC" 922230 MHL-032-056 "RHA Health Services NC, LLC" 01-Sep-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Mineral Springs I 2527 E. Lyon Station Rd Creedmoor NC 27522 414 Mineral Springs Road Durham NC 27703 Durham (919)528-2558 "RHA Health Services NC, LLC" 922231 MHL-032-057 "RHA Health Services NC, LLC" 01-Sep-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Mineral Springs II 2527 E. Lyon Station Rd Creedmoor NC 27522 410 Mineral Springs Road Durham NC 27703 Durham (919)596-7954 "RHA Health Services NC, LLC" 922261 MHL-080-005 "RHA Health Services NC, LLC" 01-Feb-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Myron Place 211 Roseman Lane Cleveland NC 27013 219 Myron Place Salisbury NC 28144 Rowan (704)278-9681 "RHA Health Services NC, LLC" 922275 MHL-060-174 "RHA Health Services NC, LLC" 01-Jul-92 01-Jan-19 31-Dec-19 Type A 07-Apr-17 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Nevin #4 195 Ervin Woods Dr. Kannapolis NC 28081 3823 Nevins Road Charlotte NC 28269 Mecklenburg (704)596-0365 "RHA Health Services NC, LLC" 922324 MHL-049-002 "RHA Health Services NC, LLC" 01-Apr-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Oakdale Group Home 190 Commerce Boulevard Statesville NC 28625 436 Mocksville Highway Statesville NC 28625 Iredell (704)872-3257 "RHA Health Services NC, LLC" 922329 MHL-047-003 "RHA Health Services NC, LLC" 01-Jun-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Old Farm Road 2248 Wingate Road Fayetteville NC 28304 409 Old Farm Road Raeford NC 28376 Hoke (910)424-2121 "RHA Health Services NC, LLC" 922350 MHL-039-007 "RHA Health Services NC, LLC" 01-Apr-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Park Avenue Home 2527 E. Lyon Station Rd Creedmoor NC 27522 105 Park Avenue Creedmoor NC 27522 Granville (919)528-2558 "RHA Health Services NC, LLC" 922373 MHL-018-011 "RHA Health Services NC, LLC" 01-Jun-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Penny Lane #1 1754 GKN Way Newton NC 28658 2840 Hwy 70 East Claremont NC 28610 Catawba (828)459-0588 "RHA Health Services NC, LLC" 922374 MHL-018-016 "RHA Health Services NC, LLC" 13-Mar-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Penny Lane II 1754 GKN Way Newton NC 28658 2830 Highway 70 East Claremont NC 28610 Catawba (828)459-1339 "RHA Health Services NC, LLC" 922407 MHL-030-007 "RHA Health Services NC, LLC" 01-Oct-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pleasant Acres 211 Roseman Lane Cleveland NC 27013 447 Pleasant Acres Drive Mocksville NC 27028 Davie (704)278-9681 "RHA Health Services NC, LLC" 922437 MHL-043-014 "RHA Health Services NC, LLC" 01-Sep-90 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rawls Road Group Home 501-C South Wall Street Benson NC 27504 190 Rawls Road Angier NC 27501 Harnett (919)639-6082 "RHA Health Services NC, LLC" 922468 MHL-005-010 "RHA Health Services NC, LLC" 01-Aug-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Ridgecrest I 176 Wildcat Rd. Deep Gap NC 28618 310 Locust Street West Jefferson NC 28694 Ashe (336)246-7010 "RHA Health Services NC, LLC" 922469 MHL-005-009 "RHA Health Services NC, LLC" 08-Aug-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Ridgecrest II 176 Wildcat Rd Deep Gap NC 28618 421 Ridgecrest Avenue West Jefferson NC 28694 Ashe (336)246-7020 "RHA Health Services NC, LLC" 922475 MHL-055-005 "RHA Health Services NC, LLC" 01-Nov-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Riverview Home 1754 GKN Way Newton NC 28658 1793 Riverview Road Lincolnton NC 28092 Lincoln (704)732-1606 "RHA Health Services NC, LLC" 922499 MHL-080-001 "RHA Health Services NC, LLC" 01-Jan-90 01-Jan-19 31-Dec-19 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Rockwell 1 & 2 211 Roseman Lane Cleveland NC 27013 Highway 152 East 6330 Rockwell NC 28138 Rowan (704)278-9681 "RHA Health Services NC, LLC" 922543 MHL-083-008 "RHA Health Services NC, LLC" 01-Dec-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Scotland Forest Home 15235 Airport Road Maxton NC 28364 21760 Andrew J. Hwy Maxton NC 28364 Scotland (910)844-9824 "RHA Health Services NC, LLC" 922547 MHL-029-009 "RHA Health Services NC, LLC" 01-Aug-86 01-Jan-19 31-Dec-19 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Scotthurst I & II 1508 Gatewood Ave Greensboro NC 27405 174 Hoots Drive & 222 Heritage Drive Winston Salem NC 27107 Davidson (336)764-3553 "RHA Health Services NC, LLC" 922564 MHL-018-017 "RHA Health Services NC, LLC" 28-Jun-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Shannonbrook Home 1754 GKN Way Newton NC 28658 914 West First Street Newton NC 28658 Catawba (828)465-2003 "RHA Health Services NC, LLC" 922601 MHL-080-014 "RHA Health Services NC, LLC" 01-Jun-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Smith Street Home 211 Roseman Lane Cleveland NC 27013 112 Smith Street Cleveland NC 27013 Rowan (704)278-9681 "RHA Health Services NC, LLC" 922673 MHL-055-010 "RHA Health Services NC, LLC" 01-Jun-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Sunny Hill II 1754 GKN Way Newton NC 28658 279 Sunny Hill Drive Lincolnton NC 28092 Lincoln (704)732-7579 "RHA Health Services NC, LLC" 922750 MHL-005-011 "RHA Health Services NC, LLC" 17-Aug-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Thomas Street Home 176 Wildcat Road Deep Gap NC 28618 348 Thomas St. Jefferson NC 28640 Ashe (336)246-7030 "RHA Health Services NC, LLC" 922824 MHL-078-029 "RHA Health Services NC, LLC" 01-Dec-89 01-Jan-19 31-Dec-19 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Wakulla I & II 15235 Airport Rd Maxton NC 28364 5792 & 5812 NC Hwy 71 North Maxton NC 28364 Robeson (910)843-3760 "RHA Health Services NC, LLC" 922856 MHL-018-018 "RHA Health Services NC, LLC" 21-Jul-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Wendover Home 1754 GKN Way Newton NC 28658 631 Old Park Road Maiden NC 28650 Catawba (828)428-3122 "RHA Health Services NC, LLC" 922879 MHL-095-011 "RHA Health Services NC, LLC" 01-Apr-90 01-Jan-19 31-Dec-19 Type A 31-May-06 - - 15 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Wildcat Group Home 176 Wildcat Road Deep Gap NC 28618 208 Wildcat Road Deep Gap NC 28618 Watauga (828)262-5454 "RHA Health Services NC, LLC" 922912 MHL-099-006 "RHA Health Services NC, LLC" 01-Sep-90 01-Jan-19 31-Dec-19 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Yadkin II & III 190 Commerce Boulevard Statesville NC 28625 3220 & 3224 US Highway 21 Hamptonville NC 27020 Yadkin (336)468-2810 "RHA Health Services NC, LLC" 922913 MHL-099-005 "RHA Health Services NC, LLC" 01-Aug-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Yadkin I 190 Commerce Blvd Statesville NC 28625 3716 Westwood Drive Hamptonville NC 27020 Yadkin (704)872-3257 "RHA Health Services NC, LLC" 924981 MHL-060-222 "RHA Health Services NC, LLC" 23-Jun-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Monroe Road 195 Ervin Woods Dr. Kannapolis NC 28081 7621 Monroe Road Charlotte NC 28202 Mecklenburg (704)535-7502 "RHA Health Services NC, LLC" 925192 MHL-060-228 "RHA Health Services NC, LLC" 19-Sep-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Burtonwood Circle Home 195 Ervin Woods Dr. Kannapolis NC 28081 1710 Burtonwood Circle Charlotte NC 28212 Mecklenburg (704)536-0364 "RHA Health Services NC, LLC" 925332 MHL-060-237 "RHA Health Services NC, LLC" 23-Nov-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Lakeview 195 Ervin Woods Dr. Kannapolis NC 28081 5927 Lakeview Drive Charlotte NC 28270 Mecklenburg (704)366-5108 "RHA Health Services NC, LLC" 940641 MHL-041-617 "RHA Health Services NC, LLC" 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lake Brandt Group Home "1701 Westchester Dr, Ste. 940" High Point NC 27262 6184 Lake Brandt Road Greensboro NC 27455 Guilford (336)643-3300 "RHA Health Services NC, LLC" 944283 MHL-049-029 "RHA Health Services NC, LLC" 15-Nov-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pinewood Group Home 190 Commerce Boulevard Statesville NC 28625 2101 Beauty Street Statesville NC 28625 Iredell (704)872-3257 "RHA Health Services NC, LLC" 944370 MHL-080-034 "RHA Health Services NC, LLC" 15-Nov-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Stoneridge 211 Roseman Lane Cleveland NC 27013 222 Union Heights Boulevard Salisbury NC 28144 Rowan (704)278-9681 "RHA Health Services NC, LLC" 944881 MHL-026-020 "RHA Health Services NC, LLC" 03-Aug-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Hope Mills Home 2248 Wingate Road Fayetteville NC 28304 5713 Newton Street Hope Mills NC 28348 Cumberland (910)424-2121 "RHA Health Services NC, LLC" 944882 MHL-026-021 "RHA Health Services NC, LLC" 03-Aug-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Southern Avenue Home 2248 Wingate Road Fayetteville NC 28304 2001 Southern Avenue Fayetteville NC 28301 Cumberland (910)424-2121 "RHA Health Services NC, LLC" 944891 MHL-026-048 "RHA Health Services NC, LLC" 30-Apr-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Wilmington Road Group Home 2248 Wingate Road Fayetteville NC 28304 800 Wilmington Road Fayetteville NC 28304 Cumberland (910)424-2121 "RHA Health Services NC, LLC" 944894 MHL-026-053 "RHA Health Services NC, LLC" 01-Jun-90 01-Jan-19 31-Dec-19 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Strickland Bridge Homes A & B 2248 Wingate Rd. Fayetteville NC 28304 1818 Strickland Bridge Rd. Fayetteville NC 28304 Cumberland (910)424-2121 "RHA Health Services NC, LLC" 944936 MHL-041-119 "RHA Health Services NC, LLC" 03-Aug-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Holden Group Home 1508 Gatewood Ave Greensboro NC 27405 517 North Holden Road Greensboro NC 27410 Guilford (336)547-0780 "RHA Health Services NC, LLC" 951157 MHL-041-609 "RHA Health Services NC, LLC" 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Larkwood Group Home 1701 Westchester Dr. Ste. 940 High Point NC 27262 801 Larkwood Drive Greensboro NC 27410 Guilford (336)855-1848 "RHA Health Services NC, LLC" 951936 MHL-041-081 "RHA Health Services NC, LLC" 01-Jan-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Guilford #3 "1701 Westchester Dr, Ste. 940" High Point NC 27262 2600 Pleasant Ridge Road Summerfield NC 27358 Guilford (336)643-1244 "RHA Health Services NC, LLC" 952274 MHL-060-139 "RHA Health Services NC, LLC" 01-Sep-91 01-Jan-19 31-Dec-19 Type A 07-Apr-17 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Nevin #3 195 Ervin Woods Dr. Kannapolis NC 28081 3829 Nevins Road Charlotte NC 28269 Mecklenburg (704)598-1594 "RHA Health Services NC, LLC" 952674 MHL-055-006 "RHA Health Services NC, LLC" 01-Dec-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Sunny Hill Group Home #1 1754 GKN Way Newton NC 28658 261 Sunny Hill Drive Lincolnton NC 28092 Lincoln (704)732-5609 "RHA Health Services NC, LLC" 952779 MHL-030-005 "RHA Health Services NC, LLC" 01-Oct-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Twinbrooks 211 Roseman Lane Cleveland NC 27013 189 Fairmont Lane Mocksville NC 27028 Davie (704)278-9681 "RHA Health Services NC, LLC" 954686 MHL-060-198 "RHA Health Services NC, LLC" 13-May-93 01-Jan-19 31-Dec-19 Type A 05-Apr-17 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Nevin #1 195 Ervin Woods Dr. Kannapolis NC 28081 3827 Nevins Road Charlotte NC 28269 Mecklenburg (704)596-2224 "RHA Health Services NC, LLC" 954687 MHL-060-199 "RHA Health Services NC, LLC" 13-May-93 01-Jan-19 31-Dec-19 Type A 07-Apr-17 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Nevin #2 195 Ervin Woods Dr. Kannapolis NC 28081 3825 Nevin Road Charlotte NC 28269 Mecklenburg (704)596-1585 "RHA Health Services NC, LLC" 960010 MHL-018-037 "RHA Health Services NC, LLC" 04-Jan-96 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Park Lane 1564-D Union Road Gastonia NC 28054 505 South Main Street Newton NC 28658 Catawba (704)864-3450 "RHA Health Services NC, LLC" 970424 MHL-018-044 "RHA Health Services NC, LLC" 07-Apr-97 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Special Union Home 1564-D Union Road Gastonia NC 28054 704 East Union Street Maiden NC 28650 Catawba (704)864-3450 "RHA Health Services NC, LLC" 090422 MHL-043-027 "RHA Health Services NC, LLC" 15-Aug-97 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Elm Street 501-C South Wall Street Benson NC 27504 300 West J Street Erwin NC 28339 Harnett (910)230-9034 "RHA Health Services NC, LLC" 971037 MHL-060-390 "RHA Health Services NC, LLC" 08-Aug-97 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Shelburne Place 195 Ervin Woods Dr. Kannapolis NC 28081 2524 Shelburne Place Charlotte NC 28227 Mecklenburg (704)545-7075 "RHA Health Services NC, LLC" 971221 MHL-049-059 "RHA Health Services NC, LLC" 03-Oct-97 01-Jan-19 31-Dec-19 Type A 16-Aug-06 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL James Farm Home 190 Commerce Boulevard Statesville NC 28625 148 James Farm Road Statesville NC 28625 Iredell (704)872-3257 "RHA Health Serviecs NC, LLC" 061156 MHL-049-068 "RHA Health Services NC, LLC" 02-Apr-98 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fox Avenue Home 190 Commerce Boulevard Statesville NC 28625 304 Gregory Road Statesville NC 28677 Iredell (704)872-3257 "RHA Health Services NC, LLC" 980631 MHL-055-047 "RHA Health Services NC, LLC" 15-Jun-98 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Crescent Court Home 1564-D Union Road Gastonia NC 28054 214 Crescent Court Lincolnton NC 28092 Lincoln (704)864-3450 "RHA Health Services NC, LLC" 980737 MHL-049-070 "RHA Health Services NC, LLC" 28-Jul-98 01-Jan-19 31-Dec-19 Type A 20-Mar-13 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Scott's Creek 190 Commerce Boulevard Statesville NC 28625 234 Scott's Creek Road Statesville NC 28625 Iredell (704)872-3257 "RHA Health Services NC, LLC" 980803 MHL-039-019 "RHA Health Services NC, LLC" 14-Aug-98 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Crossings 2527 E. Lyon Station Rd Creedmoor NC 27522 308 Bridget Way Creedmoor NC 27522 Granville (919)528-2470 "RHA Health Services NC, LLC" 990059 MHL-049-073 "RHA Health Services NC, LLC" 01-Dec-98 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Massey Deal Home 190 Commerce Boulevard Statesville NC 28625 333 Massey Deal Statesville NC 28625 Iredell (704)872-6585 "RHA Health Management Services, LLC" 050474 MHL-055-053 "RHA Health Services NC, LLC" 24-Mar-99 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Laurel Lane 1564-D Union Street Gastonia NC 28054 1250 Georgetown Road Lincolnton NC 28092 Lincoln (704)864-3450 "RHA Health Services NC, LLC" 990554 MHL-041-538 "RHA Health Services NC, LLC" 01-Jun-99 01-Jan-19 31-Dec-19 Type A 14-Jan-08 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Dobson Road Home "1701 Westchester Dr, Ste. 940" High Point NC 27262 5427 Dobson Road Greensboro NC 27419 Guilford (336)632-9955 "RHA Health Services NC, LLC" 990594 MHL-080-086 "RHA Health Services NC, LLC" 22-Jun-99 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Beard Street 195 Ervin Woods DR. Kannapolis NC 28081 1205 Beard Street Salisbury NC 28144 Rowan (704)630-0565 "RHA Health Services NC, LLC" 990627 MHL-080-087 "RHA Health Services NC, LLC" 12-Jul-99 01-Jan-19 31-Dec-19 Type A 30-Apr-13 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sedgefield Home 195 Ervin Woods Dr. Kannapolis NC 28081 1201 Beard Street Salisbury NC 28144 Rowan (704)630-9022 "RHA Health Services NC, LLC" 990897 MHL-092-389 "RHA Health Services NC, LLC" 09-Aug-99 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wake County Group Home #2 2527 E. Lyon Station Rd Creedmoor NC 27522 4808 Whitehall Avenue Raleigh NC 27604 Wake (919)528-2558 "RHA Health Services NC, LLC" 070408 MHL-041-552 "RHA Health Services NC, LLC" 09-Sep-99 01-Jan-19 31-Dec-19 Type B 04-Mar-11 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Frostbrook Court "1701 Westchester Dr, Ste. 940" High Point NC 27262 3865 1-A Smokey Quartz Court Greensboro NC 27409 Guilford (336)855-1112 "RHA Health Services NC, LLC" 990954 MHL-055-058 "RHA Health Services NC, LLC" 06-Oct-99 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Turner I 1564 D Union Road Gastonia NC 28054 317 Turner Street Lincolnton NC 28092 Lincoln (704)864-3450 "RHA Health Services NC, LLC" 990955 MHL-055-059 "RHA Health Services NC, LLC" 06-Oct-99 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Crestview 1564 D Union Road Gastonia NC 28054 166 Massapoag Road Lincolnton NC 28092 Lincoln (704)864-3450 "RHA Health Services NC, LLC" 991031 MHL-049-074 "RHA Health Services NC, LLC" 26-Oct-99 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Greenbrier Road 190 Commerce Road Statesville NC 28625 335 N. Greenbrier Road Statesville NC 28625 Iredell (704)872-3257 "RHA Health Services NC, LLC" 991109 MHL-041-561 "RHA Health Services NC, LLC" 18-Nov-99 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Three Meadows "1701 Westchester Dr, Ste. 940" High Point NC 27262 2103 Three Meadows Road Greensboro NC 27455 Guilford (336)282-9270 "RHA Health Services NC, LLC" 030433 MHL-055-081 "RHA Health Services NC, LLC" 01-Aug-03 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Turner 5 1564-D Union Road Gastonia NC 28054 353 Turner Street Lincolnton NC 28092 Lincoln (704)864-3450 "RHA Health Services NC, LLC" 030504 MHL-005-021 "RHA Health Services NC, LLC" 05-Aug-04 01-Jan-19 31-Dec-19 Type A 24-Aug-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hensley Home 176 Wildcat Road Deep Gap NC 28618 306 Locust Street West Jefferson NC 28694 Ashe (336)846-1202 "RHA Health Services NC, LLC" 041658 MHL-049-100 "RHA Health Services NC, LLC" 10-Jun-05 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Camelot 190 Commerce Blvd Statesville NC 28625 3329 Winchester Lane Statesville NC 28625 Iredell (704)872-3257 "RHA Health Services NC, LLc" 050475 MHL-055-093 "RHA Health Services NC, LLC" 22-Jun-05 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Patriot Lane 1564-D Union Road Gastonia NC 28054 1252 Georgetown Road Lincolnton NC 28092 Lincoln (704)864-3450 "RHA Health Services NC, LLC" 921979 MHL-045-067 "RHA Health Services NC, LLC" 01-Oct-06 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hillpark Group Home 145 Cane Creek Ind Park Rd Ste. 250 Fletcher NC 28732 175 Elson Avenue Hendersonville NC 28739 Henderson (828)697-4170 "RHA Health Services NC, LLC" 922389 MHL-045-066 "RHA Health Services NC, LLC" 01-Oct-06 01-Jan-19 31-Dec-19 Type A 12-Feb-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pinebrook Group Home "145 Cane Creek Ind Park Rd, Ste 250" Fletcher NC 28732 301 Erkwood Drive Hendersonville NC 28791 Henderson (828)697-4186 "RHA Health Services NC, LLC" 955392 MHL-045-064 "RHA Health Services NC, LLC" 01-Oct-06 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Rayside A 145 Cane Creek Ind. Park Rd Ste 250 Fletcher NC 28732 617 Ray Avenue Hendersonville NC 28739 Henderson (828)697-4484 "RHA Health Services NC, LLC" 955391 MHL-045-065 "RHA Health Services NC, LLC" 01-Oct-06 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Rayside B 145 Cane Creek Ind. Park Rd Ste 250 Fletcher NC 28732 619 Ray Avenue Hendersonville NC 28739 Henderson (828)697-4485 "RHA Health Services NC, LLC" 921875 MHL-088-017 "RHA Health Services NC, LLC" 01-Oct-06 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Forest Bend Group Home "145 Cane Creek Ind. Park Rd, Ste250" Fletcher NC 28732 47 S Oak Street Brevard NC 28712 Transylvania (828)877-4062 "RHA Health Services NC, LLC" 921704 MHL-045-068 "RHA Health Services NC, LLC" 01-Oct-06 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Country Cove Group Home "145 Cane Creek Ind Park Rd, Ste 250" Fletcher NC 28732 28 Hillpark Drive Hendersonville NC 28739 Henderson (828)698-0623 "RHA Health Services NC, LLC" 922508 MHL-039-041 "RHA Health Services NC, LLC" 01-Jul-07 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Granville ICF/MR Group Home 2527 E. Lyon Station Rd Creedmoor NC 27522 5509 Dorsey Road Oxford NC 27565 Granville (919)693-4610 "RHA Health Services NC, LLC" 091034 MHL-054-141 "RHA Health Services NC, LLC" 15-Dec-09 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Fox Run Group Home 5840 Greenwood Avenue LaGrange NC 28551 3845 Robin's Nest Road LaGrange NC 28551 Lenoir (252)566-9543 "RHA Health Services NC, LLc" 091035 MHL-054-142 "RHA Health Services NC, LLC" 15-Dec-09 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Robin's Nest Group Home 5840 Greenwood Avenue LaGrange NC 28551 3921 Robin's Nest Road LaGrange NC 28551 Lenoir (252)566-2069 "RHA Health Services NC, LLC" 922561 MHL-010-075 "RHA Health Services NC, LLC" 01-Nov-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Shallotte House "3255 Burnt Mill Rd, Ste 5" Wilmington NC 28403 4763 Milliken Street Shallotte NC 28459 Brunswick (910)251-6616 "RHA Health Services NC, LLC" 100826 MHL-080-048 "RHA Health Services NC, LLC" 03-Jan-97 01-Jan-19 31-Dec-19 Type A 25-Aug-15 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Catawba House 195 Ervin Woods DR. Kannapolis NC 28081 3170 Dunns Mountain Road Salisbury NC 28146 Rowan (704)637-5752 "RHA Health Services NC, LLC" 921069 MHL-083-053 "RHA Health Services NC, LLC" 01-Jul-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Scotchfair #1 "2003 Godwin Ave., Ste. A1" Lumberton NC 28358 1236 Hammond Drive Laurinburg NC 28352 Scotland (910)276-5096 "RHA Health Services NC, LLC" 921068 MHL-083-054 "RHA Health Services NC, LLC" 01-Jul-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Scotchfair #2 "2003 Godwin Ave., Ste. A1" Lumberton NC 28358 13880 Francis Street Gibson NC 28343 Scotland (910)607-4201 "RHA Health Services NC, LLC" 970114 MHL-009-040 "RHA Health Services NC, LLC" 01-Jul-11 01-Jan-19 31-Dec-19 Type A 23-Oct-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bladen County #1 Millbranch "2003 Godwin Ave, Ste. A1" Lumberton NC 28358 715 East Bladen Street Bladenboro NC 28320 Bladen (910)809-0044 "RHA Health Services NC, LLC" 970115 MHL-009-041 "RHA Health Services NC, LLC" 01-Jul-11 01-Jan-19 31-Dec-19 Type B 13-Oct-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bladen County #2 Riverwood "2003 Goodwin Ave., Ste. A1" Lumberton NC 28358 706 West Swanzy Street Elizabethtown NC 28387 Bladen (910)862-8291 "RHA Health Services NC, LLC" 944731 MHL-078-278 "RHA Health Services NC, LLC" 01-Jul-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Robeson #1 "2003 Godwin Ave., Ste A1" Lumberton NC 28358 601 Carthage Road Lumberton NC 28358 Robeson (910)674-4184 "RHA Health Services NC, LLC" 922485 MHL-078-279 "RHA Health Services NC, LLC" 01-Jul-11 01-Jan-19 31-Dec-19 Type B 30-Jan-15 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Robeson #2 "2003 Godwin Ave., Ste. A1" Lumberton NC 28358 104 East Gertrude Street Fairmont NC 28340 Robeson (910)535-4102 "RHA Health Services NC, LLC" 090436 MHL-032-061 "RHA Health Services NC, LLC" 05-Mar-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Holloway Street Home 2527 E. Lyon Station Rd Creedmoor NC 27522 4795 Stanley Road Durham NC 27704 Durham (919)528-2558 "RHA Health Services NC, LLC" 080818 MHL-074-240 "RHA Health Services NC, LLC" 22-Aug-12 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Curry House 1793 Briley Road Greenville NC 27834 1793 Briley Road Greenville NC 27834 Pitt (252)752-0516 "RHA Health Services NC, LLC" 080755 MHL-041-1061 "RHA Health Services NC, LLC" 23-Aug-12 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Guilford IV 1701 Westchester Dr. Ste 940 High Point NC 27262 404 Skeet Club Road High Point NC 27265 Guilford (336)885-0461 "RHA Health Services NC, LLC" 080688 MHL-011-351 "RHA Health Services NC, LLC" 11-Oct-12 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Emory Road Home 145 Cane Creek Ind. Park Rd Ste 250 Fletcher NC 28732 20 Emory Road Asheville NC 28806 Buncombe (828)252-5008 "RHA Health Services NC, LLC" 120593 MHL-013-161 "RHA Health Services NC, LLC" 28-Jan-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Brookwood 195 Ervin Woods Dr. Kannapolis NC 28081 207 Summerpine Place Kannapolis NC 28081 Cabarrus (704)933-4917 "RHA Health Services NC, LLC" 010467 MHL-013-159 "RHA Health Services NC, LLC" 28-Jan-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Captains Watch 195 Ervin Woods Dr. Kannapolis NC 28081 514 Todd Drive NE Concord NC 28027 Cabarrus (704)784-9344 "RHA Health Services NC, LLC" 120526 MHL-080-196 "RHA Health Services NC, LLC" 28-Jan-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Barbara Ann 195 Ervin Woods Dr. Kannapolis NC 28081 1914 Glenwood Street Kannapolis NC 28083 Rowan (704)933-4044 "RHA Health Services NC, LLC" 031172 MHL-097-068 "RHA Health Services NC, LLC" 21-Dec-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Old 60 Home 176 Wildcat Road Deep Gap NC 28618 258 Old Highway 60 Wilkesboro NC 28697 Wilkes (336)838-0838 "RHA Health Services NC, LLC" 040369 MHL-097-071 "RHA Health Services NC, LLC" 21-Dec-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sparta Road Home 176 Wildcat Road Deep Gap NC 28618 77 Sparta Road North Wilkesboro NC 28659 Wilkes (336)667-6217 "RHA Health Services NC, LLC" 150077 MHL-039-057 "RHA Health Services NC, LLC" 19-Jan-01 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Melrose Home 2527 E. Lyon Station Rd Creedmoor NC 27522 107 W. Tally Ho Road Stem NC 27581 Granville (919)528-2558 "RHA Health Services NC, LLC" 921495 MHL-078-312 "RHA Health Services NC, LLC" 01-May-15 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Robeson #3 "2003 Godwin Ave., Ste A1" Lumberton NC 28358 504 South Elm Street Maxton NC 28364 Robeson (910)844-1827 "RHA Health Services NC, LLC" 990776 MHL-100-023 "RHA Health Services NC, LLC" 01-Jul-15 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Calloway Cottage 414 East Main St Burnsville NC 28714 35 Celo Street Burnsville NC 28714 Yancey (828)682-9813 "RHA Health Services NC, LLC" 050479 MHL-100-024 "RHA Health Services NC, LLC" 01-Jul-15 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hawthorne House 414 East Main Street Burnsville NC 28714 281 Wheeler Hills Road Burnsville NC 28714 Yancey (828)262-5450 "RHA Health Services NC, LLC" 970816 MHL-036-315 "RHA Health Services NC, LLC" 23-Nov-98 01-Feb-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sheila's Magnolia Place 1564 Union Dr Ste. D Gastonia NC 28054 1619 Fairfield Drive Gastonia NC 28054 Gaston (704)864-7050 "RHA Health Services NC, LLC" 160484 MHL-065-221 "RHA Health Services NC, LLC" 01-Nov-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kerr House 3255 Burnt Mill Drive Wilmington NC 28403 514 Olive Street Wilmington NC 28401 New Hanover (910)392-6787 "RHA Health Services NC,LLC" 170220 MHL-095-049 "RHA Health Services NC, LLC" 21-Dec-13 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ray House 176 Wildcat Road Deep Gap NC 28618 6837 Old US Highway 421 Deep Gap NC 28618 Watauga (828)268-4187 "RHA Health Services NC, LLC" 180162 MHL-013-165 "RHA Health Services NC, LLC" 28-Jan-11 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Oldenburg 195 Ervin Woods Drive Kannapolis NC 28081 1005 Oklahoma Street Kannapolis NC 28081 Cabarrus (704)298-0875 "RHA Health Services NC, LLC" 190216 MHL-036-128 "RHA Health Services NC, LLC" 01-Jun-98 12-Aug-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Georgetown Woods 1564-D Union Rd Gastonia NC 28054 7228 Pompano Place Cramerton NC 28032 Gaston (704)879-7622 "RHA Health Services NC, LLC" 070276 MHL-083-037 "Rainbow 66 Storehouse, Inc" 27-Jul-07 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Rainbow 66 Storehouse, Inc." 1225 S. Caledonia Road Laurinburg NC 28352 603 West Boulevard Laurinburg NC 28352 Scotland (910)266-8702 "Rainbow 66 Storehouse, Inc." 011181 MHL-083-029 "Rainbow 66 Storehouse, Inc." 24-May-02 01-Jan-19 31-Dec-19 Type B 14-Sep-10 - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Rainbow 66 Storehouse, Inc." 1225 S. Caledonia Road Laurinburg NC 28352 22521 Bunch Road Laurel Hill NC 28351 Scotland (910)462-2264 "Rainbow 66 Storehouse, Inc. Diversity" 080565 MHL-026-812 "Rainbow of Sunshine, Inc." 23-Nov-05 01-Jan-19 31-Dec-19 Type B 06-Jun-14 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rainbow of Sunshine 2 307 Cedarwood Street Spring Lake NC 28390 307 Cedarwood Street Spring Lake NC 28390 Cumberland (910)496-0756 Tara N. Ingram 956897 MHL-026-813 "Rainbow of Sunshine, Inc." 23-Nov-05 01-Jan-19 31-Dec-09 Type B 09-Jun-14 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rainbow of Sunshine I 307 Cedarwood Street Spring Lake NC 28390 4661 Pennystone Drive Fayetteville NC 28306 Cumberland (910)527-3083 Rainbow of Sunshine 000155 MHL-001-094 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 09-May-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Spring Hill Group Home 408 West Trade St Burlington NC 27217 154 Huffine Road Gibsonville NC 27249 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 001460 MHL-001-086 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Haw River Group Home 408 West Trade Street Burlington NC 27217 2150 Haw River-Hopedale Road Haw River(Burlington) NC 27217 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 920038 MHL-001-090 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Aspen Court Group Home 408 West Trade Street Burlington NC 27217 407 Aspen Court Graham NC 27253 Alamance (336)227-1011 "Ralph Scott LifeServices, Inc." 920131 MHL-001-089 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Broad Street Group Home 408 West Trade Street Burlington NC 27217 724 South Broad Burlington NC 27215 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 920580 MHL-001-088 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Huffines Group Home 408 West Trade Street Burlington NC 27215 3372 Huffines Drive Burlington NC 27215 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 920644 MHL-001-087 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lakeside Avenue Group Home 408 West Trade Street Burlington NC 27217 422 Lakeside Avenue Burlington NC 27217 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 920760 MHL-001-091 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 12-Apr-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL McPherson Group Home 408 West Trade Street Burlington NC 27217 400 East McPherson Drive Mebane NC 27302 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 920859 MHL-001-092 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL North Mebane Street Group Home 408 West Trade Street Burlington NC 27217 1422 North Mebane Street Burlington NC 27217 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 921077 MHL-001-093 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 26-Aug-13 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Second Street Group Home 408 West Trade Street Burlington NC 27217 700 South Second Street Mebane NC 27302 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 921093 MHL-017-015 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Seventh Avenue Group Home 408 West Trade Street Burlington NC 27217 164 Seventh Avenue Yanceyville NC 27379 Caswell (336)227-1011 "Ralph Scott Lifeservices, Inc." 921345 MHL-001-095 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 19-Feb-13 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Williamson Avenue Group Home 408 West Trade Street Burlington NC 27217 529 Williamson Avenue Elon NC 27244 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 922412 MHL-001-007 "Ralph Scott Lifeservices, Inc." 01-Mar-84 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Poplar Street Group Home 408 West Trade Street Burlington NC 27217 328 Poplar Street Graham NC 27253 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 922765 MHL-001-008 "Ralph Scott Lifeservices, Inc." 01-Mar-84 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Ralph Scott Lifeservices, Inc." 408 West Trade Street Burlington NC 27217 710 Townbranch Road Graham NC 27253 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 931337 MHL-001-096 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 02-Oct-08 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wildwood Lane Group Home 408 West Trade Street Burlington NC 27217 505 Wildwood Lane Graham NC 27253 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 952105 MHL-001-027 "Ralph Scott Lifeservices, Inc." 23-Aug-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Ralph Scott Lifeservices, inc.-Laramie Drive Group Home" 408 West Trade Street Burlington NC 27217 108 Laramie Drive Mebane NC 27302 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 954539 MHL-001-030 "Ralph Scott Lifeservices, Inc." 10-Mar-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Ralph Scott Lifeservices, Inc./Veterans Drive" 408 West Trade Street Burlington NC 27217 500 Veterans Drive Elon College NC 27244 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 954623 MHL-001-031 "Ralph Scott Lifeservices, Inc." 27-Apr-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Ralph Scott Lifeservices, Inc./Rosemont Street" 408 West Trade Street Burlington NC 27249 304 Rosemont Street Gibsonville NC 27249 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 920498 MHL-017-014 "Ralph Scott Lifeservices, Inc." 01-Oct-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hamer Group Home 408 West Trade Street Burlington NC 27217 4183 Highway 62N Blanch NC 27212 Caswell (336)227-1011 Ralph Scott Lifeservices 980143 MHL-096-078 "ReNu Life, L.L.C." 01-Feb-98 01-Jan-20 31-Dec-20 Type B 30-Jan-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pineview PO Box 1017 Goldsboro NC 27533-1017 304 South Pineview Avenue Goldsboro NC 27530 Wayne (919)734-0266 "ReNu Life, Inc." 980525 MHL-096-088 "ReNu Life, L.L.C." 01-Jun-98 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Tinderwood PO Box 1017 Goldsboro NC 27533-1017 102 Tinderwood Drive Goldsboro NC 27534 Wayne (919)734-0266 ReNu Life Inc. 980600 MHL-096-092 "ReNu Life, L.L.C." 18-Aug-98 01-Jan-20 31-Dec-20 Type A 24-Jul-08 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lakeview PO Box 1017 Goldsboro NC 27533-1017 103 Lakeview Drive Goldsboro NC 27530 Wayne (919)734-0266 "ReNu Life, Inc." 991156 MHL-096-109 "ReNu Life, L.L.C." 16-Dec-99 01-Jan-20 31-Dec-20 Type B 09-May-06 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Taylor Home PO Box 1017 Goldsboro NC 27533-1017 802 South Taylor Street Goldsboro NC 27530 Wayne (919)734-0266 "ReNu Life, LLC" 990772 MHL-034-113 ResCare of North Carolina-EduCare Community Living 28-May-99 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Konnoak Group Home P.O. Box 150 Wilkesboro NC 28697 2901 Konnoak Drive Winston Salem NC 27127 Forsyth (336)788-5543 Community Alternatives - NC 001445 MHL-068-093 "Residential Services, Inc." 07-Dec-00 01-Mar-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI-Aberdeen Group Home 111 Providence Road Chapel Hill NC 27514 106 Aberdeen Court Carrboro NC 27510 Orange (919)942-7391 920974 MHL-068-102 "Residential Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI-Purefoy Road 111 Providence Road Chapel Hill NC 27514 102 Purefoy Road Chapel Hill NC 27514 Orange (919)942-7391 "Residential Services, Inc." 920997 MHL-068-096 "Residential Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI-Umstead Road 111 Providence Road Chapel Hill NC 27514 334 Umstead Drive Chapel Hill NC 27514 Orange (919)942-7391 "Residential Services, Inc." 010376 MHL-068-012 "Residential Services, Inc." 01-Jan-85 01-Jan-19 31-Dec-19 - - - - 8 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Residential Services, Inc. Retirement Center" 111 Providence Road Chapel Hill NC 27514 6310 Mount Hermon Church Road Durham NC 27705 Orange (919)383-4444 "Residential Services, Inc." 010376 MHL-068-012 "Residential Services, Inc." 01-Jan-85 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Residential Services, Inc. Retirement Center" 111 Providence Road Chapel Hill NC 27514 6310 Mount Hermon Church Road Durham NC 27705 Orange (919)383-4444 "Residential Services, Inc." 922576 MHL-068-014 "Residential Services, Inc." 01-Jul-85 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Silo Drive Facility-Chapel Hill 111 Providence Road Chapel Hill NC 27514 111 Silo Drive Chapel Hill NC 27514 Orange (919)942-4172 "Residential Services, Inc.-Debbie Klein" 922862 MHL-068-035 "Residential Services, Inc." 01-Aug-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF West Main Street Facility-Carrboro 111 Providence Road Chapel Hill NC 27514 1003 W. Main Street Carrboro NC 27510 Orange (919)942-6185 Residential Services Inc-Debbie Klein 070504 MHL-068-094 "Residential Services, Inc." 11-Jan-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI - Piney Mount 111 Providence Road Chapel Hill NC 27516 429 Piney Mountain Road Chapel Hill NC 27514 Orange (919)942-7391 "Residential Services, Inc." 940996 MHL-068-098 "Residential Services, Inc." 06-Nov-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI-Clayton Road 111 Providence Road Chapel Hill NC 27514 417 Clayton Road Chapel Hill NC 27514 Orange (919)932-3987 "Residential Services, Inc." 960278 MHL-068-099 "Residential Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI-Hamilton Road 111 Providence Road Chapel Hill NC 27514 237 Hamilton Road Chapel Hill NC 27517 Orange (919)942-7745 "Residential Services, Inc." 970788 MHL-068-132 "Residential Services, Inc." 04-Apr-07 01-Jan-19 31-Dec-19 Type A 02-Mar-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI - Ferrell Road 111 Providence Road Chapel Hill NC 27514 1543 Ferrell Road Chapel Hill NC 27517 Orange (919)967-3110 Residential Svcs. 990456 MHL-068-101 "Residential Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type B 17-Nov-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI-Oleander 111 Providence Road Chapel Hill NC 27514 203 Oleander Drive Carrboro NC 27510 Orange (919)929-3708 "Residential Services, Inc." 990876 MHL-068-089 "Residential Services, Inc." 09-Sep-99 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Quail Roost Group Home (ICF/MR) 111 Providence Road Chapel Hill NC 27514 102 Quail Roost Drive Carrboro NC 27510 Orange (919)960-6167 "Residential Services, Inc.-Debbie Klein" 060755 MHL-068-135 "Residential Services, Inc." 01-Apr-08 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI-Ephesus Church Road 111 Providence Road Chapel Hill NC 27514 1508 Ephesus Church Road Chapel Hill NC 27517 Orange (919)942-3526 "Residential Services, Inc." 921811 MHL-068-100 "Residential Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI - West Ephesus 111 Providence Road Chapel Hill NC 27514 1400 Ephesus Church Road Chapel Hill NC 27517 Orange (919)942-7391 "Residential Services, Inc." 920041 MHL-092-474 "Residential Support Services of Wake County, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type B 30-Aug-10 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Res. Support Svcs. of Wake Co.-Atlantic Ave GH PO Box 98476 Raleigh NC 27624 3416 Atlantic Avenue Raleigh NC 27604 Wake (919)876-8861 Resd'l Support Svcs of Wake Co 920492 MHL-092-473 "Residential Support Services of Wake County, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Res. Support Svcs. of Wake Co.-Hailey Dr G H PO Box 98476 Raleigh NC 27624 408 Hailey Drive Raleigh NC 27606 Wake (919)851-3401 Residential Support Svcs of Wake Co 920777 MHL-092-472 "Residential Support Services of Wake County, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Res. Support Svcs. of Wake Co.-Millbrook Rd GH PO Box 98476 Raleigh NC 27624 300 East Millbrook Road Raleigh NC 27609 Wake (919)847-4612 Resd'l Support Svcs of Wake Co 170225 MHL-092-940 Resources For Human Development 19-Aug-16 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Resources For Human Development "10224 Durant Road, Suite 205" Raleigh NC 27614 1421 Pleasant Garden Lane Raleigh NC 27610 Wake (919)615-1598 "Resources For Human Development, Inc." 130534 MHL-092-888 Resources for Human Development 24-Feb-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lake Lynn 10224 Durant Road Raleigh NC 27614 5519 Marthonna Way Raleigh NC 27616 Wake (919)594-4369 Resources For Human Development 001398 MHL-092-716 "Resources for Human Development, Inc." 10-Jul-08 01-Jan-19 31-Dec-19 Type B 10-Aug-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL New Bailey 10224 Durant Road Suite 205 Raleigh NC 27614 3516 Lytham Place Raleigh NC 27604 Wake (919)255-9263 Resources for Human Development 920480 MHL-048-003 "Roanoke Developmental Center, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 22-Aug-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hyde County Group Home PO Box 967 Plymouth NC 27962 9400 Piney Woods Road Fairfield NC 27826 Hyde (252)926-1833 "Roanoke Developmental Center, Inc." 920483 MHL-089-003 "Roanoke Developmental Center, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type A 14-Jul-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Tyrrell County Group Home PO Box 967 Plymouth NC 27962 601 North Light Street Columbia NC 27925 Tyrrell (252)796-0208 920484 MHL-094-005 "Roanoke Developmental Center, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Washington County Group Home #2 PO Box 967 Plymouth NC 27962 118 Old Roper Road Plymouth NC 27962 Washington (252)793-5524 Washington Co. Grp. Hm. 921308 MHL-094-006 "Roanoke Developmental Center, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Washington County Group Home #3 PO Box 967 Plymouth NC 27962 108 Hampton Drive Plymouth NC 27962 Washington (252)793-3190 080315 MHL-032-445 Robin A. Williams 22-May-08 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fayetteville Street Community Living Home 3622 Lyckan Pkwy Ste 4004 Durham NC 27707 111 North Maple Street Durham NC 27703 Durham (919)596-9801 Robin A. Williams 041588 MHL-082-056 Roslina Teel 02-Dec-05 01-Jan-19 31-Dec-19 Type B 02-Dec-09 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Candii Homes 513 Raleigh Road Suite D Clinton NC 28328 404 East Powell Street Clinton NC 28328 Sampson (910)592-4397 Rosalina Teel 955468 MHL-079-108 "Rouse's Group Home II, Inc." 14-Jun-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Madison Place PO Box 327 Stoneville NC 27048 626 South Madison Street Eden NC 27288 Rockingham (336)623-6464 "Rouses Group Home II, Inc." 955442 MHL-079-109 "Rouse's Group Home II, Inc." 14-Jun-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Academy Place PO Box 327 Stoneville NC 27048 1216 West Academy Street Madison NC 27025 Rockingham (336)427-3051 "Rouse's Group Home II, Inc." 920011 MHL-079-110 "Rouse's Group Home II, Inc." 14-Jun-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Brentwood Manor PO Box 327 Stoneville NC 27048 185 Brentwood Drive Reidsville NC 27320 Rockingham (336)347-0217 "Rouse's Group Home II, Inc." 920010 MHL-079-111 "Rouse's Group Home II, Inc." 14-Jun-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Eugene Drive PO Box 327 Stoneville NC 27048 601 Eugene Street Reidsville NC 27320 Rockingham (336)342-4761 "Rouse's Group Home II, Inc." 956253 MHL-079-112 "Rouse's Group Home II, Inc." 14-Jun-10 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Woodland Place PO Box 327 Stoneville NC 27048 1307 Woodland Drive Reidsville NC 27320 Rockingham (336)342-4454 "Rouse's Group Home II, Inc." 956252 MHL-079-113 "Rouse's Group Home II, Inc." 14-Jun-10 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Church Street PO Box 327 Stoneville NC 27048 908 Church Street Eden NC 27288 Rockingham (336)623-0740 "Rouse's Group Home II, Inc." 971239 MHL-079-118 "Rouse's Group Home II, Inc." 01-Jun-11 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Westerly Park Home P.O. Box 327 Stoneville NC 27048 229 Cedar Street Eden NC 27288 Rockingham (336)623-5899 "Rouse's Group Home II, Inc." 922506 MHL-079-004 "Rouse's Group Home, Inc." 01-Jul-86 01-Jan-19 31-Dec-19 - - - - 30 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Rouse's Group Homes P. O. Box 16 Stoneville NC 27048 5949 NC 135 Stoneville NC 27048 Rockingham (336)427-2562 960838 MHL-079-047 "Rouse's Group Home, Inc." 20-Nov-97 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Rouse's Group Home #6 P. O. Box 16 Stoneville NC 27048 5820 NC Highway 135 Stoneville NC 27048 Rockingham (336)908-3307 "Rouse's Group Homes, Inc." 990245 MHL-079-053 "Rouse's Group Home, Inc." 04-Mar-99 01-Jan-19 31-Dec-19 Type A 23-Jan-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cedar Place P.O. Box 16 Stoneville NC 27048 1103 Center Church Road Eden NC 27288 Rockingham (336)627-3507 "Rouse's Group Homes, Inc." 010081 MHL-076-108 "Russell House, LLC" 05-Apr-12 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Russell House, LLC" 1808 Pinecrest Street Burlington NC 27215 1691 Old Buffalo Ford Road Asheboro NC 27205 Randolph (336)672-0169 031011 MHL-092-902 Russell Meadows Institute 20-Oct-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RUSMED 1 308C W. Millbrook Rd Raleigh NC 27609 2104 Winnie Place Raleigh NC 27603 Wake (919)758-8190 Russell Meadows Institute 041572 MHL-092-935 Russell Meadows Institute 21-Dec-15 01-Jan-19 31-Dec-19 Type B 27-Oct-17 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rusmed III "308 W. Millbrook Rd., Ste. C" Raleigh NC 27609 5401 Orchard Pond Drive Raleigh NC 27616 Wake (919)862-1929 Russell Meadows Institute 050481 MHL-041-773 "SHFP, Inc." 25-Jan-06 01-Jan-19 31-Dec-19 Type A 06-Apr-15 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Servant's Heart 3706 Old Battleground Rd Greensboro NC 27410 1921 New Garden Road K107 Greensboro NC 27410 Guilford (336)282-9025 "SHFP, Inc." 100093 MHL-041-975 "SHFP, Inc." 01-Jul-10 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Servant's Heart III 3706 Old Battleground Rd Greensboro NC 27410 "3317 Horse Pen Creek Road, Apt. 1B" Greensboro NC 27410 Guilford (336)282-5965 "SHFP, Inc." 100936 MHL-041-995 "SHFP, Inc." 01-Dec-10 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Servant's Heart II 3706 Old Battleground Rd Greensboro NC 27410 9 Dunchurch Court Greensboro NC 27455 Guilford (336)617-4406 "SHFP, Inc." 150347 MHL-041-1121 "SHFP, Inc." 21-Sep-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Servant's Heart IV 3706 Old Battleground Rd Greensboro NC 27410 3215-A Stoneburg Court Greensboro NC 27409 Guilford (336)665-7074 "SHFP, Inc." 970212 MHL-032-440 "Securing Resources for Consumers, Inc." 03-Apr-08 01-Jan-19 31-Dec-19 Type A 16-Dec-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Securing Resources for Consumers, Inc." "3711 University Drive, Suite C" Durham NC 27707 1809 Collier Drive Durham NC 27707 Durham (919)251-8337 090971 MHL-032-456 "Securing Resources for Consumers, Inc." 18-Aug-08 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Securing Resources for Consumers, Inc. #2" "3711 University Drive, Suite C" Durham NC 27707 10 Meadow Crest Drive Durham NC 27703 Durham (919)251-8532 "Securing Resources for Consumers, Inc." 030398 MHL-047-148 Serenity Therapeutic Services Incorporated 01-Mar-12 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services #6 PO Box 64136 Fayetteville NC 28306 10147 Rockfish Road Raeford NC 28376 Hoke (910)248-6038 Serenity Therapeutic Services Incorporated 030346 MHL-047-136 "Serenity Therapeutic Services, Inc." 01-Jan-11 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services #4 P.O. Box 64136 Fayetteville NC 28306 332 South Main Street Raeford NC 28376 Hoke (910)683-6072 "Serenity Therapeutic Services, Inc." 021022 MHL-047-154 "Serenity Therapeutic Services, Inc." 18-Dec-13 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services #8 PO Box 64136 Fayetteville NC 28306 406 North Wright Street Raeford NC 28376 Hoke (910)479-1333 "Serenity Therapeutic Services, Inc." 140256 MHL-047-125 "Serenity Therapeutic Services, Inc." 09-Feb-10 01-Jan-19 31-Dec-19 Type A 25-Aug-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services #7 P.O. Box 64136 Fayetteville NC 28306 152 Sandspur Court Raeford NC 28376 Hoke (910)875-1414 "Serenity Therapeutic Services, Inc." 140445 MHL-047-156 "Serenity Therapeutic Services, Inc." 19-Mar-14 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services #1 207 South Stewart St Raeford NC 28376 3647 Hwy. 401 Raeford NC 28376 Hoke (910)565-3417 "Serenity Therapeutic Services, Inc" 130249 MHL-026-890 "Serenity Therapeutic Services, Inc." 27-Apr-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services #2 PO Box 64136 Fayetteville NC 28306 1446 Sand Hill Road Hope Mills NC 28348 Cumberland (910)263-8773 "Serenity Therapeutic Services, Inc." 150091 MHL-026-892 "Serenity Therapeutic Services, Inc." 15-May-10 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services #3 207 S. Stewart St Raeford NC 28376 2299 Dockwood Court Fayetteville NC 28306 Cumberland (910)568-4507 "Serenity Therapeutic Services, Inc." 170016 MHL-026-963 "Serenity Therapeutic Services, Inc." 10-Mar-17 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services #9 207 South Stewart Street Raeford NC 28376 4739 South Main Street Hope Mills NC 28348 Cumberland (910)987-1438 "Serenity Therapeutic Services, Inc." 170374 MHL-047-135 "Serenity Therapeutic Services, Inc." 01-Jan-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services #5 207 S. Stewart Street Raeford NC 28376 311 Woodberry Circle Raeford NC 28376 Hoke (910)248-6801 "Serentiy Therapeutic Services, Inc." 180017 MHL-026-965 "Serenity Therapeutic Services, Inc." 19-Feb-18 01-May-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services #10 207 S Stewart Street Raeford NC 28376 1908 Merrimac Drive Fayetteville NC 28314 Cumberland (910)500-9032 "Serenity Therapeutic Services, Inc." 180277 MHL-047-167 "Serenity Therapeutic Services, Inc." 26-Jul-18 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services #11 207 S Stewart Street Raeford NC 28376 1021 East Donaldson Avenue Raeford NC 28376 Hoke (910)248-6249 "Serenity Therapeutic Services, Inc." 921318 MHL-001-081 Sheila C. Smith 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL West Hillcrest DDA Home 925 South Church Street Burlington NC 27215 925 South Church Street Burlington NC 27215 Alamance (336)227-3845 920774 MHL-001-233 Shemia L. Garner 14-Nov-13 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Garner's House of Grace P.O. Box 844 Burlington NC 27216 914 Dixie Street Burlington NC 27217 Alamance (336)350-8478 Shemia L. Garner 130092 MHL-026-964 "ShineLight, Inc." 09-Jun-10 01-Jan-19 31-Dec-19 Type A 04-Apr-14 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL College Lakes 203 Rowan Street Fayetteville NC 28301 5104 Flatrock Drive Fayetteville NC 28311 Cumberland (910)488-6323 "ShineLight, Inc." 080661 MHL-043-089 Shirley Spears 09-Jul-12 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Redemption Alternative Living Center 1011 North McKay Avenue Dunn NC 28334 410 West Edgerton Street Dunn NC 28334 Harnett (910)891-1463 Shirley Spears 170183 MHL-001-252 Signal D. Mitchell 10-Aug-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Motivational Residential Care 325 Meadowbrook Drive Burlington NC 27215 164 Graves Street Burlington NC 27215 Alamance (336)295-2194 Signal D. Mitchell 180254 MHL-001-258 Signal D. Mitchell 27-Nov-18 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Motivational Residential Care II 2502 Briarwood Drive Burlington NC 27215 2502 Briarwood Drive Burlington NC 27215 Alamance (336)833-5141 Signal D. Mitchell 020023 MHL-096-127 "Skill Creations, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 Type B 23-Apr-15 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL SCI-Mar Mac P.O. Box 979 Goldsboro NC 27533-0979 509 Ridge Drive Goldsboro NC 27530 Wayne (919)580-0073 "Skill Creations, Inc." 921869 MHL-012-019 "Skill Creations, Inc." 01-Oct-90 01-Jan-19 31-Dec-19 Type A 13-Apr-15 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL SCI-Emergent Need Respite Center PO Box 1403 Lenior NC 28645 101 Poplar Street Morganton NC 28655 Burke (828)584-2122 SCI-ENRC 922519 MHL-064-012 "Skill Creations, Inc." 01-Apr-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-Nash House I PO Box 1664 Goldsboro NC 27533 1045 Kinchen Drive Rocky Mount NC 27803 Nash (252)442-1055 "Skill Creations, Inc." 922520 MHL-064-013 "Skill Creations, Inc." 01-Apr-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-Nash House II PO Box 1664 Goldsboro NC 27583-1664 3505 Hawthorne Road Rocky Mount NC 27803 Nash (252)443-4383 "Skill Creations, Inc." 922521 MHL-065-028 "Skill Creations, Inc." 01-Dec-90 01-Jan-19 31-Dec-19 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-Coastal House I and II PO Box 1664 Goldsboro NC 27533 1972&1974 West Lake Shore Drive Wilmington NC 28401 New Hanover (910)762-7111 "Skill Creations, Inc." 922523 MHL-031-009 "Skill Creations, Inc." 01-Jun-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-Duplin House PO Box 1664 Goldsboro NC 27533-1664 120 Orville Street Warsaw NC 28398 Duplin (910)293-3068 "Skill Creations, Inc." 922524 MHL-074-032 "Skill Creations, Inc." 01-Nov-92 01-Jan-19 31-Dec-19 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-East P.O. Box 1664 Goldsboro NC 27533-1664 338 & 348 East Cooper Street Winterville NC 28590 Pitt (252)321-3099 922526 MHL-032-071 "Skill Creations, Inc." 01-Aug-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-Triangle House I PO Box 1664 Goldsboro NC 27583-1664 1406 Tyonek Drive Durham NC 27703 Durham (919)596-4168 Casey B Johnson 922527 MHL-032-070 "Skill Creations, Inc." 01-Aug-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-Triangle House II PO Box 1664 Goldsboro NC 27583-1664 1523 Tyonek Drive Durham NC 27703 Durham (919)596-0619 Casey B. Johnson 922587 MHL-074-012 "Skill Creations, Inc." 01-Apr-88 01-Jan-19 31-Dec-19 - - - - 15 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Skill Creations of Greenville PO Box 1664 Goldsboro NC 27533-1664 2701 West Fifth Street Greenville NC 27835 Pitt (252)752-8869 "Skill Creations, Inc." 942586 MHL-082-003 "Skill Creations, Inc." 01-Jul-86 01-Jan-19 31-Dec-19 - - - - 15 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Skill Creations of Clinton P.O. Box 1664 Goldsboro NC 27533-1664 223 Forest Trail Drive Clinton NC 28328 Sampson (910)592-0110 Casey B. Johnson 942591 MHL-053-001 "Skill Creations, Inc." 01-Jan-87 01-Jan-19 31-Dec-19 - - - - 15 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Skill Creations of Sanford PO Box 1664 Goldsboro NC 27533-1664 1751 Hawkins Avenue Sanford NC 27330 Lee (919)775-5622 "Skill Creations, Inc." 944538 MHL-096-034 "Skill Creations, Inc." 29-Dec-93 01-Jan-19 31-Dec-19 Type B 20-Apr-15 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL SCI-Mt. Olive P.O. Box 979 Goldsboro NC 27533-0979 600 West John Street Mt. Olive NC 28365 Wayne (919)658-8815 "Skill Creations, Inc" 944940 MHL-042-015 "Skill Creations, Inc." 03-Aug-93 01-Jan-19 31-Dec-19 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-Roanoke House PO Box 1664 Goldsboro NC 27533-1664 103&105 Clearfield Drive Roanoke Rapids NC 27870 Halifax (252)308-0900 "Skill Creations, Inc." 970237 MHL-096-062 "Skill Creations, Inc." 06-Feb-97 01-Jan-19 31-Dec-19 Type B 28-Nov-11 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL SCI-Simmons P.O. Box 979 Goldsboro NC 27533-0979 801 Simmons Street Goldsboro NC 27530 Wayne (919)734-1456 "Skill Creations, Inc" 980025 MHL-033-024 "Skill Creations, Inc." 18-Dec-97 09-May-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL SCI-Pinetops Group Home P.O. Box 979 Goldsboro NC 27533-0979 310 South Deputy David Sean Manning Street Pinetops NC 27864 Edgecombe (252)827-2024 "Skill Creations, Inc." 921860 MHL-012-105 "Skill Creations, Inc." 01-Jul-06 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-Burke ICF/MR Group Home PO Box 1403 Lenoir NC 28645 101 Stephens Drive Morganton NC 28655 Burke (828)438-6243 Danielle Allen 000052 MHL-011-400 "Skill Creations, Inc." 03-Oct-16 01-Jan-19 31-Dec-19 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Davis House PO Box 1403 Lenoir NC 28645 104 Glen Falls Road Asheville NC 28804 Buncombe (828)254-6713 "Skill Creations, Inc." 000400 MHL-008-014 "Solid Foundation Facilities, Inc." 15-Jun-00 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL West Creek 224 Ward Road Windsor NC 27983 220-B Ward Road Windsor NC 27983 Bertie (252)794-4610 Solid Foundation Facilities Inc. 961028 MHL-008-006 "Solid Foundation Facilities, Inc." 03-Dec-96 01-Jan-19 31-Dec-19 Type A 06-Feb-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Farmwood 224 Ward Road Windsor NC 27983 220 Ward Road Windsor NC 27983 Bertie (252)794-4743 990506 MHL-008-012 "Solid Foundation Facilities, Inc." 04-Jun-99 01-Jan-19 31-Dec-19 Type A 13-Sep-06 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL East Creek 224 Ward Road Windsor NC 27983 222-B Ward Road Windsor NC 27983 Bertie (252)794-3392 970807 MHL-008-045 "Solid Foundation Facilities, Inc." 29-Oct-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hillcrest Place 224 Ward Road Windsor NC 27983 110 Hillcrest Drive Windsor NC 27983 Bertie (252)794-4526 "Rodgers Investments, LLC" 944931 MHL-037-003 "Solid Foundation Facilities, Inc." 01-Mar-11 01-Jan-20 31-Dec-20 Type A 17-Sep-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Gates Taylor 224 Ward Road Windsor NC 27983 259 Taylor Mill Road Eure NC 27935 Gates (252)357-4215 Cynthia Rodgers 922312 MHL-066-023 "Solid Foundation Facilities, Inc." 01-Mar-11 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Northampton Cherry 224 Ward Road Windsor NC 27983 112 Cherry Street Woodland NC 27897 Northampton (252)587-3276 "Solid Foundation Facilities, Inc." 921968 MHL-046-034 "Solid Foundation Facilities, Inc." 01-Mar-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hertford East 224 Ward Road Windsor NC 27983 516 East Church Street Ahoskie NC 27910 Hertford (252)332-3515 "Solid Foundation Facilities, Inc." 944482 MHL-008-050 "Solid Foundation Facilities, Inc." 01-Mar-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bertie Camden 224 Ward Road Windsor NC 27983 301 West Camden Street Windsor NC 27983 Bertie (252)794-6544 "Solid Foundation Facilities, Inc." 060550 MHL-070-054 "Solid Foundation Facilities, Inc." 18-May-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Emerald Lake 224 Ward Road Windsor NC 27983 "1504 Emerald Lake Circle, Apt. 102" Elizabeth City NC 27909 Pasquotank (252)335-0299 "Solid Foundation Facilities, Inc." 050466 MHL-072-010 "Solid Foundation Facilities, Inc." 18-May-11 01-Jan-19 31-Dec-19 Type B 27-Aug-14 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Christian Court 224 Ward Road Windsor NC 27983 126 Christian Court Hertford NC 27944 Perquimans (252)264-2067 "Solid Foundation Facilities, Inc." 960448 MHL-008-053 "Solid Foundation Facilities, Inc." 14-Jun-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Corday Place 224 Ward Road Windsor NC 27983 222 Ward Road Windsor NC 27983 Bertie (252)794-2066 "Solid Foundation Facilities, Inc." 140244 MHL-070-055 "Solid Foundation Facilities, Inc." 18-May-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rosewood Court 224 Ward Road Windsor NC 27983 116 Ida Acres Elizabeth City NC 27909 Pasquotank (252)335-0353 "Solid Foundations Facilities, Inc." 061369 MHL-033-052 "Someone Does Care, LLC" 24-Aug-07 01-Jan-19 31-Dec-19 Type B 27-Nov-17 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Someone Does Care P.O. BOX 1232 Tarboro NC 27886 601 West Walnut Street Tarboro NC 27886 Edgecombe (252)641-2734 "Someone Does Care, LLC" 060354 MHL-032-441 Sonja R Hazelwood 08-Apr-08 01-Jan-19 31-Dec-19 Suspension of Admission 23-Mar-18 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL TLC Adult Group Home PO Box 11998 Durham NC 27703 603 Dunbar Street Durham NC 27712 Durham (919)294-4677 Sonja R. Hazelwood 010077 MHL-026-619 "Sophia B. Pierce & Associates, Inc." 19-Jun-01 01-Jan-19 31-Dec-19 Type A 12-Dec-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sunny Acres Group Home PO Box 2813 Fayetteville NC 28302 611 Country Club Drive Fayetteville NC 28301 Cumberland (910)630-6818 Sophia B. Pierce and Associates 932314 MHL-026-125 "Sophia B. Pierce & Associates, Inc." 01-Feb-93 01-Jan-19 31-Dec-19 Type A 11-Jul-08 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Northside Group Home PO Box 2813 Fayetteville NC 28302 3301 Barksdale Road Fayetteville NC 28301 Cumberland (910)822-4455 "Sophia B. Pierce & Associates, Inc." 050460 MHL-041-770 "Special ""K"" Services, Inc." 21-Dec-05 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Special ""K"" Services" 825 Nestleway Drive Greensboro NC 27406 825 Nestleway Drive Greensboro NC 27406 Guilford (336)312-1316 960190 MHL-092-227 "Specialized Services & Personnel, Inc." 14-Mar-96 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bushberry Residential "P.O. Box 1284, 609 Bethesda Rd" Aberdeen NC 28315 105 Bushberry Court Garner NC 27529 Wake (919)662-1085 "Specialized Services & Personnel, Inc." 051153 MHL-063-052 "Specialized Services & Personnel, Inc." 23-Apr-99 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Alan Circle PO Box 1356 Aberdeen NC 28315 1222 Pee Dee Road Aberdeen NC 28315 Moore (910)944-7675 "Specialized Services & Personnel, Inc." 921135 MHL-026-653 "Spigner Management Systems, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Spigner DDA Group Home PO Box 758 Fayetteville NC 28302 205 Scott Avenue Fayetteville NC 28301 Cumberland (910)551-1192 040949 MHL-067-157 "Spirit of Excellence Community Outreach, Inc." 02-Nov-04 01-Jan-19 31-Dec-19 Type A 05-Apr-18 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Guardian Care 2 123 Henderson Drive Jacksonville NC 28540 510 Crissy Drive Jacksonville NC 28541 Onslow (910)238-4330 Guardian Care 2 920486 MHL-034-361 "Springwell Network, Inc." 28-Mar-17 01-Jan-20 31-Dec-20 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Springwell Network, Inc.-Ebert Street Group Home" 3820 North Patterson Avenue Winston-Salem NC 27105 3830 Ebert Street Winston-Salem NC 27127 Forsyth (336)785-2635 "Springwell Network, Inc." 960163 MHL-034-362 "Springwell Network, Inc." 28-Mar-17 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Springwell Network, Inc.-Brandywine Road Group Home" 3820 North Patterson Avenue Winston-Salem NC 27105 2588 Brandywine Road Winston-Salem NC 27103 Forsyth (336)765-6601 "Springwell Network, Inc." 920487 MHL-034-363 "Springwell Network, Inc." 28-Mar-17 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Springwell Network, Inc.-Independence Road Group Home" 3820 North Patterson Avenue Winston-Salem NC 27105 2001 Independence Road Winston-Salem NC 27106 Forsyth (336)924-0136 "Springwell Network, Inc." 920485 MHL-034-364 "Springwell Network, Inc." 28-Mar-17 01-Jan-20 31-Dec-20 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Springwell Network, Inc.-Pressman Drive Group Home" 3820 North Patterson Avenue Winston-Salem NC 27105-2643 5130 Pressman Drive Winston-Salem NC 27105 Forsyth (336)831-1300 000491 MHL-034-366 "Springwell Network, Inc." 28-Mar-17 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Springwell Network, Inc.-Raven Ridge Road Group Home" 3820 North Patterson Avenue Winston-Salem NC 27105 460 Raven Ridge Drive Kernersville NC 27284 Forsyth (336)772-3649 "Springwell Netowrk, Inc." 920488 MHL-034-367 "Springwell Network, Inc." 28-Mar-17 01-Jan-20 31-Dec-20 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Springwell Network, Inc.-Stockton Street Group Home" 3820 North Patterson Avenue Winston-Salem NC 27105 3250 Stockton Street Winston-Salem NC 27127 Forsyth (336)788-5768 920749 MHL-085-040 "Springwell Network, Inc." 28-Mar-17 01-Jan-20 31-Dec-20 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Springwell Network Inc.-McGee Court Group Home 3820 N. Patterson Avenue Winston-Salem NC 27105 100 McGee Court King NC 27021 Stokes (336)983-9184 "Springwell Network, Inc." 952775 MHL-060-147 St. Mark's Incorporated - Lifespan 01-Aug-91 01-Jan-20 31-Dec-20 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Tuckaseegee Group Home "1511 Shopton Rd, Suite A" Charlotte NC 28217 5400 Tuckasgee Road Charlotte NC 28208 Mecklenburg (704)393-9376 970538 MHL-092-338 "St. Marks Manor, Inc." 14-Jan-99 01-Jan-19 31-Dec-19 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL St. Mark's Manor PO Box 1057 Holly Springs NC 27540 3735 Heritage Meadow Lane Holly Springs NC 27540 Wake (919)363-5311 "St. Marks Manor, Inc." 100699 MHL-064-088 Stacy Davenport Baird 06-Mar-08 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Welcome Home Group Home II 1522 Glen Eagle Court Nashville NC 27856 1522 Glen Eagle Court Nashville NC 27856 Nash (252)813-5557 Stacy Vee Davenport 120268 MHL-062-035 Sue S. Sparks 27-Jul-12 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL D & S Country Manor PO Box 146 Seagrove NC 27341 3963 NC ALT 220 HWY N Seagrove NC 27341 Montgomery (336)873-1010 Sue S. Sparks 920033 MHL-005-020 "Summit Support Services of Ashe, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Summit Support Services of Ashe, Inc. - Ark" PO Box 381 Jefferson NC 28640 342 Long Street Jefferson NC 28640 Ashe (336)846-6534 920034 MHL-005-019 "Summit Support Services of Ashe, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Summit Support Services of Ashe-Lighthouse PO Box 381 Jefferson NC 28640-0381 120 Ashe Street Jefferson NC 28640 Ashe (336)846-2777 971063 MHL-098-037 "Sunshine Homecare, Inc." 28-Aug-97 01-Jan-19 31-Dec-19 Type B 23-Aug-07 - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sunshine P. O. Box 18 Saratoga NC 27873 5006 Archers Road Wilson NC 27873 Wilson (252)281-4044 944619 MHL-086-019 "Surry-Yadkin Residential Services, Inc." 15-Apr-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Sydnor Street Group Home 401 South Main Street Suite 100 Mt. Airy NC 27030 134 Sydnor Street Mt. Airy NC 27030 Surry (336)789-3451 Surry-Yadkin Residential Services 944787 MHL-086-020 "Surry-Yadkin Residential Services, Inc." 04-May-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Park Drive Group Home "401 South Main Street, Suite 100" Mt. Airy NC 27030 1305 Park Drive Mt. Airy NC 27030 Surry (336)789-6697 Surry-Yadkin Residential Svcs 070740 MHL-041-1176 "Sylvanglade Services, Inc." 26-Feb-19 26-Feb-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sylvanglade #2 108 Winola Court Greensboro NC 27409 4921 Sylvanglade Road McLeansville NC 27301 Guilford (336)621-5961 "Sylvanglade Services, Inc." 030166 MHL-075-021 "Synergy in Action, Inc." 20-Mar-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Peniel #1 "20 Jervey Road, Suite 102" Tryon NC 28782-3656 2936 Peniel Road Tryon NC 28782 Polk (828)894-8260 "Synergy In Action, Inc." 040617 MHL-075-023 "Synergy in Action, Inc." 01-Jun-09 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Holly Hill 20 Jervey Road Suite 102 Tryon NC 28782 84 Holly Hill Drive Columbus NC 28722 Polk (828)894-0275 "Synergy In Action, Inc." 070741 MHL-081-082 "Synergy in Action, Inc." 01-Jun-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Thermal Drive "20 Jervery Road, Suite 102" Tryon NC 28782 149 Thermal Drive Forest City NC 28043 Rutherford (828)288-6826 "Synergy In Action, Inc." 030087 MHL-075-022 "Synergy in Action, Inc." 01-Jun-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Peniel #2 20 Jervey Road Suite 102 Tryon NC 28782 2960 Peniel Road Tryon NC 28782 Polk (828)859-0585 "Synergy In Action, Inc." 921531 MHL-075-025 "Synergy in Action, Inc." 01-Jan-12 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Lighthouse "20 Jervey Rd., Ste. 102" Tryon NC 28782 85 Mimosa Inn Lane Tryon NC 28782 Polk (828)859-9770 "Synergy In Action, Inc." 140249 MHL-092-267 "TLC Operations, Inc." 28-Feb-97 01-Jan-19 31-Dec-19 Type B 09-Apr-19 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rose Home 739 Chappell Drive Raleigh NC 27606 209 Rose Street Cary NC 27511 Wake (919)694-5242 Holly Richard 170515 MHL-065-264 "TLC Operations, Inc." 22-Mar-19 29-Apr-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wilmington Home 739 Chappell Drive Raleigh NC 27606 28 Beauregard Drive Wilmington NC 28412 New Hanover (919)769-1960 "TLC Operations, Inc." 070715 MHL-092-698 "TLC Operations, LLC" 29-Nov-07 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Montreal Court Home 739 Chappell Drive Raleigh NC 27606 303 North Montreal Court Cary NC 27511 Wake (919)832-3909 TLC Operations Inc c/o Holly Richard 060506 MHL-032-383 Tammy D. Carrington-Hatley 20-Oct-06 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Melody House PO Box 11343 Durham NC 27703 2727 Marlin Dr Durham NC 27703 Durham (919)864-9027 030534 MHL-054-177 Teresa Whitfield 13-Jul-16 01-Jan-19 31-Dec-19 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hills DDA Group Home #2 3373 Hwy 903N Lagrange NC 28551 2017 East Ridge Circle Kinston NC 28501 Lenoir (252)522-4869 Teresa Whitfield 941829 MHL-029-026 "The ARC of Davidson County, Inc." 01-May-92 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Davidson #1 1900 South Main Street Lexington NC 27292 108 Fairview Drive Lexington NC 27292 Davidson (336)249-2533 "ARC of Davidson County, Inc." 942135 MHL-029-029 "The ARC of Davidson County, Inc." 01-May-92 01-Jan-19 31-Dec-19 Type A 16-Jan-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Davidson #4 1900 South Main Street Lexington NC 27292 125 Delta Street Lexington NC 27292 Davidson (336)248-2518 "ARC of Davidson County, Inc." 942136 MHL-029-028 "The ARC of Davidson County, Inc." 01-May-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Davidson #3 1900 South Main Street Lexington NC 27292 700 Hunters Way Lexington NC 27292 Davidson (336)249-0037 "ARC of Davidson County, Inc." 942563 MHL-029-027 "The ARC of Davidson County, Inc." 01-May-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Davidson #2 1900 South Main Street Lexington NC 27292 434 Shannon Drive Lexington NC 27292 Davidson (336)357-5153 "ARC of Davidson County, Inc." 920513 MHL-044-036 "The ARC of Haywood County, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Haywood County Group Home #4 407 Welch Street Waynesville NC 28786 185 Farley Street Waynesville NC 28786 Haywood (828)452-3613 Administrator of Residential Svcs. 070277 MHL-044-034 "The ARC of Haywood County, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Maple Street Home 407 Welch Street Waynesville NC 28786 75 Maple Street Waynesville NC 28786 Haywood (828)454-1970 "The ARC of Haywood County, Inc." 921958 MHL-044-008 "The Arc of Haywood County, Inc." 01-Oct-87 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Haywood County Group Home #3 407 Welch Street Waynesville NC 28786 401 Woodlawn Circle Clyde NC 28721 Haywood (828)627-3822 001321 MHL-024-026 "The Asbury Homes, Inc." 17-Jul-96 01-Jan-19 31-Dec-19 Type B 10-Jul-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Goremont 11337 Joe Brown Hwy South Tabor City NC 28463 11337 Joe Brown Hwy South Tabor City NC 28463 Columbus (910)653-5050 980611 MHL-026-462 "The Autism Society of North Carolina, Inc." 22-Jun-98 01-Jan-19 31-Dec-19 Type B 25-Jun-12 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chestnut Hills Group Home 5121 Kingdom Way Suite 100 Raleigh NC 27607 709 Edgehill Road Fayetteville NC 28314 Cumberland (910)864-1752 Autism Society of NC 040326 MHL-070-039 "The Benjamin House, Inc." 11-Jan-06 01-Jan-19 31-Dec-19 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Benjamin House P.O. Box 757 Elizabeth City NC 27907 102 Meads Pool Road Elizabeth City NC 27909 Pasquotank (252)337-7171 Lennie L. Hughes 921680 MHL-074-259 The Charles Lea Center 14-Aug-19 14-Aug-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bethel Home 203 Commerce Street Greenville NC 27858 199 West Washington Street Bethel NC 27812 Pitt (252)818-0003 The Charles Lea Center 011167 MHL-026-809 "The Janice Mae Hawkins Foundation, Inc." 11-Aug-05 01-Jan-19 31-Dec-19 Type B 05-Dec-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL S&S Spoonridge Group Home 3359 Gables Drive Fayetteville NC 28301 723 Glen Reilly Road Fayetteville NC 28314 Cumberland (910)500-2636 Sheryl A. Lyons 922086 MHL-032-049 "The Keywest Center, Inc." 01-Mar-90 01-Jan-19 31-Dec-19 Type B Imposed 03-Aug-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Keywest Center 1722 Athens Avenue Durham NC 27707 1722 Athens Avenue Durham NC 27707 Durham (919)682-9392 "Key West Center, Inc." 030985 MHL-026-761 "The Loving Home, Inc." 28-Feb-03 01-Jan-20 31-Dec-20 Type A 20-Jul-16 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "The Loving Home, Inc." 208 Puddingstone Fayetteville NC 28303 4944 Macedonia Church Road Fayetteville NC 28312 Cumberland (910)485-4742 "The Loving Home, Inc." 061352 MHL-026-826 "The Loving Home, Inc." 27-Sep-06 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "The Loving Home, Inc. #2" 208 Puddingstone Fayetteville NC 28311 2162 Dobbin Holmes Road Fayetteville NC 28312 Cumberland (910)483-2528 "The Loving Home, Inc." 020114 MHL-026-883 "The Loving Home, Inc." 31-Dec-09 01-Jan-20 31-Dec-20 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "The Loving Home, Inc. #5" 208 Puddingstone Fayetteville NC 28311 3581 Torbay Drive Fayetteville NC 28311 Cumberland (910)488-4242 "The Loving Home, Inc." 001234 MHL-026-882 "The Loving Home, Inc." 30-Dec-09 10-Apr-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "The Loving Home, Inc. #3" 208 Puddingstone Fayetteville NC 28303 3608 Thorndike Drive Fayetteville NC 28311 Cumberland (910)488-4089 "The Loving Home, Inc." 120013 MHL-026-884 "The Loving Home, Incorporated" 30-Dec-09 01-Jan-20 31-Dec-20 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "The Loving Home, Inc. #4" 208 Puddingstone Fayetteville NC 28303 1710 Scampton Road Fayetteville NC 28303 Cumberland (910)488-5468 "The Loving Home, Inc." 010891 MHL-029-024 "The Workshop of Davidson Group Homes, Inc." 01-May-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Workshop of Davidson-Group Home #1-Women PO Box 906 Lexington NC 27293 509 Shoaf Street Lexington NC 27292 Davidson (336)248-2991 The Workshop of Davidson 921740 MHL-029-025 "The Workshop of Davidson Group Homes, Inc." 01-May-92 01-Jan-19 31-Dec-19 Type A 01-Apr-09 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Workshop of Davidson-Group Home II(Men) P.O. Box 906 Lexington NC 27293 226 West Ninth Street Lexington NC 27292 Davidson (336)243-1656 921408 MHL-076-012 "Therapeutic Alternatives, Inc." 01-Jul-91 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL AVB Care Center PO Box 814 Randleman NC 27317 706 Liberty Street Ramseur NC 27316 Randolph (336)824-4504 Therapeutic Alternative 921554 MHL-076-011 "Therapeutic Alternatives, Inc." 01-Jul-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Forest Park House PO Box 814 Randleman NC 27317 2910 Forest Park Drive Randleman NC 27317 Randolph (336)495-6780 "Therapeutic Alternatives, Inc." 980202 MHL-076-047 "Therapeutic Alternatives, Inc." 16-Feb-98 01-Jan-19 31-Dec-19 Type B 01-Jul-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Providence Group Home PO Box 814 Randleman NC 27317 941 East Salisbury Street Asheboro NC 27203 Randolph (336)626-5884 "Therapeutic Alternatives, Inc." 140076 MHL-092-968 Thomas Supervised Care 15-Feb-19 15-Feb-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Thomas Supervised Care-Beaufain 7016 Beaverwood Dr Raleigh NC 27616 4006 Beaufain Street Raleigh NC 27604 Wake (919)977-3288 Thomas Supervised Care 010653 MHL-092-969 Thomas Supervised Care 15-Feb-19 15-Feb-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Thomas Supervised Care-Havering 7016 Beaverwood Dr Raleigh NC 27616 2304 Havering Place Raleigh NC 27604 Wake (919)977-8705 Thomas Supervised Care 120658 MHL-073-065 "Thursher G. Winstead Carehouse, Inc." 15-Mar-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Building Connections 1579 Semora Road Roxboro NC 27574 1865 Semora Road Roxboro NC 27574 Person (336)597-2104 "Thursher G. Winstead Carehome, Inc." 120658 MHL-073-065 "Thursher G. Winstead Carehouse, Inc." 15-Mar-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Building Connections 1579 Semora Road Roxboro NC 27574 1865 Semora Road Roxboro NC 27574 Person (336)597-2104 "Thursher G. Winstead Carehome, Inc." 921244 MHL-076-062 Thyllis Smith 15-Jun-01 01-Jan-19 31-Dec-19 Type B 13-Jul-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL A Touch From The Heart P O Box 1165 Ramseur NC 27316 339 Ramseur Julian Road Ramseur NC 27316 Randolph (336)824-1063 101050 MHL-041-1180 Tiffini M. Simpson 02-Aug-19 02-Aug-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cynthia's Heart "2205 Woodleaf Rd., Apt. 6F" Salisbury NC 28147 3113 McConnell Road Greensboro NC 27405 Guilford (336)763-0114 Tiffini M. Simpson 932575 MHL-012-118 Tonia Carpenter Donnell 15-Mar-10 01-Jan-19 31-Dec-19 Type B 31-Aug-15 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Our Place Group Home 166 VFW Road Morganton NC 28655 166 VFW Road Morganton NC 28655 Burke (828)433-1144 Our Place Group Home 130225 MHL-034-319 "Top Priority Care Services, LLC" 05-Mar-14 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL J. Edwards Home "4401 Providence Lane, Ste. 101" Winston-Salem NC 27106 4633 Tobacco Street Winston Salem NC 27106 Forsyth (336)661-6016 "Top Priority Care Services, LLC" 971096 MHL-041-771 Tracey Johnson 25-Jan-06 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hampton Group Home 115 Thornton Court Greensboro NC 27407 115 Thornton Court Greensboro NC 27407 Guilford (336)323-2718 Tracey Johnson 921247 MHL-088-009 Transylvania Association for Disabled Citizens 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 8 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Transylvania Association for Disabled Citizens, Inc." 830 Probart Street Brevard NC 28712 830 Probart Street Brevard NC 28712 Transylvania (828)883-2980 080670 MHL-088-021 "Transylvania Vocational Services, Inc." 22-Dec-08 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fisher Road Group Home PO Box 1115 Brevard NC 28712 120 Fisher Road Brevard NC 28712 Transylvania (828)884-8853 "Transylvania Vocational Services, Inc." 150369 MHL-088-026 "Transylvania Vocational Services, Inc." 01-Sep-10 01-Jan-19 31-Dec-19 Type B 05-Oct-18 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Tanjer House P.O. Box 1115 Brevard NC 28712 260 Oak Park Drive Brevard NC 28712 Transylvania (828)884-1575 "Transylvania Vocational Services, Inc." 070134 MHL-041-813 "Triad Adult Day Care Center, Inc." 28-Mar-07 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Broadstone Place PO Box 4786 High Point NC 27263 "3606 Apt. 1D, Broadstone Village Drive" High Point NC 27260 Guilford (336)431-1537 "Triad Adult Care Center, Inc." 090568 MHL-041-987 "Triad Adult Day Care Center, Inc." 24-Sep-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Broadstone Place II PO Box 4786 High Point NC 27263 "1810 Abberton Way, Apartment 1C" High Point NC 27260 Guilford (336)431-1537 "Triad Adult Day Care Center, Inc." 990568 MHL-014-061 "Turning Point Services, Inc." 01-Jul-06 01-Jan-19 31-Dec-19 Type B 22-Feb-19 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Caroline McNairy Group Home 1001 South Sterling Street Morganton NC 28655 713 Severt Circle Lenoir NC 28645 Caldwell (828)754-3078 Turning Point Services 922815 MHL-014-062 "Turning Point Services, Inc." 01-Jul-06 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Virgie Burgess Home 1001 South Sterling Street Morganton NC 28655 633 Hawthorne Street Hudson NC 28638 Caldwell (828)728-5631 922053 MHL-059-029 "Turning Point Services, Inc." 01-Jul-06 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Turning Point Group Home 1001 South Sterling Street Morganton NC 22865 505 E. Payne Road Marion NC 28752 McDowell (828)738-3098 Turning Point Services 921430 MHL-002-017 "Turning Point Services, Inc." 01-Jul-06 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Alexander Group Home 1001 S. Sterling St. Morganton NC 28655 438 Old Wilkesboro Road Taylorsville NC 28681 Alexander (828)632-8733 "Turning Point Services, Inc." 000063 MHL-060-570 "UMAR Services, Inc." 31-Dec-99 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hall "5350 77 Center Dr, Suite 201" Charlotte NC 28217 6426 Thermal Road Charlotte NC 28211 Mecklenburg (704)442-1684 "UMAR Services, Inc." 000064 MHL-060-569 "UMAR Services, Inc." 28-Dec-99 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Holt "5350 77 Center Dr., Suite 201" Charlotte NC 28217 2425 UMAR Court Charlotte NC 28215 Mecklenburg (704)567-5287 "UMAR Services, Inc." 000065 MHL-060-568 "UMAR Services, Inc." 31-Dec-99 01-Jan-19 31-Dec-19 Type B 10-Dec-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Christ Church "5350 77 Center Dr, Suite 201" Charlotte NC 28217-4 6434 Thermal Road Charlotte NC 28211 Mecklenburg (704)362-0987 "UMAR Services, Inc." 000251 MHL-060-578 "UMAR Services, Inc." 10-Mar-00 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Myer's Park "5350 77 Center Dr, Suite 201" Charlotte NC 28217 2435 UMAR Court Charlotte NC 28215 Mecklenburg (704)566-0245 "UMAR Services, Inc." 000347 MHL-041-576 "UMAR Services, Inc." 11-Jul-00 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ervin "5350 77 Center Dr., Suite 201" Charlotte NC 28217 1400 Springtree Court High Point NC 27265 Guilford (336)883-6212 "UMAR Services, Inc." 001425 MHL-049-079 "UMAR Services, Inc." 26-Sep-00 01-Jan-19 31-Dec-19 Type A 02-Jul-15 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Weaver "5350 77 Center Dr, Suite 201" Charlotte NC 28217 203 N. Toria Drive Statesville NC 28625 Iredell (704)871-0159 "UMAR Services, Inc." 001451 MHL-041-580 "UMAR Services, Inc." 05-Oct-00 01-Jan-19 31-Dec-19 Type B Imposed 08-May-14 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Westridge "5350 77 Center Dr, Suite 201" Charlotte NC 28217 1801 Westridge Road Greensboro NC 27410 Guilford (336)540-9516 "UMAR Services, Inc." 001452 MHL-041-581 "UMAR Services, Inc." 05-Oct-00 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bowden "5350 77 Center Dr, Suite 201" Charlotte NC 28217 722 Muirs Chapel Road Greensboro NC 27410 Guilford (336)547-8147 "UMAR Services, Inc." 010331 MHL-034-145 "UMAR Services, Inc." 12-Oct-01 01-Jan-19 31-Dec-19 Type A 13-Oct-17 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Clingman "5350 77 Center Dr, Suite 201" Charlotte NC 28217 4566 Shattalon Drive Winston-Salem NC 27106 Forsyth (336)922-1883 "UMAR Services, Inc." 922781 MHL-013-025 "UMAR Services, Inc." 02-Dec-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Arey "5350 77 Center Dr, Suite 201" Charlotte NC 28217 495 Tripolis Street Concord NC 28025 Cabarrus (704)788-9093 "UMAR Services, Inc." 944236 MHL-011-087 "UMAR Services, Inc." 06-Jan-94 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Haw Creek "5350 77 Center Dr., Suite 201" Charlotte NC 28217 15 Brook Drive Asheville NC 28805 Buncombe (828)299-9226 "UMAR Services, Inc." 956179 MHL-036-082 "UMAR Services, Inc." 29-Jun-95 01-Jan-19 31-Dec-19 Type B 26-Sep-18 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Powell "5350 77 Center Dr, Suite 201" Charlotte NC 28217 2250 Baltic Street Gastonia NC 28054 Gaston (704)267-0012 "UMAR Services, Inc." 080204 MHL-055-025 "UMAR Services, Inc." 17-Aug-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lincoln County "5350 77 Center Dr, Suite 201" Charlotte NC 28217 2466 Carriage Lane Lincolnton NC 28092 Lincoln (704)736-4877 "UMAR Services, Inc." 956268 MHL-055-026 "UMAR Services, Inc." 28-Aug-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pitzer "5350 77 Center Dr, Suite 201" Charlotte NC 28217 200 Wellington Drive Lincolnton NC 28092 Lincoln (704)735-0186 "UMAR Services, Inc." 990242 MHL-022-004 "UMAR Services, Inc." 19-Jan-99 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hayesville I "5350 77 Center Dr, Suite 201" Charlotte NC 28217 55 Dogwood Hills Hayesville NC 28904 Clay (828)389-0133 "UMAR Services, Inc." 030706 MHL-036-150 "UMAR Services, Inc." 19-Aug-99 01-Jan-19 31-Dec-19 Type A 28-Aug-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hoffman 5350 77 Center Dr Suite 201 Charlotte NC 28217 1482 Hoffman Road Gastonia NC 28054 Gaston (704)865-6800 "UMAR Services, Inc." 990902 MHL-011-184 "UMAR Services, Inc." 09-Sep-99 01-Jan-19 31-Dec-19 Type B 14-Jul-17 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Givens 5350 77 Center Dr Suite 201 Charlotte NC 28217 650 Barrett Lane Asheville NC 28803 Buncombe (828)277-9141 "UMAR Services, Inc." 990903 MHL-034-115 "UMAR Services, Inc." 09-Sep-99 01-Jan-19 31-Dec-19 Type A 02-Aug-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Waddell "5350 77 Center Dr, Suite 201" Charlotte NC 28217 1323 Reynolda Road Winston Salem NC 27104 Forsyth (336)724-3009 "UMAR Services, Inc." 990904 MHL-034-116 "UMAR Services, Inc." 09-Sep-99 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hooper 5350 77 Center Dr Suite 201 Charlotte NC 28217 1321 Reynolda Road Winston Salem NC 27104 Forsyth (336)761-0917 "UMAR Services, Inc." 041532 MHL-060-974 "UMAR Services, Inc." 02-Dec-05 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Angel 5350 77 Center Dr Ste 201 Charlotte NC 28217 2430 UMAR Court CHARLOTTE NC 28215-3259 Mecklenburg (704)563-9408 "UMAR Services, Inc." 070564 MHL-060-1036 "UMAR Services, Inc." 18-Oct-07 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Barnabas "5350 77 Center Dr, Suite 201" Charlotte NC 28217 19704 Zion Avenue Cornelius NC 28031 Mecklenburg (704)892-4461 "UMAR Services, Inc." 080023 MHL-029-110 "UMAR Services, Inc." 23-Oct-08 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lanier "5350 77 Center Dr., Suite 201" Charlotte NC 28217 1997 Conrad Hill Mine Road Lexington NC 27292 Davidson (336)746-7325 "UMAR Services, Inc." 921956 MHL-022-010 "UMAR Services, Inc." 01-Mar-09 01-Jan-19 31-Dec-19 Type B 27-Jun-16 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hayesville II "5350 77 Center Dr, Suite 201" Charlotte NC 28217 134 Curtis Street Hayesville NC 28904 Clay (828)389-2321 "UMAR Services, Inc." 040019 MHL-060-1390 "UMAR Services, Inc." 07-Jan-19 07-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hickory Grove II "5350 77 Center Dr., Ste 201" Charlotte NC 28217 5054 Hickory Grove Road Charlotte NC 28215 Mecklenburg (704)563-8189 "UMAR Services, Inc." 001469 MHL-060-1399 "UMAR Services, Inc." 14-Feb-19 14-Feb-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hickory Grove I "5350 77 Center Dr., Ste 201" Charlotte NC 28217 5050 Hickory Grove Road Charlotte NC 28215 Mecklenburg (704)531-5694 "UMAR Services, Inc." 170596 MHL-051-218 "Ultimate Family Care Home, Inc," 05-Jun-14 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ultimate Family Care Home - 6 817 South Second St. Smithfield NC 27577 8936 NC Hwy 96 S Benson NC 27504 Johnston (919)658-4274 "Ultimate Family Care Home, Inc." 180606 MHL-031-074 "Ultimate Family Care Home, Inc." 05-Jun-14 05-Mar-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ultimate Family Care Home Inc. #12 817 South Second St Smithfield NC 27577 321 Robert F. Hargrove Road Mt. Olive NC 28365 Duplin (919)658-4274 "Ultimate Family Care Home, Inc." 920157 MHL-090-128 "Union County Residential Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 8 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Camden Road Home PO Box 946 Monroe NC 28111 2021 Camden Road Wingate NC 28174 Union (704)624-6500 "UCRS, Inc.-Camden Road" 921150 MHL-090-129 "Union County Residential Services, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Stewart Street Home P.O. Box 946 Monroe NC 28111 301 South Stewart Street Wingate NC 28174 Union (704)233-5550 040198 MHL-041-718 United Living LLC 05-May-04 01-Jan-20 31-Dec-20 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL United Living LLC P.O. Box 36436 Greensboro NC 27416 1209 Westhampton Drive Greensboro NC 27405 Guilford (336)379-7584 "United Living, LLC" 150270 MHL-041-1120 "United Living, LLC" 05-Aug-15 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "United Living, LLC" P.O. Box 36436 Greensboro NC 27416 1937-A Mount Hope Church Road McLeansville NC 27301 Guilford (336)379-7584 "United Living, LLC" 170121 MHL-079-137 "United Living, LLC" 22-Jul-19 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Boyd Home PO Box 36436 Greensboro NC 27416 115 Boyd Street Eden NC 27288 Rockingham (336)627-3362 "United Living, LLC" 011142 MHL-026-694 United Residential Services of N. C. Inc. 13-May-02 01-Jan-19 31-Dec-19 Type A 11-Feb-11 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL United Residential Services of North Carolina #2 P. O. Box 25928 Fayetteville NC 28314 6503 Kemper Court Fayetteville NC 28303 Cumberland (910)717-6017 United Residential Services of NC House #2 960117 MHL-026-876 "United Residential Services of North Carolina, Inc." 19-Jul-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mahogany PO Box 25928 Fayetteville NC 28314 6852 Mahogany Road Fayetteville NC 28314 Cumberland (910)867-5644 United Residential Services of NC 041144 MHL-026-912 "Unity Home Care, Inc." 29-Nov-10 01-Jan-19 31-Dec-19 Type A 30-Jul-19 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Unity Home Care II P.O. Box 48714 Fayetteville NC 28331 1419 Milton Street Spring Lake NC 28390 Cumberland (910)864-1799 "Unity Home Care, Inc." 100977 MHL-026-913 "Unity Home Care, Inc." 03-Jan-11 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Unity Home Care Residential Facility PO Box 48714 Cumberland NC 28331 5975 Spinner Road Hope Mills NC 28348 Cumberland (910)426-8419 "Unity Home Care, Inc." 130257 MHL-092-890 "Universal Mental Health Services, Inc." 19-Apr-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Arbor House 839 Wilkesboro Blvd. Lenoir NC 28645 3709 Arbor Drive Raleigh NC 27612 Wake (919)786-9623 "Universal Mental Health Services, Inc." 921564 MHL-019-007 University of North Carolina at Chapel Hill 29-Aug-90 01-Jan-19 31-Dec-19 - - - - 15 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF CLLC(Carolina Living & Learning Center) CB #7180 Chapel Hill NC 27599-7180 325 Russet Run Pittsboro NC 27312 Chatham (919)542-1910 CLLC 010953 MHL-097-012 VOCA Corporation of North Carolina 01-Dec-89 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Welborn Ave. P.O. Box 150 Wilkesboro NC 28697 1002 Welborn Avenue Wilkesboro NC 28697 Wilkes (336)667-0688 Community Alternatives - NC 010954 MHL-097-048 VOCA Corporation of North Carolina 26-Dec-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Blairfield P. O. Box 150 Wilkesboro NC 28697 111 Blairfield Court N. Wilkesboro NC 28697 Wilkes (336)903-0500 Community Alternatives - NC 010955 MHL-097-047 VOCA Corporation of North Carolina 19-Dec-01 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-College Street P.0. Box 150 Wilkesboro NC 28697 301 College Street Wilkesboro NC 28697 Wilkes (336)667-1902 Community Alternatives - NC 010068 MHL-097-016 VOCA Corporation of North Carolina 01-Feb-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Apple Valley P.O. Box 150 Wilkesboro NC 28697 1443 Old Highway 60 Wilkesboro NC 28659 Wilkes (336)838-2199 Community Alternatives - NC 921705 MHL-092-101 VOCA Corporation of North Carolina 01-Oct-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Country Lane "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 534 Country Lane Holly Springs NC 27540 Wake (919)552-5457 Community Alternatives-NC 921719 MHL-092-102 VOCA Corporation of North Carolina 01-Dec-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Creekway "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 424 Creekway Drive Fuquay Varina NC 27526 Wake (919)552-4359 VOCA Corporation of North Carolina 921905 MHL-032-075 VOCA Corporation of North Carolina 01-Nov-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Gentry "1001 Navaho Dr., Ste 101" Raleigh NC 27609 2219 Gentry Drive Durham NC 27705 Durham (919)383-1114 VOCA Corporation of Norh Carolina 921970 MHL-092-097 VOCA Corporation of North Carolina 01-Oct-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Hickory Avenue Home "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 112 Hickory Avenue Holly Springs NC 27540 Wake (919)552-5407 Voca Corporation of North Carolina 922326 MHL-032-069 VOCA Corporation of North Carolina 01-Aug-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Obie "1001 Navaho Dr., Ste 101" Raleigh NC 27609 322 Obie Drive Durham NC 27713 Durham (919)361-0983 Voca Corporation of North Carolina 922342 MHL-032-068 VOCA Corporation of North Carolina 01-Jul-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Voca-Otis Street Home "1001 Navaho Dr., Ste 101" Raleigh NC 27609 2415 Otis Street Durham NC 27707 Durham (919)956-7601 Voca Corporation of North Carolina 922555 MHL-032-010 VOCA Corporation of North Carolina 01-Apr-85 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Seven Oaks Road-Durham "1001 Navaho Dr., Ste 101" Raleigh NC 27609 614 Seven Oaks Road Durham NC 27704 Durham (919)477-9947 VOCA Corporation of North Carolina 922792 MHL-060-107 VOCA Corporation of North Carolina 01-Sep-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Mallard Drive 818 Tyvola Road Suite 104 Charlotte NC 28217 6119 Mallard Drive Charlotte NC 28227 Mecklenburg (704)531-9756 ResCare Community Alternatives-NC 922793 MHL-060-126 VOCA Corporation of North Carolina 01-Apr-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Freedom Group Home 818 Tyvola Rd Suite 112 Charlotte NC 28217 5911 Freedom Drive Charlotte NC 28208 Mecklenburg (704)392-3383 ResCare Community Alternatives-NC 922794 MHL-060-128 VOCA Corporation of North Carolina 01-May-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Harrisburg Road Group Home 818 Tyvola Rd. Suite 104 Charlotte NC 28217 6620 Harrisburg Road Charlotte NC 28277 Mecklenburg (704)537-2116 ResCare Community Alternatives-NC 922797 MHL-060-133 VOCA Corporation of North Carolina 01-Jun-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Oak Drive Group Home 818 Tyvola Rd Suite 104 Charlotte NC 28217 5416 Oak Drive Charlotte NC 28216 Mecklenburg (704)392-3657 ResCare Community Alternatives-NC 922798 MHL-060-134 VOCA Corporation of North Carolina 01-Jun-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Purser Group Home 818 Tyvola Rd. Suite 104 Charlotte NC 28217 1615 Purser Drive Charlotte NC 28215 Mecklenburg (704)535-4200 Community Alternatives of NC 922799 MHL-060-122 VOCA Corporation of North Carolina 01-Mar-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Simpson Group Home 818 Tyvola Rd. Suite 104 Charlotte NC 28217 3017 Simpson Drive Charlotte NC 28205 Mecklenburg (704)375-1250 Community Alternatives of NC 922801 MHL-060-111 VOCA Corporation of North Carolina 01-Oct-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Woodbridge Road Group Home 818 Tyvola Road Suite 104 Charlotte NC 28217 5901 Woodbridge Road Charlotte NC 28227 Mecklenburg (704)567-0006 ResCare Community Alternatives -nc 922802 MHL-023-018 VOCA Corporation of North Carolina 19-Nov-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Young Group Home "301 10th Street, NW Ste. B-101" Conover NC 28613 211 Young Street Shelby NC 28150 Cleveland (704)482-2285 Mike Penland 922891 MHL-060-145 VOCA Corporation of North Carolina 01-Sep-91 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Wilson Avenue Group Home 818 Tyvola Road Suite 104 Charlotte NC 28217 2103 Wilson Avenue Charlotte NC 28208 Mecklenburg (704)393-7083 Community Alternatives of North Carolina 931971 MHL-053-022 VOCA Corporation of North Carolina 01-Feb-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Hickory II Group Home "1001 Navaho Dr., Ste 101" Raleigh NC 27609 322 Hickory Avenue Sanford NC 27330 Lee (919)775-3094 Community Alternatives-NC 932796 MHL-041-018 VOCA Corporation of North Carolina 25-Mar-87 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Meadowood Drive Group Home P.O. Box 150 Wilkesboro NC 28697 401 Meadowood Street Greensboro NC 27409 Guilford (336)547-8060 Community Alternatives - NC 941756 MHL-060-081 VOCA Corporation of North Carolina 01-Jul-88 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Denbur Drive Group Home 818 Tyvola Rd. Suite 104 Charlotte NC 28217 8324 Denbur Drive Charlotte NC 28215 Mecklenburg (704)532-9713 ResCare Community Alternatives-NC 010044 MHL-097-053 VOCA Corporation of North Carolina 01-Jan-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Kimsey P.0. Box 150 Wilkesboro NC 28697 1305 Old Highway 60 Wilkesboro NC 28697 Wilkes (336)838-4500 Community Alternatives - NC 942795 MHL-081-016 VOCA Corporation of North Carolina 01-Nov-92 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Woodland 301 10th St. NW Ste B-101 Conover NC 28613 123 Woodland Drive Rutherfordton NC 28139 Rutherford (828)286-1099 942803 MHL-060-102 VOCA Corporation of North Carolina 01-Feb-90 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Norwich Road Group Home 818 Tyvola Rd. Suite 104 Charlotte NC 28217 1006 Norwich Road Charlotte NC 28227 Mecklenburg (704)532-6642 Rescare-Community Alternatives 944694 MHL-060-205 VOCA Corporation of North Carolina 03-Aug-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Sandburg Group Home 834 Tyvola Rd. Suite 112 Charlotte NC 28217 9317 Sandburg Avenue Charlotte NC 28213 Mecklenburg (704)548-0152 Community Alternatives of NC 944702 MHL-060-213 VOCA Corporation of North Carolina 26-Oct-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Toddville Road Group Home 818 Tyvola Rd. Suite 104 Charlotte NC 28217 1809 Toddville Road Charlotte NC 28214 Mecklenburg (704)391-8077 Rescare-Community Alternatives 944838 MHL-014-031 VOCA Corporation of North Carolina 11-Jun-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Laurel Group Home "301 10th Street NW, Sute. B-101" Conover NC 28613 51 Laurel Street Granite Falls NC 28630 Caldwell (828)396-5879 Mike Penland 944969 MHL-051-036 VOCA Corporation of North Carolina 01-Jun-93 01-Jan-19 31-Dec-19 Type A 22-May-09 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Greenwood Group Home 1600 W. Thomas Street Rocky Mount NC 27804 105 Greenwood Circle Smithfield NC 27577 Johnston (919)934-1963 Community Alternatives 945188 MHL-014-036 VOCA Corporation of North Carolina 06-Oct-94 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL VOCA-Elm 301 10th Street N.W. Suite B-101 Conover NC 28613 233 Elm Avenue Hudson NC 28638 Caldwell (828)726-1689 952800 MHL-060-130 VOCA Corporation of North Carolina 01-May-91 01-Jan-19 31-Dec-19 Type A 09-Sep-04 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-St. John's Church Road Group Home 818 Tyvola Road Suite 104 Charlotte NC 28217 2220 St. John's Church Road Charlotte NC 28215 Mecklenburg (704)537-2423 Community Alternatives of NC 954822 MHL-002-007 VOCA Corporation of North Carolina 20-May-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Second Avenue Group Home "301 10th Street NW, Ste B-101" Conover NC 28613 49 Second Avenue SE Taylorsville NC 28681 Alexander (828)635-1757 "VOCA Corp. of NC, Inc." 955474 MHL-053-023 VOCA Corporation of North Carolina 01-Mar-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Sixth Street Group Home "1001 Navaho Dr., Ste 101" Raleigh NC 27609 201 North Sixth Street Sanford NC 27330 Lee (919)775-4496 VOCA Corporation of North Carolina 955481 MHL-081-018 VOCA Corporation of North Carolina 01-Mar-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Rollins Group Home "301 10th St NW, Ste b-101" Conover NC 28613 297 Bob Rollins Road Forest City NC 28043 Rutherford (828)248-1175 VOCA Corporation 955745 MHL-092-121 VOCA Corporation of North Carolina 27-Jul-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA Olive Home "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 707 East Olive Street Apex NC 27502-1936 Wake (919)387-7080 Voca Corporation of North Carolina 955746 MHL-092-125 VOCA Corporation of North Carolina 17-May-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Mason Street "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 306 North Mason Street Apex NC 27502 Wake (919)387-5881 Voca Corporation of N.C. 955747 MHL-051-037 VOCA Corporation of North Carolina 11-Oct-93 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF VOCA-Laurelwood 1600 W. Thomas Street Rocky Mount NC 27804 200 Laurelwood Drive Smithfield NC 27577 Johnston (919)934-1839 Community Alternatives 960583 MHL-018-041 VOCA Corporation of North Carolina 31-Jul-96 01-Jan-19 31-Dec-19 Type A 10-Apr-19 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL VOCA-Forest Ridge "301 10th St., NW Ste. B-101" Conover NC 28613 4959 Forest Ridge Drive Hickory NC 28602 Catawba (828)294-1549 960668 MHL-036-091 VOCA Corporation of North Carolina 15-Aug-96 01-Jan-19 31-Dec-19 Type A 28-Feb-11 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL VOCA-Dellinger 301 10th Street N.W. Ste B101 Conover NC 28613 310 Tot Dellinger Road Cherryville NC 28021 Gaston (704)435-3482 060760 MHL-018-050 VOCA Corporation of North Carolina 01-Oct-98 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL VOCA - 8th Avenue "301 10th Street NW., Ste. B-101" Conover NC 28613 212 8th Avenue NW Hickory NC 28601 Catawba (828)267-0389 080836 MHL-092-817 VOCA Corporation of North Carolina 16-Jun-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Bass Lake "1001 Navaho Dr., Ste. 101" Raleigh NC 27609 408 Bass Lake Holly Springs NC 27540 Wake (919)557-3844 Community Alternatives - North Carolina 080760 MHL-060-1273 VOCA Corporation of North Carolina 04-Nov-13 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Enoch Drive "818 Tyvola Road, Suite 104" Charlotte NC 28217 4109 Enoch Drive Charlotte NC 28269 Mecklenburg (704)405-1518 VOCA Corporation of NC 150067 MHL-023-196 VOCA Corporation of North Carolina 20-Mar-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL VOCA-Ginger Drive Group Home "301 10th St. NW, Ste. B-101" Conover NC 28613 604 Ginger Drive Kings Mountain NC 28086 Cleveland (704)739-4080 VOCA Corporation of North Carolina 070383 MHL-033-088 Vernon & Brenda Bryant 14-Nov-08 01-Jan-19 31-Dec-19 Suspension of Admission 02-Jul-18 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL My Guardian Angel Group Home 2001 Vernon Road Rocky Mount NC 27801 2001 Vernon Road Rocky Mount NC 27801 Edgecombe (252)210-3200 Brenda Bryant 030395 MHL-043-048 "Victor & Associates, Inc." 24-Jul-03 01-Jan-19 31-Dec-19 Type B 24-Aug-18 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Woodhaven Family Care Facility 1600 South Third Street Sanford NC 27330 436 West Road Cameron NC 28326 Harnett (919)498-3966 "Victor & Associates, Inc." 041190 MHL-043-075 "Victor & Associates, Inc." 23-Jan-09 01-Jan-19 31-Dec-19 Type B 25-Jan-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Harmony Home 1600 South Third Sreet Sanford NC 27330 808 North McKay Avenue Dunn NC 28334 Harnett (910)897-4044 "Victor & Associates, Inc." 100139 MHL-043-084 "Victor & Associates, Inc." 07-Jan-11 01-Jan-19 31-Dec-19 Type A 12-Jan-15 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Forest Hills Family Care Facility 1600 South Third Street Sanford NC 27330 54 Ripley Road Cameron NC 28326 Harnett (919)718-4988 "Victor & Associates, Inc." 180167 MHL-053-082 "Victor & Associates, Inc." 02-Jul-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Andrews Drive Family Care Facility 1600 South Third St. Sanford NC 27330 2621 Andrews Drive Sanford NC 27332 Lee (919)292-0112 "Victor & Associates, Inc." 980379 MHL-001-255 "Vince Marley, LLC" 18-May-18 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ethel's Footprints II PO Box 163 Randleman NC 27317 1010 Madison Street Burlington NC 27217 Alamance (336)228-6357 "Vince Marley, LLC" 060677 MHL-041-803 Virgina M Parker 03-Jan-07 01-Jan-19 31-Dec-19 Type A 24-Jul-14 - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Virpark Inc. Residential Facility PO Box 321 Pleasant Garden NC 27313 3 Treeble Court Greensboro NC 27405 Guilford (336)691-8982 030037 MHL-041-671 Virpark Inc. 23-Apr-03 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Virpark Inc. Residential Facility PO Box 321 Pleasant Garden NC 27313 619 Creekridge Road Greensboro NC 27406 Guilford (336)271-4002 Virpark Inc. 120500 MHL-041-1068 "Virpark, Inc." 14-Dec-12 01-Jan-19 31-Dec-19 Type A 13-Nov-13 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Virpark Residential Facility, Inc." PO Box 321 Pleasant Grove NC 27313 1513 Lexington Avenue Greensboro NC 27403 Guilford (336)500-8672 "Virpark, Inc." 980090 MHL-057-014 WNC Madison County Housing Corporation 01-Feb-98 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Madison County Group Home PO Box 97 Hot Springs NC 28743 36 Mountain Heights Avenue Hot Springs NC 28743 Madison (828)622-3332 091006 MHL-064-114 Warren Harper and Deborah Harper 12-Mar-10 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Guiding Star Health Care Adult Group Home 2809 Huntington Court Rocky Mount NC 27803 2809 Huntington Court Rocky Mount NC 27803 Nash (252)937-1700 Warren and Deborah Harper 955479 MHL-095-020 "Watauga Opportunities, Inc." 01-Mar-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kellwood Group Home P. O. Box 2330 Boone NC 28607 364 Kellwood Drive Boone NC 28607 Watauga (828)264-3131 955503 MHL-095-021 "Watauga Opportunities, Inc." 01-Mar-95 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Creekside Group Home P.O. Box 2330 Boone NC 28607 1099 Winkler's Creek Road Boone NC 28607 Watauga (828)262-1497 040121 MHL-079-074 "WesCare Professional Services, LLC" 24-Feb-04 01-Jan-20 31-Dec-20 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Clark Way Home 10 A Oak Branch Dr Greensboro NC 27407 816 Clark Way Eden NC 27288 Rockingham (336)272-8335 "WesCare Professional Svc., LLC" 041664 MHL-041-752 "WesCare Professional Services, LLC" 21-Jun-05 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Gorrell Group Home 10 A Oak Branch Dr Greensboro NC 27407 1309 Gorrell Street Greensboro NC 27406 Guilford (336)275-0057 WesCare Professional Services LLC 110391 MHL-079-106 "WesCare Professional Services, LLC" 07-Dec-09 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Meadow House 10 A Oak Branch Dr Greensboro NC 27407 1407 East Meadow Road Eden NC 27288 Rockingham (336)635-0073 "WesCare Professional Services, LLC" 140104 MHL-041-1104 "WesCare Professional Services, LLC" 28-Aug-14 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lee's Chapel Home 10 A Oak Branch Dr Greensboro NC 27407 2813 Lee's Chapel Road Browns Summit NC 27214 Guilford (336)938-0214 "WesCare Professional Services, LLC" 150451 MHL-041-1122 "WesCare Professional Services, LLC" 16-Dec-15 01-Jan-20 31-Dec-20 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cranberry Group Home 10 A Oak Branch Dr Greensboro NC 27407 5709 Cranberry Court Greensboro NC 27405 Guilford (336)285-7517 "WesCare Professional Services, LLC" 160031 MHL-034-354 "WesCare Professional Services, LLC" 22-Mar-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hawkcrest Home 10-A Oak Branch Dr. Greensboro NC 27407 1716 Hawkcrest Lane Winston Salem NC 27127 Forsyth (336)842-3046 "WesCare Professional Services, LLC" 170563 MHL-034-329 "WesCare Professional Services, LLC" 01-Oct-14 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL McTavish Home 10-A Oak Branch Drive Greensboro NC 27407 236 McTavish Lane Winston Salem NC 27103 Forsyth (336)448-5676 "WesCare Professional Services, LLC" 980489 MHL-026-855 Willa Dean McNeill 29-Jul-08 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Joyful Living #1 PO Box 1477 Fayetteville NC 28302 1951 Ireland Drive Fayetteville NC 28304 Cumberland (910)864-8000 Willa Dean McNeill 010402 MHL-026-856 Willa Dean McNeill 29-Jul-08 01-Jan-19 31-Dec-19 Type A 17-Mar-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Joyful Living #2 PO Box 1477 Fayetteville NC 28302 6125 Louise Street Fayetteville NC 28314 Cumberland (910)822-1000 Willa Dean McNeill 070345 MHL-067-175 William Harris & Joy Harris 04-Oct-07 01-Jan-19 31-Dec-19 Type B 22-May-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Harris Home 103 Sterling Road Jacksonville NC 28546 103 Sterling Road Jacksonville NC 28546 Onslow (910)353-0933 William Harris and Joy Harris 080896 MHL-034-254 "Wolfe & Jackson Group Home, Inc." 31-Mar-10 01-Jan-19 31-Dec-19 Suspension of Admission 06-Feb-15 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wolfe & Jackson Group Home - II PO Box 4912 Winston Salem NC 27115-4912 3913 Indiana Avenue Winston Salem NC 27105 Forsyth (336)661-0923 "Wolfe & Jackson Group Home, Inc," 920588 MHL-034-276 "Wolfe & Jackson Group Home, Inc." 01-Dec-10 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Wolfe & Jackson Group Home, Inc." P O Box 12002 Winston-Salem NC 27117-2002 744 East Sprague Street Winston-Salem NC 27107 Forsyth (336)788-3004 050550 MHL-007-056 "Wooded Acres Guest Home, Inc." 29-Aug-06 01-Jan-19 31-Dec-19 Type B 09-Aug-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wooded Acres #4 3706 Cherry Road WASHINGTON NC 27889 3650 Cherry Road Washington NC 27889 Beaufort (252)946-1838 "Wooded Acres Guest Home, Inc." 921369 MHL-007-053 "Wooded Acres Guest Home, Inc." 29-Aug-06 01-Jan-19 31-Dec-19 Type B 06-Aug-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wooded Acres #1 3706 Cherry Road Washington NC 27889 3706 Cherry Road Washington NC 27889 Beaufort (252)946-6245 060473 MHL-007-054 "Wooded Acres Guest Home, Inc." 29-Aug-06 01-Jan-19 31-Dec-19 Type B 06-Aug-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wooded Acres #2 3706 Cherry Road Washington NC 27889 3644 Cherry Road Washington NC 27889 Beaufort (252)940-1836 100806 MHL-099-027 "Yadkin Home Place Six, Inc." 26-Oct-11 01-Jan-19 31-Dec-19 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Yadkin Home Place One PO Box 252 Yadkinville NC 27055 160 River Road Booneville NC 27011 Yadkin (336)551-4045 "Yadkin Home Place Six, Inc." 990018 MHL-041-1089 Zakiyyah Jones 14-Nov-13 01-Jan-19 31-Dec-19 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chatwick Home "1 Centerview Drive, Suite 309" Greensboro NC 27407 2008 Chatwick Drive Greensboro NC 27405 Guilford (336)763-5203 Zakiyyah Jones 945062 MHL-044-035 "the ARC of Haywood County, Inc." 15-Jun-01 01-Jan-19 31-Dec-19 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Haywood County Group Home #2 407 Welch Street Waynesville NC 28786 226 Solitary Meadow Circle Waynesville NC 28786 Haywood (828)456-8236 "The ARC of Haywood County, Inc." 100118 MHL-060-1208 "McLeod Addictive Disease Center, Inc." 24-Mar-97 01-Jan-19 31-Dec-19 Type A 10-Jul-14 - - 20 27G.5600D Supervised Living SA Minor C&ADOL SAS RESIDENTL McLeod Addictive Disease Center - 3rd Floor 515 Clanton Road Charlotte NC 28217 "515 Clanton Road, 3rd Floor" Charlotte NC 28217 Mecklenburg (704)332-9001 "McLeod Addictive Disease Center, Inc." 150274 MHL-011-389 Montford Hall 29-Mar-16 01-Jan-20 31-Dec-20 Type A 22-Jun-16 - - 29 27G.5600D Supervised Living SA Minor ADOL SAS RESIDENTL Montford Hall 75 Zillicoa Street Asheville NC 28801 75 Zillicoa Street Asheville NC 28801 Buncombe (828)229-7757 Montford Hall 921498 MHL-063-081 PORT Health Services 17-Jun-09 01-Jan-19 31-Dec-19 - - - - 9 27G.5600D Supervised Living SA Minor C&ADOL SAS RESIDENTL PORT Health Services-Aberdeen 4300-110 Sapphire Ct. Greenville NC 27834 204 North Pine Street Bldg. B Aberdeen NC 28315 Moore (910)944-2189 Port Health Services 010713 MHL-074-111 "PORT Health Services, Inc." 30-Jul-01 01-Jan-19 31-Dec-19 - - - - 10 27G.5600D Supervised Living SA Minor C&ADOL SAS RESIDENTL PORT Health Services-Greenville Residential 4300-110 Sapphire Court Greenville NC 27834 114 Health Drive Greenville NC 27834 Pitt (252)413-1950 PORT Health Services 110242 MHL-071-033 Port Health Services 31-Aug-11 01-Jan-19 31-Dec-19 Type B 03-Feb-12 - - 9 27G.5600D Supervised Living SA Minor C&ADOL SAS RESIDENTL Port Health Services - Burgaw 4300-110 Sapphire Court Greenville NC 27834 316 Progress Drive Extension Burgaw NC 28425 Pender (910)259-5212 Port Health Services 190092 MHL-081-127 "Red Oak Adolescent Recovery, LLC" 18-Apr-19 18-Apr-19 31-Dec-19 - - - - 16 27G.5600D Supervised Living SA Minor C&ADOL SAS RESIDENTL Foothills at Red Oak Recovery 108 Executive Park Asheville NC 28801 517 Cub Creek Road Ellenboro NC 28040 Rutherford (828)333-2281 "Red Oak Recovery, LLC" 010054 MHL-041-631 "Youth Focus, Inc." 28-Feb-02 01-Jan-19 31-Dec-19 Type A 05-Jun-15 - - 8 27G.5600D Supervised Living SA Minor C&ADOL SAS RESIDENTL A.S.A.P. 405 Parkway Ste A Greensboro NC 27401 5016 West Friendly Avenue Greensboro NC 27410 Guilford (336)852-5688 Youth Focus Inc. 921416 MHL-034-004 "Addiction Recovery Care Association, Inc." 01-Oct-75 01-Jan-20 31-Dec-20 Type B 06-Aug-10 - - 7 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Addiction Recovery Care Association(ARCA) 1931 Union Cross Road Winston Salem NC 27107 1931 Union Cross Road Winston Salem NC 27107 Forsyth (336)784-9470 "Addiction Recovery Care Association, Inc." 921427 MHL-041-034 "Alcoholics' Home, Inc." 26-Jun-87 01-Jan-19 31-Dec-19 Type B 08-Jun-11 - - 30 27G.5600E Supervised Living SA Adult A SAS RESIDENTL "Alcoholics' Home, Inc.-""House of Prayer""" 5884 Riverdale Drive Jamestown NC 27282 5884 Riverdale Drive Jamestown NC 27282 Guilford (336)882-1026 "Alcoholic's Home, Inc." 922778 MHL-091-001 "Alliance Rehabilitative Care, Inc." 01-Jun-85 01-Jan-20 31-Dec-20 Type A 07-Apr-08 - - 15 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Addiction Recovery Center for Men PO Box 748 Henderson NC 27536 1020 County Home Road Henderson NC 27536 Vance (252)492-5746 "Alliance Rehabilitative Care, Inc." 031068 MHL-036-297 "Alternative Community Penalties Program, Inc." 28-Apr-12 01-Jan-19 31-Dec-19 Type A 30-Jul-15 - - 20 27G.5600E Supervised Living SA Adult A SAS RESIDENTL "Cornerstone Christian Center/ACPP, Inc." PO Box 370 Gastonia NC 28053 400 East Fifth Avenue Gastonia NC 28053 Gaston (704)867-8749 Alternative Community Penalties Programs Inc. 921497 MHL-063-002 "Bethesda, Inc." 01-Nov-84 01-Jan-20 31-Dec-20 Type B 17-Apr-19 - - 15 27G.5600E Supervised Living SA Adult A SAS RESIDENTL "Bethesda, Inc." 204 N. Pine Street Bldg. A Aberdeen NC 28315 204 N. Pine Street Bldg. A Aberdeen NC 28315 Moore (910)944-7700 Bethesda Inc. 921853 MHL-012-134 "Burke Council on Alcoholism & Chemical Dependency, Inc." 01-Jul-13 01-Jan-19 31-Dec-19 - - - - 9 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Flynn Recovery Community 203 White Street Morganton NC 28655 721 West Union Street Morganton NC 28655 Burke (828)437-9491 "Burke Cncl on Alchlsm & Chmcl Dependency, Inc." 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-19 31-Dec-19 - - - - 16 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 921844 MHL-011-003 "First Step Farm of Western N.C., Inc." 01-Apr-77 01-Jan-19 31-Dec-19 - - - - 22 27G.5600E Supervised Living SA Adult A SAS RESIDENTL First Step Farm-Men P.O. Box 1450 Candler NC 28715 215 Black Oak Cove Road Bldg. #5 Candler NC 28715 Buncombe (828)665-5604 944829 MHL-011-080 "First Step Farm of Western N.C., Inc." 08-Jul-93 01-Jan-19 31-Dec-19 - - - - 15 27G.5600E Supervised Living SA Adult A SAS RESIDENTL First Step Farm-Women P.O. Box 1450 Candler NC 28715 200 Peter Luther Cove Road. Candler NC 28715 Buncombe (828)667-0303 051317 MHL-068-116 "Freedom House Recovery Center, Inc." 10-Nov-05 01-Jan-19 31-Dec-19 - - - - 10 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Chapel Hill Men's Halfway House 104 New Stateside Drive Chapel Hill NC 27516 106 New Stateside Drive Chapel Hill NC 27516 Orange (919)942-2803 Freedom House Recovery Center 051319 MHL-068-117 "Freedom House Recovery Center, Inc." 10-Nov-05 01-Jan-19 31-Dec-19 Type A 19-Sep-14 - - 12 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Maggie Alvis Women's Halfway House 104 New Stateside Drive Chapel Hill NC 27516 114 New Stateside Drive Chapel Hill NC 27516 Orange (919)942-2803 Freedom House Recovery Center Inc 041258 MHL-032-367 "Freedom House Recovery Center, Inc." 26-Apr-06 01-Jan-19 31-Dec-19 - - - - 11 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Durham Men's Halfway House 104 New Stateside Drive Chapel Hill NC 27516 529 Holloway Street Durham NC 27701 Durham (919)824-0669 110276 MHL-093-058 "Freedom House Recovery Center, Inc." 25-Jan-12 01-Jan-19 31-Dec-19 - - - - 13 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Lake Area Counseling Halfway House 104 New Stateside Drive Chapel Hill NC 27516 519 Walker Street Norlina NC 27563 Warren (252)456-6541 "Freedom House Recovery Center, Inc." 180068 MHL-032-335 "Freedom House Recovery Center, Inc." 13-Oct-04 01-Jan-19 31-Dec-19 - - - - 6 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Durham Women's Halfway House 104 New Stateside Drive Chapel HIll NC 27516 407 Salem Street Durham NC 27703 Durham (919)957-7386 "Freedom House Recovery Center, Inc." 944629 MHL-055-121 Gaylain's House of Hope 06-Nov-12 01-Jan-19 31-Dec-19 Type B 15-Nov-13 - - 8 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Gaylain's House of Hope 322 East McBee Street Lincolnton NC 28092 322 East McBee Street Lincolnton NC 28092 Lincoln (704)240-9453 922554 MHL-013-178 "Hope Haven, Inc." 11-Feb-14 01-Jan-19 31-Dec-19 - - - - 8 27G.5600E Supervised Living SA Adult A SAS RESIDENTL "Serenity House, a division of Hope Haven" 3815 N. Tryon Street Charlotte NC 28206 "172 Spring Street, SW" Concord NC 28025 Cabarrus (704)786-8722 "Hope Haven, Inc." 952003 MHL-086-006 "Hope Valley, Inc." 01-May-91 01-Jan-19 31-Dec-19 Type A 05-May-14 - - 12 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Hope Valley-Men's Division P.O. Box 467 Dobson NC 27017 105 County Home Road Dobson NC 27017 Surry (336)386-8511 "Hope Valley, Inc." 944847 MHL-018-094 "Hope Valley, Inc." 23-Feb-16 01-Jan-19 31-Dec-19 - - - - 14 27G.5600E Supervised Living SA Adult A SAS RESIDENTL "Hope Valley, Inc. - Residential Services" P.O. Box 467 Dobson NC 27017 706 Main Avenue SE Hickory NC 28602 Catawba (828)324-8767 "Hope Valley, Inc." 080350 MHL-060-1206 "McLeod Addictive Disease Center, Inc." 01-Nov-86 01-Jan-19 31-Dec-19 Type A 09-Jul-14 - - 0 27G.5600E Supervised Living SA Adult A SAS RESIDENTL McLeod Addictive Disease Center-4th Floor 515 Clanton Road Charlotte NC 28217 "515 Clanton Road, 4th Floor" Charlotte NC 28217 Mecklenburg (704)332-9001 "McLeod Addictive Disease Center, Inc." 922726 MHL-026-086 "Myrover-Reese Fellowship Homes, Inc." 01-Oct-91 01-Jan-19 31-Dec-19 Type B 26-Oct-16 - - 18 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Pat Reese Fellowship Home PO Box 64933 Fayetteville NC 28306 560-A Wilkes Road Fayetteville NC 28306 Cumberland (910)486-8718 "Myrover-Reese Fellowship Homes, Inc" 944871 MHL-026-005 "Myrover-Reese Fellowship Homes, Inc." 03-Apr-87 01-Jan-19 31-Dec-19 - - - - 11 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Myrover-Reese Fellowship Home PO Box 64933 Fayetteville NC 28306 613 Quality Road Fayetteville NC 28306 Cumberland (910)491-7713 "Myrover-Reese Fellowship Homes, Inc" 956331 MHL-026-214 "Myrover-Reese Fellowship Homes, Inc." 25-Sep-95 01-Jan-19 31-Dec-19 Type A 26-Oct-16 - - 16 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Ashton W. Lilly Home PO Box 64933 Fayetteville NC 28306 560 Wilkes Road Fayetteville NC 28306 Cumberland (910)486-0285 "Myrover-Reese Fellowship Homes, Inc" 922656 MHL-065-229 PORT Health Services 20-Feb-11 01-Jan-19 31-Dec-19 - - - - 16 27G.5600E Supervised Living SA Adult A SAS RESIDENTL PORT Health Services - Stepping Stone Manor 4300-110 Sapphire Court Greenville NC 27834 416 Walnut Street Wilmington NC 28401 New Hanover (910)762-1743 PORT Health Services 090318 MHL-029-114 "Path of Hope, Inc." 05-Aug-09 01-Jan-19 31-Dec-19 - - - - 11 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Path of Hope PO Box 1824 Lexington NC 27293-1824 1677 East Center Street Extension Lexington NC 27292 Davidson (336)248-8914 "Path of Hope, Inc." 990434 MHL-043-015 "Program Resource Institute, Inc." 30-Jan-99 01-Jan-20 31-Dec-20 - - - - 8 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Elmore-Blackley Fellowship Home PO Box 747 Lillington NC 27546 110 South Layton Avenue Dunn NC 28334 Harnett (910)892-6017 "Program Resource Institute, Inc." 922447 MHL-079-001 "REMMSCO, Inc." 01-Dec-84 01-Jan-19 31-Dec-19 - - - - 9 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Remmsco Men's Halfway House PO Box 1121 Reidsville NC 27323-1121 108 North Main Street Reidsville NC 27320 Rockingham (336)342-9504 "Remmsco, Inc" 070858 MHL-076-007 "Randolph Fellowship Home, Inc." 01-Oct-85 01-Jan-19 31-Dec-19 - - - - 10 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Mangum House PO Box 2543 Asheboro NC 27204-2543 841 East Pritchard Street Asheboro NC 27203 Randolph (336)629-1347 "Randolph Fellowship Home, Inc." 922432 MHL-076-001 "Randolph Fellowship Home, Inc." 01-Dec-84 01-Jan-19 31-Dec-19 Type A 30-May-14 - - 7 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Alpha House PO Box 2543 Asheboro NC 27204-2543 373 Hill Street Asheboro NC 27203 Randolph (336)625-1637 "Randolph Fellowship Home, Inc." 110456 MHL-032-585 "Recovery Connections of Durham, Inc." 30-Jun-13 01-Jan-19 31-Dec-19 - - - - 5 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Recovery Connections II 2913 Wadsworth Avenue Durham NC 27707 2913 Wadsworth Avenue Durham NC 27707 Durham (919)973-1018 "Recovery Center of Durham, Inc." 921608 MHL-032-586 "Recovery Connections of Durham, Inc." 30-Jun-13 01-Jan-19 31-Dec-19 Type A 23-Sep-14 - - 6 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Recovery Connections I 2913 Wadsworth Ave Durham NC 27707 2203 Elmwood Avenue Durham NC 27707 Durham (919)973-3203 "Recovery Connections of Durham, Inc." 942857 MHL-001-016 "Residential Treatment Services of Alamance, Inc." 01-Jun-75 01-Jan-19 31-Dec-19 Type A 29-Jun-10 - - 15 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Hall Avenue Facility P.O. Box 427 Burlington NC 27216-0427 136 Hall Avenue Burlington NC 27217 Alamance (336)227-7417 080262 MHL-078-283 Robeson Health Care Corporation 14-Jul-11 01-Jan-19 31-Dec-19 Type A 02-Sep-15 - - 9 27G.5600E Supervised Living SA Adult A SAS RESIDENTL RHCC Recovery Home 60 Commerce Plaza Pembroke NC 28372 661 Burns Road Lumberton NC 28358 Robeson (910)738-5545 Robeson Health Care Corp. 922704 MHL-063-005 "The Bethany House, Inc." 01-Sep-88 01-Jan-19 31-Dec-19 - - - - 8 27G.5600E Supervised Living SA Adult A SAS RESIDENTL "The Bethany House, Inc." 240 East Vermont Avenue Southern Pines NC 28387 240 East Vermont Avenue Southern Pines NC 28387 Moore (910)692-0779 "The Bethany House, Inc." 921845 MHL-090-175 The Charlotte-Mecklenburg Hospital Authority 01-Apr-13 01-Jan-19 31-Dec-19 - - - - 7 27G.5600E Supervised Living SA Adult A SAS RESIDENTL CHS Behavioral Health-First Step PO Box 5003 Monroe NC 28111 1623 E. Sunset Drive Monroe NC 28112 Union (980)993-7700 The Charlotte-Mecklenburg Hospital Authority 921839 MHL-034-005 "The Fellowship Home, Inc." 01-Nov-82 01-Jan-20 31-Dec-20 Type A 19-Jul-16 - - 10 27G.5600E Supervised Living SA Adult A SAS RESIDENTL The Fellowship Home 661 North Spring Street Winston Salem NC 27101-1326 661 North Spring Street Winston Salem NC 27101-1326 Forsyth (336)727-7084 921855 MHL-036-007 "The Flynn Fellowship Home of Gastonia, Inc." 01-Dec-84 01-Jan-20 31-Dec-20 - - - - 14 27G.5600E Supervised Living SA Adult A SAS RESIDENTL "The Flynn Fellowship Home of Gastonia, Inc." 311 S. Marietta Street Gastonia NC 28052 311 S. Marietta Street Gastonia NC 28052 Gaston (704)865-9395 020257 MHL-096-231 "Tri County Community Health Council, Inc." 01-Jun-10 01-Jan-19 31-Dec-19 Type B 20-Jul-11 - - 6 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Angelic House 1480 Maple Grove Church Road Dunn NC 28334 1206 East Walnut Street Goldsboro NC 27530 Wayne (919)735-1531 101161 MHL-082-014 "Tri-County Community Health Council, Inc." 20-Dec-94 01-Jan-19 31-Dec-19 - - - - 1 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Harvest House 1480 Maple Grove Church Road Dunn NC 28334 1470 Maple Grove Church Road Dunn NC 28334 Sampson (910)567-5020 "Tri-County Community Health Council, Inc." 160383 MHL-045-128 "Twelve Oaks, LLC" 12-Jan-17 01-Jan-19 31-Dec-19 - - - - 15 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Silver Ridge 183 Old Turnpike Rd Mills River NC 28759 "183 Old Turnpike Road, Building A" Mills River NC 28759 Henderson (828)891-8227 "Twelve Oaks, LLC" 955648 MHL-034-066 "YWCA of Winston-Salem and Forsyth County, Inc." 24-May-95 01-Jan-19 31-Dec-19 Type A 01-Aug-18 - - 6 27G.5600E Supervised Living SA Adult A SAS RESIDENTL YWCA-Hawley House 941 West Street Winston Salem NC 27101 941 West Street Winston Salem NC 27101 Forsyth (336)721-0733 Denita Mitchell/YMCA Hawley House 150458 MHL-011-388 "20Mountain Area Community Services, Inc." 15-Jan-16 01-Jan-20 31-Dec-20 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Scott AFL 366 South Main St Marion NC 28752 14 Starbright Lane Candler NC 28715 Buncombe (828)633-2369 "Mountain Area Community Services, Inc." 160001 MHL-065-250 "A Caring Heart Case Management, Inc." 15-Mar-16 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL A Caring Heart-AFL 1 1901 Tarboro St SW Ste 102 Wilson NC 27893 426 Clay Street Wilmington NC 28405 New Hanover (910)769-0405 "A Caring Heart Case Management, Inc." 170370 MHL-010-088 "A Caring Heart Case Management, Inc." 22-Sep-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL A Caring Heart AFL 2 2541 South 17th Street Wilmington NC 28401 1068 Victoria Lane NE Navassa NC 28451 Brunswick (910)794-6949 "A Caring Heart Case Management, Inc." 180596 MHL-074-256 "A Caring Heart Case Management, Inc." 20-Mar-19 20-Mar-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL A Caring Heart AFL Greenville #1 "1901 Tarboro St. SW, Ste 102" Wilson NC 27893 382 E Hanrahan Road Grifton NC 28530 Pitt (252)652-4524 "A Caring Heart Case Management, Inc." 160150 MHL-060-1323 "A Small Miracle, LLC" 02-Nov-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Davis Home 1890 Tommy's Road Goldsboro NC 27534 6914 Cedarcreek Drive Charlotte NC 28215 Mecklenburg (704)595-3812 "A Small Miracle, LLC" 170307 MHL-060-1356 "A Small Miracle, LLC" 30-Aug-17 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Kelden Walker Home 5309 Idlewild Road North Charlotte NC 28227 5816 Kelden Walker Lane Charlotte NC 28269 Mecklenburg (704)499-2195 "A Small Miracle, LLC" 190065 MHL-060-1402 "A Small Miracle, LLC" 25-Apr-19 25-Apr-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Lewis Home 5309 Idlewild Rd North Mint Hill NC 28227 7621 Kuck Road Mint Hill NC 28227 Mecklenburg (980)313-1094 "A Small Miracle, LLC" 150387 MHL-093-060 "ACI Support Specialists, LLC" 24-Jul-14 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Evans Residential Services 834 Timber Drive Garner NC 27529 470 Hub Quarter Road Macon NC 27553 Warren (252)431-1500 "ACI Support Specialist, LLC" 010574 MHL-041-553 "Alberta Professional Services, Inc." 01-Jul-99 01-Jan-19 31-Dec-19 Type B 26-Jan-06 - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Stonesthrow Group Home PO Box 14884 Greensboro NC 27415 3978 Lewiston Road Summerfield NC 27358 Guilford (336)273-2640 "Alberta Professional Svcs, Inc." 120647 MHL-029-126 "Alberta Professional Services, Inc." 26-Jun-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Marajo Place PO Box 14884 Greensboro NC 27415 166 Marajo Court Winston-Salem NC 27127 Davidson (336)764-2045 "Alberta Professional Services, Inc." 140448 MHL-032-596 "Alberta Professional Services, Inc." 01-Dec-89 01-Jan-20 31-Dec-20 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL A Positive Solution PO Box 14884 Greensboro NC 27713 228 South Bend Drive Durham NC 27713 Durham (919)973-0726 "Alberta Professional Services, Inc." 980060 MHL-041-1127 "Alberta Professional Services, Inc." 04-Apr-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Ora's Blessings 3107 S. Elm-Eugene St. Greensboro NC 27406 5709 Northlake Drive Greensboro NC 27410 Guilford (336)285-9121 "Alberta Professional Services, Inc." 160407 MHL-041-1140 "Alberta Professional Services, Inc." 03-Nov-16 01-Jan-20 31-Dec-20 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Sandridge AFL 3107 S. Elm-Eugene St. Greensboro NC 27406 2305 Walker Avenue Greensboro NC 27403 Guilford (336)251-9083 "Alberta Professional Services, Inc." 170064 MHL-041-1150 "Alberta Professional Services, Inc." 07-Aug-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Kurian Home 3107 S. Elm-Eugene Street Greensboro NC 27406 626 Wigeon Drive Greensboro NC 27455 Guilford (336)545-1315 "Alberta Professional Services, Inc." 180465 MHL-034-385 "Alberta Professional Services, Inc." 04-Feb-19 04-Feb-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Lindbergh Place 3107 S. Elm-Eugene St. Greensboro NC 27406 510 Lindbergh Street Winston-Salem NC 27104 Forsyth (336)997-9293 "Alberta Professional Services, Inc." 140166 MHL-092-903 "Alpha Management Services, Inc." 24-Oct-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL G & S Williams Home 2 Consultant Place Durham NC 27707 115 Halpen Drive Cary NC 27513 Wake (919)377-0217 "Alpha Management Services, Inc." 140129 MHL-035-069 "Alpha Management Services, Inc." 23-Nov-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Mables Home 2 Consultant Place Durham NC 27707 112 Allen Avenue Franklinton NC 27525 Franklin (919)494-8198 "Alpha Management Services, Inc." 130388 MHL-042-073 Angie Richardson 19-Nov-13 10-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Everyday Living 166 Rudd Trail Road Hollister NC 27844 166 Rudd Trail Road Hollister NC 27844 Halifax (252)586-8405 Angie Richardson 170317 MHL-041-1160 Antonio Stroman and Brittny Murray 14-Feb-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Sweet Birch AFL 3629 Sweet Birch Dr. Greensboro NC 27406 3629 Sweet Birch Drive Greensboro NC 27406 Guilford (336)398-7388 Antonio Stroman and Brittny Murray 070128 MHL-034-327 Arcola Lewis 04-Apr-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Arch Angel's 144 Retnuh Drive Winston-Salem NC 27105 144 Retnuh Drive Winston-Salem NC 27105 Forsyth (336)448-0663 Arcola Lewis 100793 MHL-092-796 Arleana Harrison 10-Nov-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Foot Steps To Success 504 Thistlegate Trail Raleigh NC 27610 504 Thistlegate Trail Raleigh NC 27610 Wake (919)327-9804 Arleana Harrison 030034 MHL-092-540 Ayodele Joy Oyelowo 27-Jun-03 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Gloryland Home Care Services 2617 Gross Avenue Wake Forest NC 27587 2617 Gross Avenue Wake Forest NC 27587 Wake (919)671-1891 Gloryland Home Care Svcs 001247 MHL-074-195 "Better Connections, Inc." 13-Oct-08 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Better Connections Midland Ct. PO Box 3381 Greenville NC 27836 3309 Midland Court Greenville NC 27834 Pitt (252)561-7248 Better Connections C/O John Williams 061135 MHL-033-051 Better Days Ahead of Rocky Mount Inc. 30-Jan-07 01-Jan-19 31-Dec-19 Type B 06-Jul-11 - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Better Days Ahead Inc #4 PO Box 909 Rocky Mount NC 27802 100 South Glendale Avenue Rocky Mount NC 27801 Edgecombe (252)977-6717 "Kelvin Barnhill, Sr./ Mary Barnhill" 030051 MHL-052-012 Brenda Kay Hicks 21-Feb-03 01-Jan-20 31-Dec-20 Type A 25-May-06 - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Quality-Care Behavioral Health II PO Box 942 Maysville NC 28555 301 Fourth Street Maysville NC 28555 Jones (910)743-9171 Quality-Care Behavioral Health 160521 MHL-001-245 Brenda Wilson Reese 01-Jan-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL B and R Providers PO Box 2054 Burlington NC 27216 2445 Rogers Court Graham NC 27253 Alamance (336)212-7861 Brenda W. Reese 060403 MHL-064-122 Calvin Brockington 09-Nov-10 01-Jan-19 31-Dec-19 Type A 14-Feb-17 - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Brockington's Home Healthcare 516 Lark Lane Rocky Mount NC 27803 516 Lark Lane Rocky Mount NC 27803 Nash (252)822-5111 Calvin Brockington 061407 MHL-060-1318 "Care Well of Charlotte, Inc." 01-Aug-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Frances McFadden Home "6608 East W.T. Harris Blvd., Ste. D" Charlotte NC 28215 3536 Savannah Hills Drive Matthews NC 28105 Mecklenburg (704)779-3686 "Care Well of Charlotte, Inc." 130085 MHL-060-1329 "Care Well of Charlotte, Inc." 11-Dec-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Nelson Home 6608 East WT Harris Blvd Charlotte NC 28215 10619 River Hollow Court Charlotte NC 28214 Mecklenburg (704)819-6989 "Care Well of Charlotte, Inc." 150472 MHL-060-1341 "Care Well of Charlotte, Inc." 01-Mar-17 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Romas Home 6608 East W.T. Harris Blvd. Charlotte NC 28215 7354 Sugar Maple Lane Charlotte NC 28215 Mecklenburg (704)699-3605 "Care Well of Charlotte, Inc." 080091 MHL-060-1345 "Care Well of Charlotte, Inc." 01-Apr-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The DePascale Home 6608-D East WT Harris Blvd. Charlotte NC 28215 2540 Annecy Drive Matthews NC 28105 Mecklenburg (704)575-4012 "Care Well of Charlotte, Inc." 160535 MHL-060-1346 "Care Well of Charlotte, Inc." 01-Jun-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Harrison Home 6608 East WT Harris Boulevard Charlotte NC 28215 12551 Hashanli Place Matthews NC 28105 Mecklenburg (704)573-4386 "Care Well of Charlotte, Inc." 170286 MHL-060-1350 "Care Well of Charlotte, Inc." 17-Jul-17 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Jackson Home 6608-D East WT Harris Boulevard Charlotte NC 28215 4530 Hounds Run Drive Matthews NC 28105 Mecklenburg (704)426-7075 "Care Well of Charlotte, Inc." 150441 MHL-060-1396 "Care Well of Charlotte, Inc." 01-Feb-19 01-Feb-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Violet Hameed-Nelson Home 6608-D East WT Harris Blvd. Charlotte NC 28215 8046 Hereford Street Charlotte NC 28213 Mecklenburg (704)458-4564 "Care Well of Charlotte, Inc." 190151 MHL-060-1409 "Care Well of Charlotte, Inc." 07-Aug-19 07-Aug-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Rice Home 1428 Orchard Lake Dr Charlotte NC 28270 2537 Arden Gate Lane Charlotte NC 28262 Mecklenburg (704)537-0052 "Care Well of Charlotte, Inc." 170014 MHL-060-1410 "Care Well of Charlotte, Inc." 07-Aug-19 07-Aug-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Miracles Work 1428 Orchard Lake Dr Charlotte NC 28270-1474 "10916 Northlake Landing Drive, Apt. # 7107" Charlotte NC 28216 Mecklenburg (980)299-5031 "Care Well of Charlotte, Inc." 180189 MHL-041-1168 CareLink Solutions 04-Jun-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL """Naomi Place""" PO Box 1916 Greensboro NC 27402 2284 Rothwood Acres Greensboro NC 27406 Guilford (336)314-6305 CareLink Solutions 160457 MHL-041-1141 "CareLink Solutions, Inc." 08-Dec-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Artis Family Services #1 PO Box 1916 Greensboro NC 27403 1609 Kay Street Greensboro NC 27405 Guilford (336)894-2999 "Carelink Solutions, Inc." 120380 MHL-032-562 "Caring Hands & Supplementary Enrichment Education, LLC" 18-May-11 01-Jan-19 31-Dec-19 Type A 15-Feb-19 - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL "Caring Hands & Supplementary Enrichment Education, LLC" 2206 S. Page Road Suite 102 Durham NC 27707 103 Bassett Hall Drive Durham NC 27703 Durham (919)908-9559 160185 MHL-032-610 "Caring Hands & Supplementary Enrichment Education, LLC" 24-Jun-16 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL The Travis Home - A Caring Hands Site "2206 S. Page Rd., Ste 102" Durham NC 27703 15 Toms Rock Place Durham NC 27704 Durham (919)638-0193 "Caring Hands & Supplementary Enrichment Education," 120267 MHL-073-064 "Caring Hands and Supplementary Enrichment Education,LLC" 02-Nov-12 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Reed's Alternative Family Living 2865 Virgilina Road Roxboro NC 27574 2865 Virgilina Road Roxboro NC 27574 Person (336)597-2598 "Teed AFL Home, LLC" 050234 MHL-025-205 Carolyn Turner 07-Sep-06 01-Jan-19 31-Dec-19 Type B 22-Aug-11 - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Edell's One 3717 Trent Road New Bern NC 28562-2221 3717 Trent Road New Bern NC 28562-2221 Craven (252)288-5693 980574 MHL-067-073 Cassandra Hampton 22-Jun-98 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Hampton Home 100 Cypress Court Jacksonville NC 28540 100 Cypress Court Jacksonville NC 28540 Onslow (910)938-9373 000117 MHL-020-024 Cathy Davidson 10-Feb-00 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Rising Sun 944 NC Highway 141 Murphy NC 28906 944 NC Highway 141 Murphy NC 28906 Cherokee (828)837-8357 Cathy Davidson 180222 MHL-041-1171 Choice Behavioral Health 21-Aug-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Triston Drive AFL 2302 W Meadowview Rd. Ste.228 Bx24 Greensboro NC 27407 4201 Triston Drive Greensboro NC 27407 Guilford (336)510-2724 Choice Behavioral Health 041318 MHL-025-221 Cleatrice Campbell 08-Jun-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MD RESIDENTL Blessed Haven 1025 Plymouth Drive New Bern NC 28562 1025 Plymouth Drive New Bern NC 28562 Craven (252)638-4195 Cleatrice Campbell 080574 MHL-092-735 Clora Webb 07-Jan-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Clora's Angels Home 7205 Jonathan Drive Wendell NC 27591 7205 Jonathan Drive Wendell NC 27591 Wake (919)365-9026 160016 MHL-026-960 "Community Alternative Housing, Inc." 26-Apr-16 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL "Community Alternative Housing, Inc." PO Box 87195 Fayetteville NC 28304 1410 Seabiscuit Drive Parkton NC 28371 Cumberland (910)425-6721 "Community Alternative Housing, Inc." 140395 MHL-005-028 Community Alternatives NC 02-Apr-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Clay's House "170 Hidden Shadows Dr., Ste. 1" Boone NC 28607 500 Frank Street West Jefferson NC 28694 Ashe (336)246-3603 Community Alternatives NC 150230 MHL-034-346 Community Alternatives of NC 21-Sep-15 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Woodcliff Home 1551 Westbrook Plaza Dr Ste 90 Winston-Salem NC 27103 5455 Woodcliff Drive Winston-Salem NC 27106 Forsyth (336)815-8089 Community Alternatives of NC 150284 MHL-034-348 Community Alternatives of NC 22-Oct-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Just Like Home 1551 Westbrook Plaza Dr Ste 90 Winston Salem NC 27103 2087 Bethany Trace Lane Winston Salem NC 27127 Forsyth (336)829-5649 Community Alternatives of NC 140289 MHL-034-358 Community Alternatives of NC 16-Aug-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Life Enhancement Opportunities "1551 Westbrook Plaza Dr., Ste 90" Winston Salem NC 27103 660 Sina Avenue Winston Salem NC 27127 Forsyth (336)785-0392 Community Alternatives of NC 090532 MHL-099-032 Community Alternatives of NC 27-Nov-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Saldano AFL PO Box 150 Wilkesboro NC 28697 151 Cherry Street Jonesville NC 28642 Yadkin (336)978-1061 Community Alternatives of NC 170582 MHL-079-133 Community Alternatives of NC 07-Mar-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living ADOL&A MR/DD RESIDENTL Halicia's Haven of Hope 1551 Westbrook Plaza Dr Winston Salem NC 27103 1203 Irving Avenue Eden NC 27288 Rockingham (336)612-2253 Community Alternatives of NC 170036 MHL-005-029 Community Alternatives of North Carolina 08-Jun-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Johnson Home "170 Hidden Shadows Dr., Suite 1" Boone NC 28607 1042 Cabbage Creek Road Creston NC 28615 Ashe (336)385-1091 Community Alternatives of North Carolina 061379 MHL-059-056 "Community Companion Home Care, LLC" 27-Feb-12 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Lunsford Home 3288 Harmony Grove Rd. Nebo NC 28761 207 Lake View Drive Marion NC 28752 McDowell (828)738-3192 Community Companion Home Care 140084 MHL-059-064 "Community Companion Home Care, LLC" 14-May-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL King Home 3288 Harmony Grove Road Nebo NC 28761 245 5th Street Marion NC 28752 McDowell (828)803-2311 "Community Companion Home Care, Inc." 120068 MHL-059-069 "Community Companion Home Care, LLC" 01-Jun-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Taylor Home 49-A State Street Marion NC 28752 43 East Crawford Street Old Fort NC 28762 McDowell (828)668-6263 "Community Companion Home Care, LLC" 170313 MHL-059-073 "Community Companion Home Care, LLC" 26-Oct-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Cooke Home 49-A State Street Marion NC 28752 758 Deep Woods Drive Marion NC 28752 McDowell (828)559-2309 "Community Companion Home Care, LLC" 110370 MHL-011-414 "Community Companion Home Care, LLC" 26-Oct-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Ledford Home 49-A State Street Marion NC 28752 127 Warren Wilson Road Swannanoa NC 28778 Buncombe (828)424-7037 "Community Companion Home Care, LLC" 170379 MHL-012-142 "Community Companion Home Care, LLC" 22-Dec-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Lake James Alternative Family Living 49-A State Street Marion NC 28752 5741 Fish Hatchery Road Morganton NC 28655 Burke (828)433-5466 "Community Companion Home Care, LLC" 180283 MHL-059-079 "Community Companion Home Care, LLC" 19-Oct-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Mackey Creek Home 49-A State Street Marion NC 28752 1225 Mackey Creek Road Old Fort NC 28762 McDowell (828)559-2246 "Community Companion Home Care, LLC" 170530 MHL-023-214 "Community Companion Home Care, LLC" 23-Jan-19 23-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Thompson House NC 49-A State St. Marion NC 28752 119 North Piedmont Ave. Kings Mountain NC 28086 Cleveland (704)666-4000 "Community Companion Home Care, LLC" 180593 MHL-059-074 "Community Companion Home Care, LLC" 21-Sep-15 01-Mar-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Bowers Home 49-A State St. Marion NC 28752 740 Deep Woods Drive Marion NC 28752-8251 McDowell (828)559-0809 "Community Companion Home Care, LLC" 190158 MHL-059-081 "Community Companion Home Care, LLC" 15-Aug-19 15-Aug-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Lonon Home 49-A State Street Marion NC 28752 166 Macey Drive Nebo NC 28761 McDowell (828)527-2843 "Community Companion Home Care, LLC" 990810 MHL-041-546 "Community Support Service, L.L.C." 06-Aug-99 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Manning Home 1Terrace Way Greensboro NC 27403-3667 1113 Tipton Street High Point NC 27262 Guilford (336)885-7161 "Community Support Service, L.L.C." 050853 MHL-041-680 "Community Support Service, L.L.C." 27-May-03 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The McDowell Home 1Terrace Way Greensboro NC 27403 6906 Whirlaway Drive Whitsett NC 27377 Guilford (336)449-6304 Community Support Service 990251 MHL-041-527 "Community Support Service, LLC" 10-Mar-99 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Peguese Home 1 Terrace Way Greensboro NC 27403 1712 Candlewood Court High Point NC 27265 Guilford (336)885-4380 Community Support Service 020557 MHL-041-661 "Community Support Service, LLC" 29-Jan-03 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Caudill Home 1 Terrace Way Greensboro NC 27403 527 Dogwood Circle High Point NC 27262 Guilford (336)454-0856 "Community Support Service, LLC" 990774 MHL-041-1107 "Community Support Service, LLC" 25-Nov-14 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Richardson Home 1 Terrace Way Greensboro NC 27403 410 Memphis Street Greensboro NC 27410 Guilford (336)274-2777 "Community Support Services, LLC" 150167 MHL-076-123 "Community Support Service, LLC" 19-Jun-15 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Anderson Home 1 Terrace Way Greensboro NC 27403 "2207 N. Fayetteville Street, Apt. 14E" Asheboro NC 27203 Randolph (336)963-8342 "Community Support Service, LLC" 180300 MHL-041-1113 "Community Support Service, LLC" 02-Mar-15 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Fuller Home 1 Terrace Way Greensboro NC 27403 2021 Buckminster Drive Whitsett NC 27377 Guilford (336)809-3444 "Community Support Services, LLC" 080554 MHL-041-893 "Comunity Support Service, LLC" 14-Jul-05 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Anderson Home 1 Terrace Way Greensboro NC 27403 3942 Huttons Lake Court High Point NC 27265 Guilford (336)431-2367 170042 MHL-092-262 "Cyrus Home, LLC" 26-Feb-97 01-Jan-19 31-Dec-19 Type B 22-Oct-18 - - 3 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Cyrus Home 3101 Ginger Lake Court Zebulon NC 27597 3101 Ginger Lake Court Zebulon NC 27597 Wake (919)217-0015 "Cyrus Home, LLC" 140224 MHL-047-153 Cyshelle Graham 09-Aug-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Majestic Alternative Supervised Living Facility 303 Carriage Lane Raeford NC 28376 303 Carriage Lane Raeford NC 28376 Hoke (910)848-1442 Cyshelle Graham 090379 MHL-064-107 Darrell Frank Johnson II 23-Oct-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL T.Y.L. (Thank You Lord) 2612 Winstead Road Rocky Mount NC 27804 2612 Winstead Road Rocky Mount NC 27804 Nash (252)801-9102 Darrell F. Johnson II 190055 MHL-041-1179 Darryl D. Jones 01-May-19 01-May-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MR/DD RESIDENTL Carol's Family Care 6136 Ashbrook Circle Archdale NC 27263 6136 Ashbrook Circle Archdale NC 27263 Guilford (336)804-5957 Darryl D. Jones 160122 MHL-074-249 Daryl Lewis 19-May-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Day Spring Whole Life 315 Clifton St. Greenville NC 27858 3145 Pacolet Drive Greenville NC 27834 Pitt (252)375-3051 Daryl Lewis 170273 MHL-075-028 "Davidson Home, Inc." 17-Aug-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Poague Home 2084 Highway 70 Swannanoa NC 28778 919 Rockwood Lane Tryon NC 28782 Polk (828)367-3790 "Davidson Homes, Inc." 030370 MHL-059-023 "Davidson Homes, Inc." 23-May-03 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Dawn's Place 2084 Highway 70 Swannanoa NC 28778 219 Hickory Hill Drive Marion NC 28752 McDowell (828)756-4575 "Davidson Homes, Inc." 080004 MHL-011-250 "Davidson Homes, Inc." 01-Mar-04 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL God's Special People 2084 Highway 70 Swannanoa NC 28778 17 Swann Hill Lane Asheville NC 28808 Buncombe (828)296-9011 Davidson Homes Inc. 050032 MHL-011-258 "Davidson Homes, Inc." 29-Jun-05 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Joyce Rasheed Home 2084 Highway 70 Swannanoa NC 28778 17 Rhododendron Place Asheville NC 28805 Buncombe (828)299-3231 Davidson Homes Inc. 061041 MHL-011-260 "Davidson Homes, Inc." 15-Jul-05 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Peek Home 2084 Hwy 70 Swannanoa NC 28778 11 Grassy Ridge Road Asheville NC 28805 Buncombe (828)505-1266 "Davidson Homes, Inc." 100956 MHL-011-329 "Davidson Homes, Inc." 28-Dec-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL McPherson Home 2084 Highway 70 Swannanoa NC 28778 16 Walnut Hill Drive Fairview NC 28730 Buncombe (828)628-3028 "Davidson Homes , Inc." 120478 MHL-011-287 "Davidson Homes, Inc." 09-Aug-07 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Dawn Forrest Home 2084 Highway 70 Swannanoa NC 28778 29 Grandview Circle Asheville NC 28806 Buncombe (828)665-4658 "Davidson Homes, Inc." 070775 MHL-011-353 "Davidson Homes, Inc." 09-Jan-13 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Goss Home 2084 US Highway 70 Swannanoa NC 28778 12 Swann Hill Lane Asheville NC 28805 Buncombe (828)505-4162 "Davidson Homes, Inc." 150360 MHL-059-067 "Davidson Homes, Inc." 23-Nov-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Thomas Home 2084 Highway 70 Swannanoa NC 28778 501 French Mountain Drive Marion NC 28752 McDowell (828)738-9788 "Davidson Homes, Inc." 150536 MHL-011-331 "Davidson Homes, Inc." 07-Apr-11 01-Jan-19 31-Dec-19 Type B 29-Apr-19 - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Pat Bradley Home 2084 Highway 70 Swannanoa NC 28778 420 Lytle Cove Road Swannanoa NC 28778 Buncombe (828)686-0083 "Davidson Homes, Inc." 160464 MHL-011-403 "Davidson Homes, Inc." 08-Mar-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Diering Home 2084 Highway 70 Swannanoa NC 28778 2 Village Way Black Mountain NC 28771 Buncombe (828)669-1276 "Davidson Homes, Inc." 180109 MHL-059-078 "Davidson Homes, Inc." 06-Jun-18 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MR/DD RESIDENTL DuBose Home 2084 US Highway 70 Swannanoa NC 28778 288 Nix Creek Church Road Marion NC 28752 McDowell (828)527-0842 "Davidson Homes, Inc." 180348 MHL-020-086 "Davidson Homes, Inc." 21-Sep-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Palmer Home 2084 US Highway 70 Swannanoa NC 28778 488 Talc Mine Road Murphy NC 28906 Cherokee (828)360-3435 "Davidson Homes, Inc." 180467 MHL-060-1397 "Davidson Homes, Inc." 06-Feb-19 06-Feb-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Teal Home 2084 US Highway 70 Swannanoa NC 28778 7608 Edgeworth Court Charlotte NC 28213 Mecklenburg (980)819-8382 "Davidson Homes, Inc." 960188 MHL-067-034 Dawn Leah Bowen McCullen 11-Mar-96 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL McCullen Home 113 Courtland Drive Jacksonville NC 28546 1001 Henderson Drive Jacksonville NC 28540 Onslow (910)388-1892 170087 MHL-092-954 Deanna Michelle Rose 16-Oct-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Rose Residential Services 1408 Silver Valley Drive Knightdale NC 27545 1408 Silver Valley Drive Knightdale NC 27545 Wake (919)679-3334 Deanna Michelle Rose 090075 MHL-001-197 Deborah B. Thompson 19-May-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Thompson Family Care 2533 East Simpson Road Burlington NC 27217 2533 East Simpson Road Burlington NC 27217 Alamance (336)578-7512 Deborah B. Thompson 021053 MHL-060-626 "Developmental Disabilities Resources, Inc." 12-Feb-01 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Harrah Home 6824 Wilgrove Mint Hill Rd Charlotte NC 28227 1408 Marlewood Circle Charlotte NC 28227 Mecklenburg (704)536-6681 "DDR, Inc. - Jean Kennedy" 030716 MHL-060-720 "Developmental Disabilities Resources, Inc." 16-Oct-01 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Karita Freeman Home 6824 Wilgrove Mint Hill Rd Charlotte NC 28227 2537 Thomasson Place Circle Charlotte NC 28213 Mecklenburg (704)921-2276 Dev. Disabilities Resources 010804 MHL-060-728 "Developmental Disabilities Resources, Inc." 31-Oct-01 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Bridget Smith Home 6824 Wilgrove Mint Hill Rd Charlotte NC 28227 10816 Gardenia Street Charlotte NC 28215 Mecklenburg (704)568-7876 "Developmental Disabilities Resources, Inc." 020493 MHL-060-997 "Developmental Disabilities Resources, Inc." 23-Aug-06 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Ruby Wilson Home 6824 Wilgrove Mint Hill Rd Charlotte NC 28227 7338 Forrest Rader Drive Mint Hill NC 28227 Mecklenburg (704)545-8119 Dev. Disabilities Resources 060907 MHL-060-1005 "Developmental Disabilities Resources, Inc." 26-Oct-06 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Donnetta Robinson Home 6824 Wilgrove Mint Hill Rd Charlotte NC 28227 1518 Ladora Drive Charlotte NC 28262 Mecklenburg (704)717-8464 Developmental Disabilities Resources Inc. 070333 MHL-060-1020 "Developmental Disabilities Resources, Inc." 31-May-07 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Joyce Robinson Home 6824 Wilgrove Mint Hill Rd Charlotte NC 28227 3306 Hendrick Chapel Lane Charlotte NC 28216 Mecklenburg (704)573-2504 Developmental Disabilities Resources 050621 MHL-060-1061 "Developmental Disabilities Resources, Inc." 01-Jun-08 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Janice Ingram Home 6824 Wilgrove Mint Hill Rd Charlotte NC 28227 511 West Rocky River Road Charlotte NC 28213 Mecklenburg (704)287-0886 "Developmental Disabilities Resources, Inc." 090466 MHL-060-1124 "Developmental Disabilities Resources, Inc." 17-Dec-09 01-Jan-19 31-Dec-19 Type A 18-Jun-10 18-Dec-10 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Miller Home 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 8812 Nations Ford Road Charlotte NC 28217 Mecklenburg (704)525-9444 "Developmental Disabilities Resources, Inc." 980474 MHL-080-183 "Developmental Disabilities Resources, Inc." 01-Feb-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Ewart Home 6824 Wilgrove Mint Hill Rd Charlotte NC 28227 5615 Faith Road Salisbury NC 28146 Rowan (704)279-0588 DDR 110118 MHL-060-1207 "Developmental Disabilities Resources, Inc." 11-Mar-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Cooley's House 6824 Wilgrove Mint Hill Rd Charlotte NC 28227 2116 Thurles Court Charlotte NC 28270 Mecklenburg (704)957-6637 "Developmental Disabilities Resources, Inc." 110209 MHL-060-1218 "Developmental Disabilities Resources, Inc." 11-Jul-11 01-Jan-19 31-Dec-19 Type B 27-Jul-15 - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Nina Moore Home 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 9829 Tufts Drive Mint Hill NC 28227 Mecklenburg (704)545-0469 "Developmental Disabilities Resources, Inc." 090909 MHL-036-314 "Developmental Disabilities Resources, Inc." 11-Oct-15 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Parrish Baylock Home 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 1419 Cherry Park Drive Gastonia NC 28052 Gaston (704)648-8101 "Developmental Disabilities Resources, Inc." 160272 MHL-090-174 "Developmental Disabilities Resources, Inc." 18-May-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Rabon Home 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 3042 Streamlet Way Monroe NC 28110 Union (704)684-5579 "Developmental Disabilities Resources, Inc." 160220 MHL-060-961 "Developmental Disabilities Resources, Inc." 24-Jun-05 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Steele Home 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 1028 Alston Hill Drive Charlotte NC 28214 Mecklenburg (704)399-5764 "Developmental Disabilities Resources, Inc." 150552 MHL-060-1330 "Developmental Disabilities Resources, Inc." 01-Jan-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Stephens Home 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 13522 Morgan Lee Avenue Charlotte NC 28213 Mecklenburg (704)796-7941 "Developmental Disabilities Resources, Inc." 160443 MHL-013-187 "Developmental Disabilities Resources, Inc." 16-Dec-16 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Moore Family Home 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 3276 Oulten Street Concord NC 28027 Cabarrus (704)706-8841 "Developmental Disabilities Resources, Inc." 170026 MHL-090-189 "Developmental Disabilities Resources, Inc." 25-Apr-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Sharon Allen Home 6824 Wilgrove-Mint Hill Road Mint Hill NC 28227 1319 Sam Cox Lane Wingate NC 28174 Union (704)324-4105 "Developmental Disabilities Resources, Inc." 170003 MHL-090-191 "Developmental Disabilities Resources, Inc." 01-May-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Bruce Norman Home 6824 Wilgrove-Mint Hill Road Mint Hill NC 28227 3610 Savannah Way Monroe NC 28110 Union (704)225-1199 "Developmental Disabilities Resources, Inc." 160354 MHL-090-194 "Developmental Disabilities Resources, Inc." 15-Oct-17 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Evelyn McLendon Home 6824 Wilgrove Mint Hill Road Mint Hill NC 28227 1501 McIntyre Road Wingate NC 28174 Union (704)233-5204 "Developmental Disabilities Resources, Inc." 170502 MHL-060-960 "Developmental Disabilities Resources, Inc." 24-Jun-05 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Judy Hilliard Home 6824 Wilgrove Mint Hill Road Mint Hill NC 28227 7245 Forrest Rader Drive Mint Hill NC 28227 Mecklenburg (704)573-5146 "Developmental Disabilities Resources, Inc." 060187 MHL-060-1378 "Developmental Disabilities Resources, Inc." 06-May-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Dorothy Hardison Home 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 4337 Sawmill Trace Lane Charlotte NC 28213 Mecklenburg (704)321-1635 "Developmental Disabilities Resources, Inc." 180069 MHL-060-1380 "Developmental Disabilities Resources, Inc." 13-Jul-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Ed Smith Home 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 3926 Meadow Green Drive Charlotte NC 28215 Mecklenburg (704)936-0695 "Developmental Disabilities Resources, Inc." 180370 MHL-060-1384 "Developmental Disabilities Resources, Inc." 14-Sep-18 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MR/DD RESIDENTL Aaron Jackson Home 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 2116 Cranberry Woods Court Charlotte NC 28208 Mecklenburg (980)219-7306 "Developmental Disabilities Resources, Inc." 180494 MHL-036-335 "Developmental Disabilities Resources, Inc." 09-Jan-19 09-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Wallace Williams Home 6824 Wilgrove Mint Hill Rd Mint Hill NC 28227 1818 Greenbrook Trail Dallas NC 28034 Gaston (704)215-6101 "Developmental Disabilities Resources, Inc." 190147 MHL-090-198 "Developmental Disabilities Resources, Inc." 31-May-19 31-May-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MD RESIDENTL Gallego Family Home 6824 Wilgrove-Mint Hill Rd Mint Hill NC 28227-3428 3005 Trellis Lane Monroe NC 28110-7880 Union (704)681-5142 "Developmental Disabilities Rources, Inc." 160491 MHL-044-070 Donald Ray Adams 20-Dec-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Adams Family Home 31 Abbott Moore Road Clyde NC 28721 31 Abbott Moore Road Clyde NC 28721 Haywood (828)299-0573 Donald Ray Adams 050880 MHL-092-441 Dorothy Murchison 01-Dec-00 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Murchison Residential Corp 533 Texanna Way Holly Springs NC 27540 533 Texanna Way Holly Springs NC 27540 Wake (919)557-6712 180538 MHL-014-088 "Dream Connections, Inc." 17-Mar-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Baker Home PO Box 585 Valdese NC 28690 4856 Sage Meadow Circle Hickory NC 28601 Caldwell (828)212-0308 "Dream Connections, Inc." 190090 MHL-012-138 "Dream Connections, Inc." 01-Mar-16 11-Apr-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL L and V House PO Box 585 Valdese NC 28690 118 Poteat Drive Morganton NC 28655 Burke (828)851-6802 "Dream Connections, Inc." 150351 MHL-032-601 Easter Seals UCP NC & VA 06-Aug-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Innovative Care of RTP "5171 Glenwood Ave.,Ste. 211" Raleigh NC 27612 107 Elmsford Street Durham NC 27703 Durham (919)598-1296 Easter Seals UCP NC & VA 190097 MHL-092-972 Easter Seals UCP North Carolina & Virginia 20-Aug-19 20-Aug-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL D. Jones Home "5171 Glenwood Ave., Ste 211" Raleigh NC 27612 1224 Robinson Avenue Raleigh NC 27610 Wake (984)269-7529 Easter Seals UCP North Carolina & Virginia 170583 MHL-034-377 Educare Community Living Corporation-North Carolina 09-Mar-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Royalty Home "1551 Westbrook Plaza Dr., Ste 90" Winston Salem NC 27103 1381 Aurora Glen Drive Rural Hall NC 27045 Forsyth (336)642-0428 Educare Community Living Corporation-North Carolin 080286 MHL-034-384 Educare Community Living Corporation-North Carolina 05-Feb-19 05-Feb-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Kimball House "1551 Westbrook Plaza Dr., Ste 90" Winston-Salem NC 27103 4505 Kimball Lane Winston-Salem NC 27105 Forsyth (336)767-8677 Educare Community Living Corp. North Carolina 160073 MHL-034-387 Educare Community Living Corporation-North Carolina 04-Jun-19 04-Jun-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Rorie's Safe Haven "1551 Westbrook Plaza Dr., Ste 90" Winston Salem NC 27103 1050 Duchess Court Winston Salem NC 27107 Forsyth (336)784-1746 Educare Community Living Corp.-NC 990576 MHL-092-369 Eloise M. Dowtin 25-Jun-99 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Dowtin's Therapeutic Home P.O. Box 26153 Raleigh NC 27611 3912 Willow Oak Road Raleigh NC 27604 Wake (919)349-5540 Eloise Dowtin 120214 MHL-032-584 Elspeth V. Walker and Joseph T. Walker 27-Feb-13 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Loving Arms Tender Touch (LATT) 1315-B Ripley Street Durham NC 27707 1315-B Ripley Street Durham NC 27707 Durham (919)489-5819 Elspeth Victoria Walker & Joseph T. Walker 080317 MHL-041-913 "Emmanuel Ministries International, Inc." 04-Jun-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Homes of Emmanuel PO Box 1713 Jamestown NC 27282 1005 Brushy Fork Drive Greensboro NC 27406 Guilford (336)763-5262 "Emmanuel Ministries International, Inc." 030610 MHL-093-040 Evelean Woodard 22-Apr-04 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Davis Home 112 Akins Lane Manson NC 27553 112 Akins Lane Manson NC 27553 Warren (252)456-2183 The Davis Home 080723 MHL-092-761 Ezekiel Wilson 01-Feb-10 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Creech Road Supervised Care 856 Timber Drive GArner NC 27529 808 Creech Road Garner NC 27529 Wake (919)961-1392 Ezekiel Wilson 150419 MHL-032-604 Fayetteville Street Community Living Home #2 02-Nov-15 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Fayetteville Street Community Living Home #2 "3622 Lyckan Pkwy, Ste. 4004" Durham NC 27707 1023 S. Mineral Springs Road Durham NC 27703 Durham (984)219-1994 "Fayetteville Street Community Living Home, LLC" 110111 MHL-041-1011 "Flying Start Creative Expressions, Inc." 01-Apr-11 01-Jan-19 31-Dec-19 Suspension of Admission 24-Jun-15 - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL "Flying Start Creative Expressions, Inc." 1204 Sternly Way High Point NC 27260 1204 Sternly Way High Point NC 27260 Guilford (336)875-5077 070877 MHL-041-1094 Gabriel Breier 01-Jan-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Woodbrook House 934 Woodbrook Drive Greensboro NC 27410 934 Woodbrook Drive Greensboro NC 27410 Guilford (336)617-4054 Gabriel Breier 990094 MHL-035-020 Geraldine Harris-Holloway 07-Jan-99 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL St. Paul Residential Care 2165 Old US 64 Highway Spring Hope NC 27882 2165 Old US 64 Highway Spring Hope NC 27882 Franklin (252)478-3958 960783 MHL-092-248 Glenda Judd Evans-Walston 09-Oct-96 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Evans-Walston Home 808 Hawks View Court Fuquay-Varina NC 27526 808 Hawks View Court Fuquay-Varina NC 27526 Wake (919)669-2254 Evans-Walston Home 120196 MHL-032-576 Gloria Clemens 27-Jul-12 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Wilson House 1711 W. Lakewood Avenue Durham NC 27707 1711 West Lakewood Avenue Durham NC 27707 Durham (919)381-9760 Gloria Clemens 041013 MHL-025-222 Harriett Amos 21-Jan-11 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Ann Cares 142 South Forest Drive Havelock NC 28532 142 South Forest Drive Havelock NC 28532 Craven (252)444-0770 Harriett Amos 140390 MHL-041-1116 "Healing Hands Family Services, LLC" 02-Apr-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL "Healing Hands Family Services, LLC" 11 Silverbrook Court McLeansville NC 27301 11 Silverbrook Court McLeansville NC 27301 Guilford (336)697-1888 "Healing Hands Family Services, LLC" 140469 MHL-060-1343 "HeartSpring, Inc." 15-Mar-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Hudson Home "3707 Latrobe Dr., Ste. 460" Charlotte NC 28211 4734 Palustris Court Charlotte NC 28269 Mecklenburg (704)921-1205 "Heartspring, Inc." 190120 MHL-060-1405 Heartspring Inc. 27-Jun-19 27-Jun-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL House Twenty-One "3707 Latrobe Drive, Suite 460" Charlotte NC 28211 1131 Boxelder Lane Charlotte NC 28262 Mecklenburg (704)469-2012 Heartspring Inc. 960459 MHL-067-192 Helen C. Roush 04-Feb-11 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Faith Therapeutic Services PO Box 1936 Swansboro NC 28584 1102 Duchess Lane Hubert NC 28539 Onslow (910)389-8830 Helen C. Roush 960281 MHL-043-104 Herbert and Senora Woodard 22-Apr-96 15-Mar-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Woodard's Home 1709 Atkins Rd Fuquay Varina NC 27526 1709 Atkins Road Fuquay Varina NC 27526 Harnett (919)639-6893 Herbert abd Senora Woodard 090140 MHL-076-093 Holly R. Garren 19-Jun-09 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Changing Lives PO Box 177 Franklinville NC 27248 160 Norris Street Franklinville NC 27248 Randolph (336)824-2112 Holly Garren 160027 MHL-049-140 Home Care Management Corporation 05-Jul-16 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Caldwell House 315 Wilkesboro Blvd Lenoir NC 28645 804 Caldwell Street Statesville NC 28677 Iredell (704)380-4230 Home Care Management Corporation 170130 MHL-065-260 Home Care Management Corporation 07-Jul-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Johnson Home "5505 Business Drive, Suite A" Wilmington NC 28405 301 Cardiff Road Castle Hayne NC 28429 New Hanover (910)675-1467 Home Care Management Corporation 120051 MHL-081-098 HomeCare Management Corporation 29-May-13 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Graceland 627 Withrow Road Forest City NC 28043 128 Chantilly Lane Forest City NC 28043 Rutherford (828)247-6071 HomeCare Management Corporation 922446 MHL-078-310 HomeCare Management Corporation 22-Jul-14 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Register Home "315 Wilkesboro Blvd, NE, Suite 2_A" Lenoir NC 28645 116 West 8th Street Lumberton NC 28358 Robeson (910)536-4277 HomeCare Management Corporation 070132 MHL-011-417 HomeCare Management Corporation 01-Jun-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Long Home "315 Wilkesboro Blvd., NE, Ste 2-A" Lenoir NC 28645 25 Pine Knoll Street Asheville NC 28806 Buncombe (828)778-0260 HomeCare Management Corporation 140073 MHL-011-418 HomeCare Management Corporation 01-Jun-18 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Little Angels AFL Home "315 Wilkesboro Blvd., NE, Ste. 200A" Lenoir NC 28645 30 Willow Creek Drive Asheville NC 28803 Buncombe (828)702-7662 HomeCare Management Corporation 170335 MHL-011-419 HomeCare Management Corporation 01-Jun-18 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Creek Side Homes "315 Wilkesboro Blvd., NE, Ste. 2A" Lenoir NC 28645 30 Lytle Cove Road Ext. Swannanoa NC 28778 Buncombe (828)423-7836 HomeCare Management Corporation 180301 MHL-071-039 HomeCare Management Corporation 12-Oct-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Keelean Home 2240 Sloop Point Road Hampstead NC 28443 2240 Sloop Point Road Hampstead NC 28443 Pender (910)270-8936 HomeCare Management Corporation 160542 MHL-045-137 HomeCare Management Corporation 14-Nov-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL A Step Forward 627 Withrow Road Forest City NC 28403 405 Crest Road East Flat Rock NC 28726 Henderson (828)393-9006 HomeCare Management Corporation 001591 MHL-060-1398 HomeCare Management Corporation 07-Feb-19 07-Feb-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Clark Home "315 Wilksboro Blvd. SE, Ste 2A" Lenoir NC 28645 9709 Avensong Crossing Drive Charlotte NC 28215-8078 Mecklenburg (704)532-1071 HomeCare Management Corporation 970501 MHL-010-091 HomeCare Management Corporation 04-Mar-19 04-Mar-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Wallbrown Home "315 Wilkesboro Blvd. NE, Ste. 2-A" Lenoir NC 28645 949 North Shore Drive Southport NC 28461 Brunswick (910)616-7725 HomeCare Management Corporation 120231 MHL-010-092 HomeCare Management Corporation 04-Mar-19 04-Mar-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Cost Care Home "315 Wilkesboro Blvd., NE, Ste. 2-A" Lenoir NC 28645 99 Highpoint Road Southport NC 28461 Brunswick (910)351-0123 HomeCare Management Corporation 080129 MHL-060-1406 HomeCare Management Corporation 01-Jul-19 01-Jul-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Brenda Gibson Home "315 Wilkesboro Blvd. NE, Suite 2-A" Lenoir NC 28645 1200 Ashley Creek Drive Matthews NC 28105 Mecklenburg (704)847-9120 HomeCare Management Corporation 070073 MHL-060-1392 "HomeCare Management Corporation, Inc." 20-Jan-19 20-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Mary McCullough Home "315 Wilkesboro Blvd, NE, Ste 2-A" Lenoir NC 28645 7618 Woodknoll Drive Charlotte NC 28217 Mecklenburg (704)523-9464 "HomeCare Management Corporation, Inc." 921575 MHL-078-309 Homecare Management Corporation 17-Dec-13 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Cameron Home 315 Wilkesboro Blvd NE Lenoir NC 28645 1213 Patton Street Lumberton NC 28358 Robeson (910)738-5350 Homecare Management Corporation 170256 MHL-036-327 "Hughes Behavioral and Mental Health Services, Inc." 05-Sep-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Vistalite Home "1307 Union Road, Suite 105" Gastonia NC 28054 1120 Vistalite Lane Dallas NC 28034 Gaston (704)923-8738 "Hughes Behavioral and Mental Health Services, Inc." 190131 MHL-074-257 "Idella's Care Homes, LLC" 28-Sep-12 22-Apr-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL "Idella's Care Homes, LLC" 912 Pristine Lane Rolesville NC 27571 507 Club Pines Drive Greenville NC 27834 Pitt (252)364-8884 "Idella's Care Homes, LLC" 170169 MHL-060-1351 InReach 21-Jul-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL 13642 Porter Creek Road "4530 Park Road, Suite 300" Charlotte NC 28209 13642 Porter Creek Road Charlotte NC 28262 Mecklenburg (980)299-7151 InReach 180396 MHL-060-1220 "Innovative Support Services, LLC" 25-Jul-11 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Burntwood Home PO Box 560416 Charlotte NC 28256 3722 Burntwood Court Charlotte NC 28227 Mecklenburg (704)712-2483 "Innovative Support Services, LLC" 070646 MHL-060-1051 Inreach 14-Mar-08 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Inreach/ Highbury 4530 Park Road Suite 300 Charlotte NC 28209 7400 Highbury Lane Charlotte NC 28213 Mecklenburg (704)499-4170 Inreach 100921 MHL-044-072 "Irene Wortham Center, Inc." 20-Aug-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Grasty Gables 916 West Chapel Rd Asheville NC 28803 131 Walnut Road Clyde NC 28721 Haywood (828)565-0409 "Irene Wortham Center, Inc." 070423 MHL-045-136 "Irene Wortham Center, Inc." 17-Sep-18 01-Jan-19 31-Dec-19 Type B 14-Jan-19 - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The WE House 916 West Chapel Rd Asheville NC 28803 119 Wynn Brook Drive Hendersonville NC 28792 Henderson (828)513-1880 "Irene Wortham Center, Inc." 180551 MHL-026-967 Jeanette Bostick 14-Jun-18 07-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Jenny's Group Home 742 Fairview Street Fayetteville NC 28312 742 Fairview Street Fayetteville NC 28312 Cumberland (910)500-3097 Jeanette Bostick 001360 MHL-060-907 "Jireh's Place, Inc." 30-Jun-03 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Jireh's Place 5128 Rosemede Drive Charlotte NC 28227 5128 Rosemede Drive Charlotte NC 28227 Mecklenburg (704)535-5590 "Jireh's Place, Inc." 070108 MHL-035-042 Joan Hewitt 04-Sep-03 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Will Woods Home 125 Will Woods Way Franklinton NC 27525 125 Will Woods Way Franklinton NC 27525 Franklin (919)494-5829 Joan Hewett 010707 MHL-092-804 "Johnson's House of Hope Family Care Home, LLC" 06-Jan-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL "Johnson's House of Hope Family Care Home, LLC" 2509 Rolling Pines Avenue Durham NC 27703 2117 Star Sapphire Drive Raleigh NC 27610 Wake (919)836-5359 990575 MHL-092-368 Judith Griffing 15-Feb-07 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Griffing Home 2409 Dunbrook Court Raleigh NC 27604 2409 Dunbrook Court Raleigh NC 27604 Wake (919)212-0199 Judith Griffing 001565 MHL-064-061 Judy Jones 27-Sep-01 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Jones Residental Care 3905 Red Road Nashville NC 27856 3905 Red Road Nashville NC 27856 Nash (252)459-2389 190130 MHL-026-972 Kaleo Supports Inc. 26-Jun-19 26-Jun-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL By the River 3094 River Road Wade NC 28395 3094 River Road Wade NC 28395 Cumberland (910)779-2749 Kaleo Supports Inc. 100165 MHL-026-896 "Kaleo Supports, Inc." 15-Jun-10 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living ADOL&A MI RESIDENTL Kaleo Firethorn Drive 5227 Matt Hair Road Fayetteville NC 28312 7618 Firethorn Drive Fayetteville NC 28311 Cumberland (910)630-5152 "Kaleo Supports, Inc." 160171 MHL-096-262 "Kaleo Supports, Inc." 03-Oct-16 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Kaleo Autumn Winds 5227 Matt Hair Road Fayetteville NC 27312-7855 300 Autumn Winds Drive Goldsboro NC 27530-2506 Wayne (919)947-5934 "Kaleo Supports, Inc." 101125 MHL-092-788 Kelsha Wright 26-Aug-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Showers of Blessings 856 Timber Drive GArner NC 27529 5127 Wetlands Drive Raleigh NC 27610 Wake (984)200-7520 Kelsha Wright 101125 MHL-092-788 Kelsha Wright 26-Aug-10 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Showers of Blessings 856 Timber Drive GArner NC 27529 5127 Wetlands Drive Raleigh NC 27610 Wake (984)200-7520 Kelsha Wright 180057 MHL-060-1377 "Kerr Homes, Incorporated" 30-Apr-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Kerr Homes III 1048 Hearth Lane SW Concord NC 28025 2514 Anna Garrison Road Charlotte NC 28206 Mecklenburg (980)256-4140 "Kerr Homes, Incorporated" 980352 MHL-034-215 "King-Wendt Group Home, LLC" 13-Mar-07 01-Jan-19 31-Dec-19 Type A 25-Sep-07 - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL King-Wendt Home 3910 Char-win Dr Winston Salem NC 27101 3910 Char-Win Drive Winston-Salem NC 27101 Forsyth (336)407-2138 Don Wendt 170141 MHL-044-069 LIFESPAN Incorporated 07-Aug-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Market Street LIFESPAN "1511 Shopton Road, Suite A" Charlotte NC 28217 78 Market Street Maggie Valley NC 28751 Haywood (828)944-0066 LIFESPAN Incorporated 180342 MHL-041-1174 "LIFESPAN, Inc." 08-Jan-19 08-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL LIFESPAN Williams Home "1511 Shopton Rd, Ste A" Charlotte NC 28217 "5293 Hilltop Road, Apartment G" Greensboro NC 27407-5290 Guilford (336)420-9899 "LIFESPAN, Inc." 170271 MHL-060-1360 "LIFESPAN, Incorporated" 28-Sep-17 01-Jan-19 31-Dec-19 Type A 19-Mar-19 - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Hines AFL 3127 Kalynne Street Charlotte NC 28208 3529 Hatwynn Road Charlotte NC 28269-2024 Mecklenburg (704)996-9299 "LIFESPAN, Incorporated" 110840 MHL-064-133 Lavetta B. Bowers 06-Jun-12 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Caring & Sharing Love 4148 Harrison Drive Rocky Mount NC 27804 4148 Harrison Drive Rocky Mount NC 27804 Nash (252)451-5660 Lavetta B. Bowers 110807 MHL-064-128 Lewis E. Williams 09-Nov-10 01-Jan-19 31-Dec-19 Type B 16-Jan-18 - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL House of Hope 1640 Bridgedale Drive Rocky Mount NC 27803 1640 Bridgedale Drive Rocky Mount NC 27803 Nash (252)442-7146 Lewis E. Williams 051285 MHL-050-064 "Lifespan, Inc." 23-Jul-15 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL LIFESPAN-Snyder Home 1511 Shopton Road Suite A Charlotte NC 28217 1097 Pumpkintown Road Sylva NC 28779 Jackson (828)631-0155 "Lifespan, Inc." 130213 MHL-020-070 "Lifespan, Inc." 23-Jan-16 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL "Lifespan, Inc.-Johnnie's Haven" 1511 Shopton Road Suite A Charlotte NC 28217 4322 Fairview Road Andrews NC 28901 Cherokee (828)735-6339 "Lifespan, Inc." 956880 MHL-067-026 Linda Shorts 19-Oct-95 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Linda Shorts Home 180 Coastal Lane Jacksonville NC 28546 106 Grantham Lane Jacksonville NC 28546 Onslow (910)455-4480 Linda Shorts Home 130135 MHL-041-1093 "Loving Hearts Home, LLC" 26-Nov-13 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Loving Hearts Home 5221 B Fox Hunt Dr Greensboro NC 27407 5221-B Fox Hunt Drive Greensboro NC 27407 Guilford (513)394-8072 "Loving Hearts Homes, LLC" 060943 MHL-050-063 "Macon Citizens Habilities, Inc." 16-Jul-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Conner House P.O. Box 698 Franklin NC 28744 177 Beechwood Drive Sylva NC 28779 Jackson (828)331-8417 "Macon Citizens Habilities, Inc." 140354 MHL-047-170 "Makin' Choices, Inc." 31-May-19 31-May-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Sharon Leak AFL 1076 Stamper Road Fayetteville NC 28303 255 Castle Creeks Drive Raeford NC 28376 Hoke (910)875-5695 "Makin' Choices, Inc." 990343 MHL-024-046 Marion Harper 15-Apr-99 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Harper Home 80 Alliance Drive Whiteville NC 28472 211 East Lewis Street Whiteville NC 28472 Columbus (910)640-1285 "Melissa Bryant, Community Innovations" 120301 MHL-043-090 Martin Living Corporation 02-May-13 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Martin PO Box 2201 Lillington NC 27546 61 Thomas Dickens Road Lillington NC 27546 Harnett (910)814-3876 Martin Living Corporation 971358 MHL-092-292 Mary F. Alston 08-Oct-97 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Alston Home 428 Tippett Road Zebulon NC 27597 428 Tippett Road Zebulon NC 27597 Wake (919)269-0404 970504 MHL-092-279 McNeil Home Services 12-May-97 01-Jan-19 31-Dec-19 Type A 08-Jan-16 - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL McNeil Home 1014 Sotherlund Road Garner NC 27529 1014 Sotherlund Road Garner NC 27529 Wake (919)773-2567 Sonja Ely 110207 MHL-063-107 Monarch 09-Jul-15 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL McNeill Home - AFL "350 Pee Dee Ave., Ste 101" Albemarle NC 28001 850 West Lowe Avenue Southern Pines NC 28387 Moore (910)315-8493 Monarch 070420 MHL-057-033 "Mountain Area Community Services, Inc." 01-Nov-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Randall Home 366 South Main Street Marion NC 28752 275 Crooked Creek Road Mars Hill NC 28754 Madison (828)680-9147 "Mountain Area Community Services, Inc." 990036 MHL-092-426 Ms. Kimberly Starkey 11-Jul-00 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Starkey Lowery's Supervised Living Home 856 Timber Drive Garner NC 27529 1232 Penselwood Drive Raleigh NC 27604 Wake (919)217-5032 Ms. Kimberly Starkey 021035 MHL-096-104 Nancy Garris 19-Aug-99 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Nan Nan's Home Care 413 East Mulberry Street Goldsboro NC 27530 413 East Mulberry Street Goldsboro NC 27530 Wayne (919)736-7339 Nan Nans Home Care 170152 MHL-011-405 "New York Homes Residential Care Center, LLC" 18-May-17 01-Jan-19 31-Dec-19 Type A 18-Jun-19 - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL New York Homes Residential Care Center #4 82 Ingle Road Asheville NC 28804 644 Olivette Road Asheville NC 28804 Buncombe (828)254-1717 "New York Homes Residential Care Center, LLC" 170156 MHL-011-406 "New York Homes Residential Care Center, LLC" 18-May-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL New York Homes Residential Care Center #5 82 Ingle Road Asheville NC 28804 646 Olivette Road Asheville NC 28804 Buncombe (828)254-1725 charltondynasty@aol.com 110129 MHL-011-401 "New York Residential Care Center, LLC" 03-Nov-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL New York Homes I 82 Ingle Rd Asheville NC 28804 11 Wapiti Court Candler NC 28715 Buncombe (828)665-0960 "New York Residential Care Center, LLC" 990743 MHL-060-547 "North Carolina Life of Rehabilitation, Inc." 06-Aug-99 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Cottonwood AFL 6028 The Plaza Charlotte NC 28215 206 Cottonwood Park Drive Charlotte NC 28214 Mecklenburg (704)728-3034 "North Carolina Life of Rehabilitation, Inc." 110548 MHL-011-336 "North Carolina Outreach Home Care, LLC" 01-Oct-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The McClain Home 7-A Glenn Bridge Road Arden NC 28704 7 Bee Wood Lane Swannanoa NC 28778 Buncombe (828)686-0887 "North Carolina Outreach Home Care, LLC" 030803 MHL-011-357 "North Carolina Outreach Home Care, LLC" 16-Apr-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Beverly's Place 7-A Glenn Bridge Road Arden NC 28704 211 Mountain Crest Road Swanannoa NC 28778 Buncombe (828)686-0602 "North Carolina Outreach Home Care, LLC" 180214 MHL-075-029 "North Carolina Outreach Home Care, LLC" 22-Jul-13 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Hummingbird Home 64 Forest Lane Tryon NC 28782 64 Forest Lane Tryon NC 28782 Polk (828)230-3297 "North Carolina Outrech Home Care, LLC" 160409 MHL-059-070 "North Carolina Outreach HomeCare, LLC" 12-Oct-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Stamey Home 1155 N. Main Street Marion NC 28752 162 Greenwood Drive Marion NC 28752 McDowell (828)559-2046 "North Carolina Outreach Home Care, LLC" 160134 MHL-093-061 Omni Visions Inc. 20-Oct-16 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL AFL - Brunson 179 Bynum Place Norlina NC 27563 179 Bynum Place Norlina NC 27563 Warren (252)257-0358 "Onmi Visions, Inc." 090806 MHL-029-116 "Omni Visions, Inc." 24-Mar-10 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL McDaniel AFL 505 Brookdale Drive Statesville NC 28659 286 Charity Lane Linwood NC 27299 Davidson (336)853-6241 "Omni Visions, Inc." 100912 MHL-029-121 "Omni Visions, Inc." 24-Jan-11 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL AFL - Garrison 505 Brookdale Drive Statesville NC 28659 5193 NC Highway 47 Lexington NC 27292 Davidson (336)746-4939 "Omni Visions, Inc." 120422 MHL-099-028 "Omni Visions, Inc." 15-Apr-13 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL AFL - Donardt 505 Brookdale Drive Statesville NC 28659 3601 Fall Creek Church Road Jonesville NC 28642 Yadkin (336)258-2457 "Omni Visions, Inc." 130585 MHL-097-073 "Omni Visions, Inc." 29-May-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL AFL-Espenshade 505 Brookdale Drive Statesville NC 28677 330 Darnell Lane Wilkesboro NC 28697 Wilkes (336)921-5555 "Omni Visions, Inc." 150269 MHL-041-1129 Omniya S. Miller 11-Apr-16 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Person Centered Care 3000 Twin Lakes Drive Greensboro NC 27407 3000 Twin Lakes Drive Greensboro NC 27407 Guilford (336)809-2584 Omniya S. Miller 040543 MHL-011-251 "Onas's Place, Inc." 01-Jul-04 01-Jan-19 31-Dec-19 Type A 30-Sep-16 - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Onas's Place 1 5 Whitson Road Asheville NC 28805 132 Kirkwood Drive Asheville NC 28805 Buncombe (828)298-4467 Onas's Place Inc. 070176 MHL-001-128 Pamela A. Talley 17-Apr-07 22-Apr-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Pamela A. Talley 1205 Bethpage Drive Mebane NC 27302-8372 1205 Bethpage Drive Mebane NC 27302 Alamance (919)563-9455 Pamela A. Talley 170452 MHL-054-179 "Paradigm, Inc." 01-May-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Beautiful Creations PO Box 31091 Greenville NC 27833 4705 Killette Drive Lagrange NC 28551 Lenoir (252)566-0127 "Paradigm, Inc." 180600 MHL-074-255 "Paradigm, Inc." 15-Feb-19 15-Feb-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Paradigm 4 Kids 933 Van-Gert Drive Winterville NC 28590 4075 Pitt Street Ayden NC 28513 Pitt (252)695-0087 "Paradigm, Inc." 080534 MHL-020-060 "Pathways for the Future, Inc." 01-Nov-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Lynn Hyde Home 2775 US 74 East Sylva NC 28779 208 Taylors Creek Road Andrews NC 28901 Cherokee (828)835-8579 "Pathways for the Future, Inc." 061470 MHL-020-085 "Pathways for the Future, Inc." 01-Apr-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Red Marble Refuge 2775 US 74 East Sylva NC 28779 1834 Red Marble Road Andrews NC 28901 Cherokee (828)321-5044 "Pathways for the Future, Inc." 922348 MHL-044-073 "Pathways for the Future, Inc." 07-Feb-19 07-Feb-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Stockton Home 2775 US 74 East Sylva NC 28779 264 Lillie Lane Canton NC 28786 Haywood (828)400-0190 "Pathways for the Future, Inc." 080860 MHL-067-100 "People of Potential, Inc." 20-Oct-99 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Courtland 113 Courtland Drive Jacksonville NC 28546 113 Courtland Drive Jacksonville NC 28546 Onslow (910)265-1756 "People of Potential, Inc." 956935 MHL-060-1119 "Praising Hands, LLC" 30-Nov-09 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Williams Home 5501 Executive Center Dr Charlotte NC 28212 7300 Rosehall Drive Charlotte NC 28227 Mecklenburg (704)532-8770 "Praisng Hands, LLC" 090631 MHL-060-1229 "Praising Hands, LLC" 16-Oct-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Shep El Home 5501 Executive Center Dr. Suite 223 Charlotte NC 28212 14548 Henry Harrison Stillwell Drive Huntersville NC 28078 Mecklenburg (704)345-7243 "Praising Hands, LLC" 170406 MHL-049-144 "Praising Hands, LLC" 03-Oct-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL The Threatt's Home "5501 Executive Center Dr., Ste #223" Charlotte NC 28212 111 Babbling Brook Road Mooresville NC 28117 Iredell (704)658-1418 "Praising Hands, LLC" 140465 MHL-001-239 Quality Care First Inc. 23-Mar-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Quality Care First Inc. 818 Avon Avenue Burlington NC 27215 1216 Wallace Street Burlington NC 27217 Alamance (336)270-4802 Quality Care First Inc. 060639 MHL-041-1098 "Quality Care III, LLC" 06-May-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Candace Ridge Home 1594 Candace Ridge Dr Greensboro NC 27406 1594 Candace Ridge Drive Greensboro NC 27406 Guilford (336)697-7703 "Quality Care III, LLC" 960848 MHL-041-1155 "Quality Care III, LLC" 16-Oct-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Emerywood Home 1594 Candace Ridge Drive Greensboro NC 27406 2206 Emerywood Road Greensboro NC 27403 Guilford (336)763-9718 "Quality Care III, LLC" 170259 MHL-041-1173 "Quality Care III, LLC" 02-Oct-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Waterpoint Home 1594 Candace Ridge Dr. Greensboro NC 27406 5709 Waterpoint Drive Brown-Summitt NC 27214 Guilford (336)558-1742 "Quality Care III, LLC" 921972 MHL-052-002 "Quality-Care Behavioral Health Services, Inc." 01-Jul-91 01-Jan-20 31-Dec-20 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Quality-Care Behavioral Health Services PO Box 942 Maysville NC 28555-0942 402 Maple Avenue Maysville NC 28555 Jones (910)743-2004 Quality Care Behavioral Health Svcs 110424 MHL-060-1221 "Quest Provider Services, LLC" 10-Aug-11 01-Jan-20 31-Dec-20 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Quest #1332 2329 E.W.T. Harris Blvd Charlotte NC 28213 1332 Crandon Drive Charlotte NC 28214 Mecklenburg (704)890-6032 "Quest Provider Services, LLC" 150417 MHL-060-1084 "Quest Provider Services, LLC" 25-Nov-08 01-Jan-20 31-Dec-20 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Quest #3831 2329 E. WT Harris Blvd Charlotte NC 28213 3831 Staunton Road Matthews NC 28105 Mecklenburg (704)846-3604 "Quest Provider Services, LLC" 080716 MHL-023-205 "Quest Provider Services, LLC" 01-Nov-16 01-Jan-20 31-Dec-20 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Quest #539 2329 E. WT Harris Blvd Charlotte NC 28213 539 April Drive Shelby NC 28152 Cleveland (704)487-4202 "Quest Provider Services, LLC" 170314 MHL-023-204 "Quest Provider Services, LLC" 01-Nov-16 01-Jan-20 31-Dec-20 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Quest #115 Epps Retreat 2329 E WT Harris Blvd. Charlotte NC 28213 115 Epps Retreat Landing Shelby NC 28150 Cleveland (704)418-2522 "Quest Provider Services, LLC" 180129 MHL-049-146 "Quest Provider Services, LLC" 26-Apr-18 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MR/DD RESIDENTL Holliday Home 2329 East WT Harris Blvd Charlotte NC 28213 138 Culpeze Road Mooresville NC 28117 Iredell (890)444-0015 "Quest Provider Services, LLC" 180137 MHL-049-151 "Quest Provider Services, LLC" 26-Oct-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Bolick Home 2329 E. WT Harris Blvd Charlotte NC 28213 248 Grandview Drive Statesville NC 28677 Iredell (704)253-3279 Quest Provider Services LLC 180405 MHL-029-141 "Quest Provider Services, LLC" 27-Feb-19 01-Jan-20 31-Dec-20 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Abbid St - Quest 2329 E. WT Harris Boulevard Charlotte NC 28213 339 Abbid Street Lexington NC 27292 Davidson (336)309-0503 "Quest Provider Services, LLC" 180590 MHL-060-1401 "Quest Provider Services, LLC" 20-Mar-19 01-Jan-20 31-Dec-20 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Pate Home 2329 E WT Harris Blvd Charlotte NC 28213 2416 Godsey Wood Drive Charlotte NC 28213 Mecklenburg (980)219-8895 "Quest Provider Services, LLC" 180464 MHL-035-073 "Quest Provider Services, LLC" 06-Mar-19 01-Jan-20 31-Dec-20 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Ms. Chevi's Place 2329 E WT Harris Blvd Charlotte NC 28213 56 Forest Hill Court Louisburg NC 27549 Franklin (919)496-0101 "Quest Provider Services, LLC" 170099 MHL-023-206 "Quest Providers Services, LLC" 01-Nov-16 01-Jan-20 31-Dec-20 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Quest #1211 Masonic 2329 E. WT Harris Boulevard Charlotte NC 28213 1211 Masonic Drive Shelby NC 28150 Cleveland (704)484-3633 "Quest Provider Services, LLC" 960958 MHL-036-262 "RHA Health Services NC, LLC" 17-Oct-08 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living ADOL&A MI RESIDENTL Spencer Home 1564 D Union Rd Gastonia NC 28054 116 Springwood Lane Stanley NC 28164 Gaston (704)854-4829 "RHA Health Services NC, LLC" 070814 MHL-073-057 "RHA Health Services NC, LLC" 08-Mar-10 01-Jan-19 31-Dec-19 Type B 13-Mar-18 - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL South Moore Drive 2527 E Lyon Station Rd Creedmoor NC 27522 109 South Moore Drive Roxboro NC 27573 Person (919)528-2558 "RHA Health Services NC, LLC" 120594 MHL-013-163 "RHA Health Services NC, LLC" 28-Jan-11 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Liberty 195 Ervin Woods Dr. Kannapolis NC 28081 1054 Piney Church Road Concord NC 28025 Cabarrus (704)244-9823 "RHA Health Services NC, LLC" 150184 MHL-083-052 "RHA Health Services NC, LLC" 01-Jul-11 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Graham AFL "2003 Godwin Ave., Ste A1" Lumberton NC 28358 6720 Crestline Road Laurinburg NC 28352 Scotland (910)276-3931 "RHA Health Services NC, LLC" 150557 MHL-013-184 "RHA Health Services NC, LLC" 04-Apr-16 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Bright Orchid AFL 195 Ervin Woods Dr. Kannapolis NC 28081 656 Bright Orchid Avenue Concord NC 28025 Cabarrus (704)795-5423 "RHA Health Services NC, LLC" 100865 MHL-057-030 Reach for Independence Inc. 01-May-13 01-Jan-19 31-Dec-09 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Riverview Home 11 Hoopers Creek Rd Fletcher NC 28732 25 Dry Pond Road Marshall NC 28753 Madison (828)649-9893 Reach for Independence Inc. 110462 MHL-045-112 Reach for Independence Inc. 01-May-13 01-Jan-20 31-Dec-20 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Tara Bella's Home 11 Hoopers Creek Road Fletcher NC 28732 282 Farm Valley Road Fletcher NC 28732 Henderson (828)273-9641 Reach for Independence Inc. 160221 MHL-045-126 "Reach for Independence, Inc." 13-Dec-16 01-Jan-20 31-Dec-20 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Laurel Way 11 Hoopers Creek Road Fletcher NC 28732 52 Laurel Way West Horse Shoe NC 28742 Henderson (828)595-4294 "Reach for Independence, Inc." 080040 MHL-011-411 "Reach for Independence, Inc." 08-Sep-17 01-Jan-20 31-Dec-20 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Cogdill's Home Care 11 Hooper's Creek Road Fletcher NC 28732 26 Nightingale Lane Weaverville NC 28787 Buncombe (828)645-4850 "Reach for Independence, Inc." 170415 MHL-057-034 "Reach for Independence, Inc." 05-Dec-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Creekside Home 11 Hooper's Creek Road Fletcher NC 28732 6511 Bear Creek Road Marshall NC 28753 Madison (828)649-9178 "Reach for Independence, Inc." 050870 MHL-045-132 "Reach for Independence, Inc." 01-Jan-18 01-Jan-20 31-Dec-20 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Reach for Independence 11 Hooper's Creek Road Fletcher NC 28732 143 South Rugby Road Hendersonville NC 28791 Henderson (828)891-3222 "Reach for Independence, Inc." 180135 MHL-011-420 "Reach for Independence, Inc." 01-Jun-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Clayton Home 11 Hoopers Creek Road Fletcher NC 28732 115 Tabernacle Road Black Mountain NC 28711 Buncombe (828)669-7792 "Reach for Independence, Inc." 190105 MHL-045-139 "Reach for Independence, Inc." 06-May-19 01-Jan-20 31-Dec-20 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Firm Foundation Direct Care Services 11 Hooper's Creek Road Fletcher NC 28732 269 Farm Valley Road Fletcher NC 28732 Henderson (828)545-2676 "Reach for Independence, Inc." 160125 MHL-011-396 Rebecca Shaw 27-Jun-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL New York Homes 3 11 Audubon Dr Asheville NC 28804 11 Audubon Drive Asheville NC 28804 Buncombe (828)645-3214 Rebecca Shaw 080273 MHL-036-298 "Renewed Services, Inc." 01-Jun-12 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Postelle Home 213 Patton Drive Ste C Shelby NC 28150 1039 Bakers Spring Lane Crouse NC 28033 Gaston (704)621-3871 "Renewed Services, Inc." 130303 MHL-036-304 "Renewed Services, Inc." 22-Nov-13 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Loving FROG Home 213 Patton Drive Shelby NC 28150 503 Sunnyside Shady Rest Road Bessemer City NC 28016 Gaston (704)460-4553 "Renewed Services, Inc." 150295 MHL-023-198 "Renewed Services, Inc." 04-Dec-15 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Huskey Home 213 Patton Drive Ste C Shelby NC 28150 215 Cleveland Avenue Shelby NC 21850 Cleveland (704)480-8354 "Renewed Services,Inc." 160108 MHL-014-084 "Renewed Services, Inc." 31-May-16 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Grace Place Home 213 Patton Drive Ste C Shelby NC 28150 4345 Nancy's Place Granite Falls NC 28630 Caldwell (828)212-0428 "Renewed Services, Inc." 160610 MHL-036-321 "Renewed Services, Inc." 27-Mar-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL At Heaven's Gate 213 Patton Drive Ste C Shelby NC 28150 2242 Richland Avenue Gastonia NC 28052 Gaston (704)810-6895 "Renewed Services, Inc." 140197 MHL-023-208 "Renewed Services, Inc." 01-Apr-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Fannin Haven Home "213 Patton Drive, Suite C" Shelby NC 28150 813 Hillside Drive Kings Mountain NC 28086 Cleveland (704)730-0012 "Renewed Services, Inc." 140152 MHL-023-209 "Renewed Services, Inc." 01-Apr-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Ledford Home "213 Patton Drive, Suite C" Shelby NC 28150 277 Battleground Road Grover NC 28073 Cleveland (704)937-0590 "Renewed Services, Inc." 150482 MHL-023-210 "Renewed Services, Inc." 01-Jun-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Karen's Care Home "213 Patton Drive, Suite C" Shelby NC 28150 435 Borders Road Shelby NC 28152 Cleveland (704)692-8113 "Renewed Services, Inc." 180528 MHL-023-202 "Renewed Services, Inc." 14-Jul-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Brown's Uplifting Hearts "213 Patton Drive, Suite C" Shelby NC 28150 106 Lyman Street Shelby NC 28152 Cleveland (980)220-1158 "Renewed Services, Inc." 140201 MHL-011-372 Richard Charlton 15-Jul-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL NY Homes II 82 Ingle Road Asheville NC 28804 82 Ingle Road Asheville NC 28804 Buncombe (704)841-3544 Richard Charlton 000003 MHL-073-066 Ronald D. Pettiford and Lisa S. Pettiford 17-Dec-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Pettiford Homes P. O. Box 1659 Roxboro NC 27573 315 Old Allensville Road Roxboro NC 27574 Person (336)599-9863 Ronald D. Pettiford and Lisa S. Pettiford 980010 MHL-092-299 Rosa Marie Wilkins 15-Dec-97 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Wilkins Home PO Box 235 Zebulon NC 27597 1517 Parks Village Road Zebulon NC 27597 Wake (919)269-0918 Wilkins Home 130275 MHL-041-1092 Royal Purnell 26-Nov-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI DAY Royalty Care 2205 Forest Edge Dr Greensboro NC 27406 2205 Forest Edge Drive Greensboro NC 27406 Guilford (336)273-8085 Royal Purnell 090378 MHL-042-055 Sharon Marie Lyons 11-Dec-09 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Lyons Angels 804 Aurelian Springs Road Roanoke Rapids NC 27870 804 Aurelian Springs Road Roanoke Rapids NC 27870 Halifax (252)536-0264 Sharon Marie Lyons 990401 MHL-034-260 Shawn Spencer 21-May-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Independence Group Home 3722 Crosland Road Winston-Salem NC 27106 3722 Crosland Road Winston Salem NC 27106 Forsyth (336)924-0637 Shawn Spencer 130149 MHL-041-1091 "Shealy Family Care, Inc." 19-Nov-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Shealy Family Care 1333 Sharp Ridge Road Greensboro NC 27406 1333 Sharp Ridge Road Greensboro NC 27406 Guilford (336)370-6528 "Shealy Family Care, Inc." 140135 MHL-064-148 Sheila M. McDowell 29-Jan-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL """Moore House""" 3619 Cooley Lane Nashville NC 27856 3619 Cooley Lane Nashville NC 27856 Nash (252)459-3551 Shiela M. McDowell 100832 MHL-010-077 Sheri Benya 22-Jul-11 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Benya AFL 800 Joseph Willetts Drive SE Winnabow NC 28479 800 Joseph Willetts Drive SE Winnabow NC 28479 Brunswick (910)253-6214 Sheri Benya 040055 MHL-018-071 "Skill Creations, Inc." 28-May-04 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL SCI-Vale PO Box 1403 Lenoir NC 28645 6455 Old Shelby Road Vale NC 28168-9588 Catawba (704)462-2181 "Danielle Allen - Skill Creations, Inc." 050727 MHL-018-077 "Skill Creations, Inc." 13-Apr-06 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL SCI-Brookwood PO Box 1403 Lenior NC 28645 3555 Brookwood Drive Maiden NC 28650 Catawba (828)970-7175 "Skill Creations, Inc." 120607 MHL-014-077 "Skill Creations, Inc." 11-Feb-11 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL SCI-Memory Lane PO Box 1403 Lenoir NC 28645 2910 Memory Lane Lenoir NC 28645 Caldwell (828)758-5986 "Skill Creations, Inc." 160376 MHL-014-090 "Skill Creations, Inc." 05-Jan-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Amber's Way PO Box 1403 Lenoir NC 28645 2033 Lee Roy Lane Lenoir NC 28645 Caldwell (828)572-7102 "Skill Creations, Inc." 180435 MHL-014-091 "Skill Creations, Inc." 05-Dec-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL SCI-Mountainside PO Box 1403 Lenoir NC 28645 6201 Mountainside Drive Hickory NC 28601 Caldwell (828)569-1457 "Skill Creations, Inc." 980388 MHL-093-026 "Smith's Landing, Inc." 03-Apr-98 01-Jan-19 31-Dec-19 Type A 18-Apr-17 - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Smith's Landing PO Box 476 Norlina NC 27563 611 Division Street Norlina NC 27563 Warren (252)456-2481 960469 MHL-064-095 Steve Avent 08-Oct-08 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Steve Avent 3925 Sunset Ave. Rocky Mount NC 27803 3925 Sunset Avenue Rocky Mount NC 27803 Nash (252)984-0556 160184 MHL-060-1314 "Still Family, LLC" 05-Jul-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Jeffery Evans Home "5700 Executive Center Dr., Ste 101" Charlotte NC 28212 3410 Charterhall Lane Charlotte NC 28215 Mecklenburg (980)209-0774 "Still Family, LLC" 160208 MHL-060-1315 "Still Family, LLC" 20-Jul-16 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Shaun Williams Home "5700 Executive Center Dr, Ste 101" Charlotte NC 28212 8626 Bodkin Court Charlotte NC 28215 Mecklenburg (704)777-7998 "Still Family, LLC" 160304 MHL-060-1295 "Still Family, LLC" 17-Apr-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Winchester Home "5700 Executive Center Dr., Ste. 101" Charlotte NC 28212 6825 Evanton Loch Road Charlotte NC 28273 Mecklenburg (704)558-4532 "Still Family, LLC" 160518 MHL-013-188 "Still Family, LLC" 07-Feb-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Devin Stinnett Home 5700 Executive Center Dr Ste 101 Charlotte NC 28212 5401 Hammermill Drive Harrisburg NC 28075 Cabarrus (980)214-8474 stillfamilyofcharlotte@yahoo.com 170153 MHL-060-1352 "Still Family, LLC" 26-Jul-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Jerritt Davis Home 5700 Executive Center Drive Charlotte NC 28212 13119 Woodland Farm Drive Charlotte NC 28215 Mecklenburg (980)498-7318 "Still Family, LLC" 170147 MHL-049-142 "Still Family, LLC" 14-Aug-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Adeline Moise 5700 Executive Center Drive Charlotte NC 28212 140 Tennessee Circle Mooresville NC 28117 Iredell (704)508-2703 "Still Family, LLC" 050355 MHL-060-1358 "Still Family, LLC" 15-Sep-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Gaye Home 5700 Executive Center Dr. Suite 101 Charlotte NC 28212 1126 Lundy Lane Charlotte NC 28214 Mecklenburg (704)639-7355 "Still Family, LLC" 170414 MHL-041-1158 "Still Family, LLC" 08-Dec-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Paulette Braithwaite Home "5700 Executive Center Dr., Ste 101" Charlotte NC 28212 2359 Hickswood Road High Point NC 27265 Guilford (336)882-8878 "Still Family, LLC" 180387 MHL-060-1393 "Still Family, LLC" 17-Jan-19 17-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Monteith Johnson Home "5700 Executive Center Dr., Ste. 208" Charlotte NC 28212 616 Pecanwood Road Charlotte NC 28214 Mecklenburg (704)615-8776 "Still Family, LLC" 061009 MHL-061-010 "Summerland Homes, Inc." 30-Oct-06 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Kaye Webb Home P.O. Box 160 Weaverville NC 28787 502 Valley Road Spruce Pine NC 28777 Mitchell (828)520-1208 "Summerland Homes, Inc." 021221 MHL-011-328 "Summerland Homes, Inc." 05-Nov-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Lee Home P.O. Box 160 Weaverville NC 28787 33 Weston Heights Drive Asheville NC 28803 Buncombe (828)684-7422 "Summerland Homes, Inc." 140286 MHL-011-187 "Summerland Homes, Inc." 01-Oct-99 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Summersgill Home P.O. Box 160 Weaverville NC 28787 73 Kennedy Road Annex Weaverville NC 28787 Buncombe (828)645-7676 "Summerland Homes, Inc." 140479 MHL-011-379 "Summerland Homes, Inc." 26-May-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Campbell Home P.O. Box 160 Weaverville NC 28787 201 Tacoma Circle Asheville NC 28801 Buncombe (828)232-7061 "Summerland Homes, Inc." 150359 MHL-011-377 "Summerland Homes, Inc." 09-Feb-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Clement Home P.O. Box 160 Weaverville NC 28787 121 Busbee View Road Asheville NC 28803 Buncombe (828)575-9512 "Summerland Homes, Inc." 170038 MHL-011-412 "Summerland Homes, Inc." 05-Oct-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Smith Home PO Box 160 Weaverville NC 28787 21 Groton Way Arden NC 28704 Buncombe (828)676-2502 "Summerland Homes, Inc." 020054 MHL-064-140 Susan M. Stutz 01-Apr-13 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Stutz AFL Home 3020 Berkley Drive Rocky Mount NC 27803 3020 Berkley Drive Rocky Mount NC 27803 Nash (252)903-8994 Stutz AFL Home 971484 MHL-092-296 Suzan Rouse 25-Dec-97 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Booker Home 1424 Huntdell Main Drive Wendell NC 27591 1424 Huntdell Main Drive Wendell NC 27591 Wake (919)365-9099 Suzan Booker 110314 MHL-064-139 Suzanne Rollman 01-Apr-13 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL AFL Home - Rollman 721 Brassie Club Drive Rocky Mount NC 27804 721 Brassie Club Drive Rocky Mount NC 27804 Nash (252)442-2032 Suzanne Rollman 000345 MHL-041-1178 "Sylvanglade Services, Inc." 02-Apr-19 02-Apr-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Sylvanglade #1 108 Winola Court Greensboro NC 27409 4915 Sylvanglade Road McLeansville NC 27301 Guilford (336)617-8913 "Sylvanglade Services, Inc." 021155 MHL-011-274 Tender Loving Care Home 23-Jan-07 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Tender Loving Care Home 1854-A Hendersonville Rd. ste. 114 Asheville NC 28803 10 Holly Ridge Drive Asheville NC 28803 Buncombe (828)687-8017 Tender Loving Care Homes. Inc. 100173 MHL-012-119 "The Enola Group, Inc." 21-Apr-10 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL The Enola Group / Mountain Side Home PO Box 250 Morganton NC 28680 2175 Mountain Side Drive Morganton NC 28680 Burke (828)433-1078 The Enola Group 130375 MHL-060-1278 "The Kids Workshop, Inc." 13-Dec-13 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Vinetta Green Home 5901 Beatties Ford Rd Charlotte NC 28216 1415 Old Tree Lane Charlotte NC 28216 Mecklenburg (704)394-1431 "The Kids Workshop, Inc." 140516 MHL-060-1297 "The Kids Workshop, Inc." 09-May-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Lilley Home 5901 Beatties Ford Road Charlotte NC 28216 12430 Clackwyck Lane Charlotte NC 28262 Mecklenburg (704)615-3458 "The Kids Workshop, Inc." 090321 MHL-060-1298 "The Kids Workshop, Inc." 01-Jun-15 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Nora Steed Home 5901 Beatties Ford Rd Charlotte NC 28216 6316 Old Coach Road Charlotte NC 28215 Mecklenburg (704)563-8210 "The Kids Workshop, Inc." 150336 MHL-060-1312 "The Kids Workshop, Inc." 29-Mar-16 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Ashley View Home 5901 Beatties Ford Rd Charlotte NC 28216 3416 Ashley View Drive Charlotte NC 28213 Mecklenburg (980)875-9049 "The Kids Workshop, Inc." 160115 MHL-060-1267 "The Kids Workshop, Inc." 01-Aug-13 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Graham Home 5901 Beatties Ford Road Charlotte NC 28216 4816 Shadow Pine Drive Charlotte NC 28269 Mecklenburg (980)949-8858 "The Kid'sWorkshop, Inc." 160421 MHL-060-1327 "The Kids Workshop, Inc." 07-Nov-16 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Cole Home 5901 Beatties Ford Rd Charlotte NC 28216 8010 Painted Pony Court Charlotte NC 28269 Mecklenburg (704)595-9425 "The Kids Workshop, Inc." 170070 MHL-060-1357 "The Kids Workshop, Inc." 05-Sep-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Joseph's House of Charlotte 5901 Beatties Ford Road Charlotte NC 28216 605 Cliffs Inn Circle Charlotte NC 28214 Mecklenburg (704)820-8145 "The Kids Workshop, Inc." 170549 MHL-060-1374 "The Kids Workshop, Inc." 09-Apr-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MR/DD RESIDENTL Taylor Made Home 5901 Beatties Ford Rd Charlotte NC 28216 11209 Pointer Ridge Drive Charlotte NC 28214 Mecklenburg (704)812-8322 "The Kids Workshop, Inc." 180480 MHL-060-1389 "The Kids Workshop, Inc." 07-Dec-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Joseph House of Charlotte #2 5901 Beatties Ford Road Charlotte NC 28216 14312 Riding Hill Avenue Charlotte NC 28213 Mecklenburg (704)399-4045 "The Kids Workshop, Inc." 010226 MHL-060-1369 "The Unique Caring Network, Inc." 26-Mar-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL New Beginnings Home 7128-B Albermarle Road Charlotte NC 28227 6619 Farrington Lane Charlotte NC 28227 Mecklenburg (704)712-9028 "Unique Caring Network, Inc." 170595 MHL-060-1370 "The Unique Caring Network, Inc." 26-Mar-18 01-Jan-19 31-Dec-19 Type A 10-Jan-19 - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Harris Home 7128 B Albermarle Rd Charlotte NC 28277 5035 Abercromby Street Charlotte NC 28313 Mecklenburg (704)299-2560 "The Unique Caring Network, Inc." 170448 MHL-060-1371 "The Unique Caring Network, Inc." 26-Mar-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL A Caring Hand 7128-B Albermarle Rd Charlotte NC 28227 6416 Spanish Moss Lane Charlotte NC 28262 Mecklenburg (980)237-8476 "The Unique Caring Network, Inc." 011034 MHL-060-1372 "The Unique Caring Network, Inc." 26-Mar-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Summers Home 7128 B Albermarle Rd Charlotte NC 28227 6723 Kindling Court Charlotte NC 28227 Mecklenburg (704)595-3231 "The Unique Caring Network, Inc." 170559 MHL-060-1375 "The Unique Caring Network, Inc." 26-Apr-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL A Safe Haven 7128 B Albermarle Rd. Charlotte NC 28227 "6215 Forest Way Drive, Apartment #414" Charlotte NC 28212 Mecklenburg (704)531-9806 "The Unique Caring Network, Inc." 170558 MHL-060-1376 "The Unique Caring Network, Inc." 30-Apr-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL The Newbill Home 7128 B Albermarle Rd Charlotte NC 28227 11933 Waterperry Court Huntersville NC 28078 Mecklenburg (704)727-5742 "The Unique Caring Network, Inc." 180218 MHL-060-1382 "The Unique Caring Network, Inc." 09-Aug-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Asbury Family Home 7128-B Albermarle Road Charlotte NC 28227 9425 Burmester Lane Mint Hill NC 28227 Mecklenburg (980)299-7884 "The Unique Caring Network, Inc." 190059 MHL-060-1407 "The Unique Caring Network, Inc." 19-Jul-19 19-Jul-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Mitchell Family Home 7128 B Albemarle Rd. Charlotte NC 28227 14331 Evening Flight Lane Charlotte NC 28262 Mecklenburg (704)960-9725 "The Unique Caring Network, Inc." 190175 MHL-060-1408 "The Unique Caring Network, Inc." 19-Jul-19 19-Jul-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Smythe Home 7128 B Albermarle Road Charlotte NC 28227 8512 Lustre Road Charlotte NC 28215 Mecklenburg (704)963-4260 "The Unique Caring Network, Inc." 100552 MHL-060-1179 "Therapeutic Services Group, LLC" 01-Sep-10 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Alexander Home "5309 Idlewild Rd., N" Charlotte NC 28227 5020 Shadyside Court Charlotte NC 28269 Mecklenburg (704)293-9660 "Therapeutic Services Group, LLC" 111001 MHL-060-1238 "Therapeutic Services Group, LLC" 22-Feb-12 01-Jan-19 31-Dec-19 Type B 16-Feb-17 - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Thompson Home 5309 Idlewilld Rd N Charlotte NC 28227 1509 Bray Drive Charlotte NC 28214 Mecklenburg (704)904-7504 "Therapeutic Services Group, LLC" 140401 MHL-060-1293 "Therapeutic Services Group, LLC" 28-Jan-15 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Hall Home "5309 Idlewild Rd., N" Charlotte NC 28227 9114 Sharpes Circle Charlotte NC 28214 Mecklenburg (704)277-4834 "Therapeutic Services Group, LLC" 150040 MHL-060-1049 "Therapeutic Services Group, LLC" 28-Feb-08 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL The McCorbin-Harrington Home "5309 Idlewild Rd., N" Charlotte NC 28227 12609 Wetherburn Lane Charlotte NC 28262 Mecklenburg (704)549-1885 "Therapeutic Services Group, LLC" 150548 MHL-060-1310 "Therapeutic Services Group, LLC" 21-Mar-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Beckett Home 5309 Idlewild Rd N Charlotte NC 28227 9507 Spurwig Court Charlotte NC 28278 Mecklenburg (704)332-2988 "Therapeutic Services Group, LLC" 090705 MHL-060-1342 "Therapeutic Services Group, LLC" 28-Feb-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Harris Home 5309 Idlewild Rd. North Charlotte NC 28212 8609 Satterfield Court Charlotte NC 28270 Mecklenburg (704)537-8155 "Therapeutic Services Group, LLC" 170112 MHL-060-1348 "Therapeutic Services Group, LLC" 13-Jun-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Dunlap Home 5309 Idlewild Road N. Charlotte NC 28227 7607 Rockland Drive Charlotte NC 28213 Mecklenburg (980)260-3176 "Therapeutic Services Group, LLC" 170524 MHL-013-194 "Therapeutic Services Group, LLC" 17-Dec-13 01-Jan-19 31-Dec-19 Type B 22-Mar-17 - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Miller Home "5309 Idlewild Road, North" Mint Hill NC 28227 8455 Blume Parkway Harrisburg NC 28075 Cabarrus (704)332-2988 "Therapeutic Services Group, LLC" 180295 MHL-060-1385 "Therapeutic Services Group, LLC" 28-Sep-18 01-Jan-19 31-Dec-19 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MR/DD RESIDENTL Forest Pond Home 5309 Idlewild Rd North Charlotte NC 28227 6019 Forest Pond Drive Charlotte NC 28262 Mecklenburg (704)596-1768 "Therapeutic Serivces Group, LLC" 180286 MHL-013-195 "Therapeutic Services Group, LLC" 28-Sep-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Smith Home 5309 Idlewild Rd North Charlotte NC 28227 9167 Hydrangea Drive Harrisburg NC 28075 Cabarrus (980)258-0948 "Therapeutic Services Group, LLC" 180495 MHL-060-1388 "Therapeutic Services Group, LLC" 05-Dec-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MR/DD RESIDENTL Kandakai Home 5309 Idlewild Road North Mint HIll NC 28227 10148 Fieldstone Court Charlotte NC 28269 Mecklenburg (704)595-7480 "Therapeutic Services Group, LLC" 160201 MHL-013-185 Therapeutic Services Group. LLC 08-Sep-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Ferland Home 5309 Idlewild Road North Mint Hill NC 28227 1231 Forest Bluff Drive Midland NC 28107 Cabarrus (704)888-0242 "Therapeutic Services Group, LLC" 010985 MHL-073-043 Thursher G. Winstead 20-Sep-02 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Thursher Goodman Winstead Carehome 1579 Semora Road Roxboro NC 27574 1579 Semora Road Roxboro NC 27573 Person (336)597-5490 180394 MHL-074-253 Todd Davis 04-Jan-19 04-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Enhanced Family Services 1612 A Cambria Drive Greenville NC 27834 1612 A Cambria Drive Greenville NC 27834 Pitt (252)689-3749 Todd Davis 030194 MHL-001-119 Todd Lewis Curry 04-Aug-03 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Curry's Haven 2482 Adams Farm Court Snow Camp NC 27349 2482 Adams Farm Court Snow Camp NC 27349 Alamance (336)565-9090 190014 MHL-092-971 Tony Cooke 19-Aug-99 14-Mar-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Tony's Helping Hand 3925 Falls River Avenue Raleigh NC 27614 3925 Falls River Avenue Raleigh NC 27614 Wake (919)496-6714 Tony Cooke 101021 MHL-033-115 Tracy Sherrod 01-Apr-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Sherrod Alternative 1233 Sycamore Street Rocky Mount NC 27801 1233 Sycamore Street Rocky Mount NC 27801 Edgecombe (252)407-7723 170113 MHL-010-085 "Turning Point Services, Inc." 20-Apr-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL James AFL Home 1001 South Sterling Street Morganton NC 28655 931 Church Street Navassa NC 28451 Brunswick (910)604-4473 "Turning Point Services, Inc." 170297 MHL-012-141 "Turning Point Services, Inc." 22-Dec-17 01-Jan-20 31-Dec-20 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Salem Alternative Family Living 703-1 S. Lafayette Street Shelby NC 28150 4840 Jenkins Road Morganton NC 28655 Burke (828)433-4723 "Turning Point Services, Inc." 091008 MHL-041-939 Tymika Smith 11-Feb-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL S & S Family Services 1104 Quinlan Drive Greensboro NC 27406 1104 Quinlan Drive Greensboro NC 27406 Guilford (336)676-5005 Tymika Smith 150117 MHL-060-1014 "Unique Caring Network, Inc." 26-Mar-07 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Miller Family Home 7128 B Albermarle Rd Charlotte NC 28227 1206 Bershire Lane Charlotte NC 28262 Mecklenburg (704)569-8654 "Unique Caring Network, Inc." 190058 MHL-013-196 "Unique Caring Network, Inc." 25-Apr-19 25-Apr-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Rothoff & Miller Family Home 7128-B Albemarle Road Charlotte NC 28227 10301 Elven Lane Charlotte NC 28269 Cabarrus (704)737-7750 "Unique Caring Network, Inc." 180240 MHL-041-1170 "United Living, LLC" 10-Jul-18 01-Jan-20 31-Dec-20 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Sheraton Home PO Box 36436 Greensboro NC 27416 426 East Sheraton Park Road Pleasant Garden NC 27313 Guilford (336)457-3509 "United Living, LLC" 000483 MHL-091-085 "United Support Services, Inc." 12-Sep-08 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Peace Home 2331 Crownpoint Exe. Drive Ste. J Charlotte NC 28227 80 Bliley Lane Henderson NC 27536 Vance (252)438-2858 "United Support Services, Inc." 050656 MHL-073-046 "United Support Services, Inc." 18-Nov-05 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Champions "2331 Crownpoint Exe. Drive, Ste J" Charlotte NC 28227 1262 Tom Bowes Road Hurdle Mills NC 27541 Person (704)841-3544 "United Support Services, Inc." 050441 MHL-079-082 "United Support Services, Inc." 18-Nov-05 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Smiths Farms 2331 Crownpoint Executive Drive Charlotte NC 28227 2660 Smith Road Stoneville NC 27048 Rockingham (704)841-3544 United Support Services Inc. 030526 MHL-093-050 "United Support Services, Inc." 12-Sep-08 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Goode Home "2331 Crownpoint Exe. Drive, Ste. J" Charlotte NC 28227 391 Snowhill Road Warrenton NC 27589 Warren (252)257-2951 "United Support Services, Inc." 080385 MHL-017-018 "United Support Services, Inc." 23-Sep-08 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Talley Family Home 2331Crownpoint Executive Dr. Ste. J Charlotte NC 25227 2266 Fitch Road Burlington NC 27217 Caswell (336)421-3545 "United Support Services, INC." 120635 MHL-092-864 "United Support Services, Inc." 19-Mar-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Terry's Safe Haven "2331 Crownpoint Exec. Dr., Ste. J" Charlotte NC 28227 8112 Running Cedar Trail Raleigh NC 27615 Wake (919)706-5369 "United Support Services, Inc." 170035 MHL-039-061 "United Support Services, Inc." 20-Apr-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL House of Angels 2331 Crownpoint Executive Drive Charlotte NC 28227 2187 Lauren Mill Drive Oxford NC 27565 Granville (919)603-7495 "United Support Services, Inc." 170051 MHL-019-067 "United Support Services, Inc." 06-Jul-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Middleton House 2331 Crownpoint Executive Drive Charlotte NC 28227 4225 Mann's Chapel Road Chapel Hill NC 27516 Chatham (919)942-5628 "United Support Services, Inc." 170360 MHL-060-1359 "United Support Services, Inc." 22-Sep-17 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Bennett Home 2331 Crownpoint Executive Drive Charlotte NC 28227 7136 McEwen Place Mint Hill NC 28227 Mecklenburg (704)573-2620 "United Support Services, Inc." 190087 MHL-035-074 "United Support Services, Inc." 20-Jun-17 12-Jun-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Cassie's Place "2331 Crownpoint Executive Dr.,Ste.J" Charlotte NC 28227 130 Torrington Avenue Franklinton NC 27525 Franklin (919)263-9903 "United Support Services, Inc." 060843 MHL-011-281 Universal MH/DD/SAS 11-Jul-07 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Dos Porticos en el Sol 370 N. Louisiana Avenue Suite A-2 Asheville NC 28806 126 Rocky Hollow Road Weaverville NC 28787 Buncombe (828)779-9650 Universal MH/DD/SAS 020565 MHL-081-073 Universal MH/DD/SAS 14-Aug-07 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL McDaniel Home 370 N Louisiana Avenue Suite A-2 Asheville NC 28806 163 Lillians Drive Lake Lure NC 28746 Rutherford (828)625-8064 Universal MH/DD/SAS 070332 MHL-011-288 Universal MH/DD/SAS 09-Aug-07 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Weaver Home 370 North Louisiana Avenue Ste A-2 Asheville NC 28806 10 Campbell Street Black Mountain NC 28711 Buncombe (828)669-4224 Sherry Douglas 031157 MHL-011-297 Universal MH/DD/SAS 04-Aug-08 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Deborah Stewart Home 370 N. Louisiana Avenue Suite A-2 Asheville NC 28806 19 Eileen Way Leicester NC 28748 Buncombe (828)683-9945 Universal MH/DD/SAS Attn:Sherry Douglas 080700 MHL-045-086 Universal MH/DD/SAS 21-Jan-09 06-Feb-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Watermulder Home 370 North Louisiana Avenue Ste A-2 Asheville NC 28806 8 Bannerwood Drive Horse Shoe NC 28742 Henderson (828)891-2379 Sherry Douglas 110934 MHL-011-359 Universal MH/DD/SAS 01-May-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Stewart Home "370 N. Louisiana Ave., Ste A-2" Asheville NC 28806 35 Eileen Way Leicester NC 28748 Buncombe (828)683-2104 Universal MH/DD/SAS 130023 MHL-081-054 Universal MH/DD/SAS 24-Oct-03 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL LaDale Home "370 N. Louisiana Ave., Ste. A-2" Asheville NC 28806 472 Sunset Memorial Road Forest City NC 28043 Rutherford (828)429-1956 Universal MH/DD/SAS 130011 MHL-011-356 "Universal Mental Health Services, Inc." 18-Mar-13 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Wardlaw Home "370 N. Louisiana Ave., Ste. A-2" Asheville NC 28806 23 Tipperary Drive Asheville NC 28806 Buncombe (828)505-7949 "Universal Mental Health Services, Inc." 150503 MHL-011-200 "Universal Mental Health Services, Inc." 25-Sep-00 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Ken's Place "370 N. Louisiana Ave., Ste. A-2" Asheville NC 28806 405 Macbeth Street Weaverville NC 28787 Buncombe (828)484-7113 "Universal Mental Health Services, Inc." 170185 MHL-001-250 "Universal Mental Health Services, Inc." 08-Jun-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Mallard Creek AFL 839 Wilkesboro Boulevard Lenoir NC 28645 304 Mallard Creek Drive Graham NC 27253 Alamance (336)675-5937 "Universal Mental Health Services, Inc." 170446 MHL-081-123 "Universal Mental Health Services, Inc." 13-Nov-17 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Dawn and Chris McDaniel "370 N. Louisiana Ave., Suite A-2" Asheville NC 28806 1106 Ellenboro Henrietta Road Ellenboro NC 28040 Rutherford (828)589-5061 "Universal Mental Health Services, Inc." 180038 MHL-092-943 "Universal Mental Health Services, Inc." 31-Oct-16 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Sellars Residential 839 Wilkesboro Boulevard Lenoir NC 28645 541 Silverliner Drive Knightdale NC 27545 Wake (984)202-5852 "Universal Mental Health Services, Inc." 180138 MHL-001-254 "Universal Mental Health Services, Inc." 24-Apr-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MR/DD RESIDENTL Adrienne Bigelow AFL 839 Wilkesboro Blvd Lenoir NC 28645 2539 Hyde Street Burlington NC 28217 Alamance (336)437-3571 "Universal Mental Health Services, Inc." 180251 MHL-032-616 "Universal Mental Health Services, Inc." 01-Aug-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Loving and Care Home 839 Wilkesboro Blvd. Lenoir NC 28645 901 Stennis Way Durham NC 27703 Durham (919)985-3578 "Universal Mental Health Services, Inc." 080063 MHL-092-961 "Universal Mental Health Services, Inc." 25-Aug-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Rebecca's Home 839 Wilkesboro Blvd Lenoir NC 28645 4001 Lehigh Court Raleigh NC 27609 Wake (919)872-8262 "Universal Mental Health Services, Inc." 180420 MHL-092-963 "Universal Mental Health Services, Inc." 14-Nov-18 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL McGee Care Home 839 Wilkesboro Blvd Lenoir NC 28645 7803 Green Mill Drive Raleigh NC 27616 Wake (919)373-8971 "Universal Mental Health Services, Inc." 160029 MHL-097-075 VOCA Corporation of NC 14-Mar-16 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Forest Hill AFL 1005 Spring St Wilkesboro NC 28697 323 Forest Hill Drive Wilkesboro NC 28697 Wilkes (336)546-8702 VOCA Corporation of NC 100848 MHL-081-088 VOCA Corporation of NC dba Community Alternatives NC-1 20-Oct-10 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Little Shepherd 217 Executive Park Bldg 1 Asheville NC 28801 275 Clark Road Rutherfordton NC 28139 Rutherford (828)286-1025 000257 MHL-020-025 VOCA Corporation of NC dba Community Alternatives-NC 1 09-Mar-00 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Gutierrez Home PO Box 651 Marble NC 28905 19 Holloway Drive Marble NC 28905 Cherokee (828)837-5478 160529 MHL-012-110 VOCA Corporation of NC dba Community Alternatives-NC 1 07-Aug-07 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Wilson Home "617 South Green St, Ste 201" Morganton NC 28655 428 Lost Corner Road Morganton NC 28655 Burke (828)433-0938 VOCA Corporation of NC dba Community Alternatives- 130207 MHL-081-106 VOCA Corporation of North Carolina 07-Feb-14 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Cherry Mountain Home 217 Executive Park Bldg 1 Asheville NC 28801 503 South Mountain Road Bostic NC 28018 Rutherford (828)447-2043 VOCA Corporation of North Carolina 150073 MHL-036-311 VOCA of North Carolina 01-Apr-15 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Arrowood Home 217 Executive Park Bldg 1 Asheville NC 28801 228 Bowlin Road Bessemer City NC 28016 Gaston (704)629-6421 VOCA of North Carolina 110926 MHL-023-212 Voca Corporation of North Carolina 01-Apr-18 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Overton Home 217 Executive Park Asheville NC 28801 1106 Cleveland Avenue Grover NC 28073 Cleveland (704)418-0792 Voca Corporation of North Carolina 000005 MHL-098-067 Wanda Hinton 28-Dec-99 01-Jan-20 31-Dec-20 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Hinton's Residential Services 306 North Avenue Wilson NC 27893 306 North Avenue Wilson NC 27893 Wilson (252)237-6836 180293 MHL-074-254 William Guilford 08-Feb-19 08-Feb-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL New Beginnings 7465 Pitt Street Grimesland NC 27837 7465 Pitt Street Grimesland NC 27837 Pitt (252)758-2002 William Guilford 981072 MHL-042-057 William and Florence Benjamin 23-Feb-10 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Benjamin Home 8275 Highway 301 Halifax NC 27839 8275 Highway 301 Halifax NC 27839 Halifax (252)583-1503 Benjamin Home 100117 MHL-033-084 Yvonne Williams 28-Jun-10 01-Jan-19 31-Dec-19 - - - - 3 27G.5600F Supervised Living/Alternative Family Living ADOL&A MI RESIDENTL Williams Home Sweet Home 1832 Springfield Road Rocky Mount NC 27801 1832 Springfield Road Rocky Mount NC 27801 Edgecombe (252)977-2842 Yvonne Williams 130034 MHL-011-386 dba Community Alternatives of North Carolina 01-Jan-16 01-Jan-19 31-Dec-19 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Livingstone's Home 217 Executive Park Bldg 1 Asheville NC 28801 212 Baldwin Road Arden NC 28704 Buncombe (828)684-5328 VOCA Corp of NC