State of North Carolina, Division of Health Service ...State of North Carolina, Division of Health Service Regulation Facilities by County Facility / Also Known As / Address / Misc

State of North Carolina, Division of Health Service Regulation Facilities by County

License NoPhone Provider ID:Facility / Also Known As / Address / Misc Info

County: Alamance

MHL-001-007Poplar Street Group Home (336)227-1011

ADM: Jennifer Helton OWN: Ralph Scott Lifeservices Inc, Jennifer E Helton

MAIL: 408 West Trade Street; Burlington, NC 27217-SITE: 328 Poplar Street; Graham, NC 27253

34G022 922412

MHL-001-008Ralph Scott Lifeservices, Inc. (336)227-1011


MAIL: 408 West Trade Street; Burlington, NC 27217-SITE: 710 Townbranch Road; Graham, NC 27253

34G021 922765

MHL-001-027Ralph Scott Lifeservices, inc.-Laramie Drive Group Home (336)227-1011


MAIL: 408 West Trade Street; Burlington, NC 27217-SITE: 108 Laramie Drive; Mebane, NC 27302

34G223 952105

MHL-001-031Ralph Scott Lifeservices, Inc./Rosemont Street (336)227-1011

ADM: Jennifer Helton OWN: Ralph Scott Lifeservices Inc, Jennifer Helton

MAIL: 408 West Trade Street; Burlington, NC 27249-SITE: 304 Rosemont Street; Gibsonville, NC 27249-

34G311 954623

MHL-001-030Ralph Scott Lifeservices, Inc./Veterans Drive (336)227-1011


MAIL: 408 West Trade Street; Burlington, NC 27217-SITE: 500 Veterans Drive; Elon College, NC 27244-

34G304 954539

County: Alexander

MHL-002-010Ellendale Group Home (828)632-7615

ADM: Paige Anderson MGMT: ComServ, Inc. OWN: ComServ Inc, Dawn Kelly

MAIL: P.O. Box 1080; ComServ Inc / Paige Anderson; Lenoir, NC 28645-SITE: 4165 NC Highway 127; Taylorsville, NC 28681-

34G327 955559

MHL-002-005Little River Group Home (828)632-0263


MAIL: P.O. Box 1080; Lenoir, NC 28645-1080SITE: 4161 NC Hwy 127; Taylorsville, NC 28681

34G219 952149

MHL-002-007VOCA-Second Avenue Group Home (828)635-1757

ADM: Robert Barnes, Tracey Norris OWN: Voca Corporation of NC Inc, Patrick Kelley PAR: ResCare

MAIL: 301 10th Street NW, Ste B-101; Conover, NC 28613-SITE: 49 Second Avenue SE; Taylorsville, NC 28681-

34G280 954822

County: Alleghany

Page 103/13/2020 Facility by County Listing



MHL-003-003New River Cottage, Inc. (336)372-2592

ADM: Mitch Franklin OWN: New River Cottage Inc, Becky Miller

MAIL: P.O. Box 488; Sparta, NC 28675SITE: 82 Davis Lane; Sparta, NC 28675

34G026 952292

County: Anson

MHL-004-004Ansonville Group Home (704)826-6233

ADM: Melissa Hall OWN: Monarch, Peggy Terhune

MAIL: 350 Pee Dee Ave, Suite 101; Albermarle, NC 28001-SITE: 1215 Ansonville/Polkton Rd.; Ansonville, NC 28007

34G206 921449

County: Ashe

MHL-005-009Ridgecrest II (336)246-7020

ADM: Luray Rominger MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR:Residential Healthcare Affiliates

MAIL: 176 Wildcat Rd; Deep Gap, NC 28618-SITE: 421 Ridgecrest Avenue; West Jefferson, NC 28694

34G155 922469

MHL-005-011Thomas Street Home (336)246-7030

ADM: Luray Rominger MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR:Residential Healthcare Affiliates Inc

MAIL: 176 Wildcat Road; Deep Gap, NC 28618-SITE: 348 Thomas St.; Jefferson, NC 28640-

34G163 922750

County: Beaufort

MHL-007-014LIFE, Inc./Beaufort Heights Group Home (252)946-4133

ADM: Susan Ayers OWN: LIFE Inc, Rhett Raynor, Connie Lamb, Sharon L Rayn

MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 103 Circle Street; Washington, NC 27889-

34G339 956891

MHL-007-008LIFE, Inc./Dixon Road Group Home (252)975-1220


MAIL: 2609 Royall Ave.; Goldsboro, NC 27534-SITE: 1383 Dixon Road; Chocowinity, NC 27817

34G205 921767

MHL-007-006Life, Inc./Edgewood Group Home (252)975-6468

ADM: Susan Ayers OWN: LIFE Inc, Sharon L Raynor, Rhett Raynor, Connie S

MAIL: 2609 Royall Ave.; Goldsboro, NC 27534-SITE: 77 Edgewood Drive; Chocowinity, NC 27817-

34G182 921798

MHL-007-015LIFE, Inc./Minute Man Group Home (252)946-5563


MAIL: 2609 Royall Ave.; Goldsboro, NC 27534-SITE: 388 Minute Man Lane; Washington, NC 27889-

34G338 956892




MHL-007-013Life, Inc./Slatestone Road Group Home (252)946-9055

ADM: Susan Ayers OWN: LIFE Inc, Rhett A Raynor, Connie Lamb, Sharon L Ra

MAIL: 2609 Royall Ave.; Goldsboro, NC 27534-SITE: 332 Slatestone Road; Washington, NC 27889-

34G325 955501

County: Bladen

MHL-009-010Midlake Residential (910)647-4421

ADM: Angelica Moore OWN: Community Innovations Inc, Community Based Care, L

MAIL: 80 Alliance Drive; Whiteville, NC 28472-SITE: 68 Hillside Street; Clarkton, NC 28433

34G257 922227

MHL-009-009Northridge Residential (910)647-2801

ADM: Angelica Moore OWN: Community Innovations Inc, Saguaro Group LLC, Comm

MAIL: 80 Alliance Drive; Whiteville, NC 28472SITE: 68 Mitchell Ford Road; Clarkton, NC 28433-

34G232 922313

County: Brunswick

MHL-010-008Life, Inc./Folly Street Group Home (910)754-2855

ADM: April Sprague OWN: LIFE Inc, Sharon L Raynor, Rhett A Raynor, Connie

MAIL: 2609 Royall Ave; Goldsboro, NC 27534-SITE: 65 Folly Street SW; Supply, NC 28462

34G235 921857

MHL-010-009Life, Inc./Lockwood Street Group Home (910)754-2854

ADM: April Sprague OWN: LIFE Inc, Sharon L Raynor, Rhett A Raynor, Connie

MAIL: 2609 Royall Ave.; Goldsboro, NC 27534-SITE: 156 Country Side St. Drive; Supply, NC 28462

34G234 922152

County: Buncombe

MHL-011-076BlueWest Opportunities-Kenmore House (828)277-0204

ADM: Chrissie Gulden OWN: Chrissie Gulden, BlueWest Opportunities, Inc.

MAIL: PO Box 1250; Asheville, NC 28802-7588SITE: 1 Kenmore Street; Asheville, NC 28803

34G267 932083

MHL-011-105BlueWest Opportunities-Montford House (828)274-7175


MAIL: PO Box 1250; Asheville, NC 28802-7588SITE: 5 Kenmore Street; Asheville, NC 28803-

34G323 080671

MHL-011-137BlueWest Opportunities-New Stock House (828)658-9842

ADM: Chrissie Gulden OWN: Lawerence E Thompson, BlueWest Opportunities, Inc.

MAIL: P O Box 1250; Asheville, NC 28802-1250SITE: 122 Woodland Hills Road; Asheville, NC 28804-

34G344 971255




MHL-011-011BlueWest Opportunities-Ora House (828)253-0291


MAIL: PO Box 1250; Asheville, NC 28802-7588SITE: 95 Ora Street; Asheville, NC 28801

34G031 942816

County: Buncombe

MHL-011-047BlueWest Opportunities-Pisgah House (828)274-8368


MAIL: PO Box 1250; Asheville, NC 28802-7588SITE: 28 Pisgahview Avenue; Asheville, NC 28803-

34G209 922401

MHL-011-007BlueWest Opportunities-Swannanoa Residential (828)251-2824

ADM: Chrissie Gulden OWN: Lawerence E Thompson lll, BlueWest Opportunities,

MAIL: PO Box 1250; Asheville, NC 28802-1250SITE: 91 Poplar Circle; Swannanoa, NC 28778

34G089 922418

MHL-011-024Chiles Avenue Group Home (828)254-8068

ADM: Amber Locklear OWN: Mountain Area Residential Facilities Inc, Danielle

MAIL: 46 St.Dunstans Circle; Asheville, NC 28813-SITE: 22 Chiles Avenue; Asheville, NC 28803

34G075 921653

Emory Road Home (828)252-5008

ADM: John Carithers MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC

MAIL: 145 Cane Creek Ind. Park Rd Ste 250; Fletcher, NC 28732-SITE: 20 Emory Road; Asheville, NC 28806-

34G354 080688

MHL-011-036Irene Wortham Residential Center-Azalea (828)274-7518

ADM: Matthew Henry OWN: Irene Wortham Residential Center Inc, Matthew Henr

MAIL: 916 West Chapel Road; Asheville, NC 28803-SITE: 16 Azalea Street; Asheville, NC 28803-

34G150 922044

MHL-011-012IWC-Rose Street Home (828)274-7518

ADM: Matthew Henry OWN: Irene Wortham Residential Center Inc, R Matthew He

MAIL: 916 West Chapel Road; Asheville, NC 28803-SITE: 1 Rose Street W; Asheville, NC 28803-

34G076 960009

MHL-011-108IWRC-Dogwood (828)274-7518

ADM: Matthew Henry OWN: Irene Wortham Residential Center Inc, R Matthew H

MAIL: 916 W. Chapel Road; Asheville, NC 28803-SITE: 2 Rose Street W; Asheville, NC 28803-

34G334 956171

County: Burke




MHL-012-051Chesterfield Group Home (828)433-5630


MAIL: P.O. Box 1080; Lenoir, NC 28645-SITE: 2287 Hartland Road; Morganton, NC 28655-

34G301 924798

County: Burke

MHL-012-043Hartland Group Home (828)438-9543

ADM: Paige Anderson MGMT: ComServ,Inc. OWN: ComServ Inc, Dawn Kelly

MAIL: P.O. Box 1080; Lenoir, NC 28645-SITE: 2307 Hartland Road; Morganton, NC 28655

34G264 921950

J. IVERSON RIDDLE DEVELOPMENTAL CENTER (828)433-2711

OWN: NC Dept of Health and Human Services Div of MH/DD/

MAIL: 300 ENOLA ROAD; MORGANTON, NC 28655SITE: 300 ENOLA ROAD; MORGANTON, NC 28655

34G003 955760

MHL-012-006SCI-Burke ICF/MR Group Home (828)438-6243

ADM: Lindy Davis OWN: Skill Creations Inc, Paul Hackmann

MAIL: PO Box 1403; Suite D2; Lenoir, NC 28645-SITE: 101 Stephens Drive; Morganton, NC 28655

34G010 921860

County: Cabarrus

MHL-013-006Bost Children's Center (704)786-1405

ADM: Lisa S Azzarello, Lisa Cox OWN: Piedmont Residential Development Center Inc, Lisa

MAIL: P.O. Box 909; Concord, NC 28026-0909SITE: 5300 Highway 200; Concord, NC 28025-

34G011 921517

MHL-013-018Christy Woods Group Home (704)436-6013

ADM: Lisa S Cox OWN: Piedmont Residential Development Center Inc, Lisa

MAIL: P.O. Box 909; Concord, NC 28026-0909SITE: 10100 Mt. Olive Road; Mt. Pleasant, NC 28124

34G132 951655

MHL-013-007Clear Creek (704)545-7200

ADM: Michelle Robertson, Samuel Williams MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC,LLC PAR: Resource Healthcare of America Inc

MAIL: 11950 Howell Center Dr; Charlotte, NC 28227-SITE: 11950 Howell Center Drive; Charlotte, NC 28227-

34G038 922019

MHL-013-005Michigan Street Home (704)788-2304

ADM: Lisa S Azzarello, Lisa S Cox OWN: Piedmont Residential Development Center Inc, Lisa

MAIL: P.O. Box 909; Concord, NC 28026SITE: 1006 Michigan Street; Kannapolis, NC 28083-

34G019 942386




MHL-013-019Wilhelm Place Home (704)782-1706

ADM: Lisa S Cox OWN: Piedmont Residential Development Center Inc, Lisa

MAIL: P.O. Box 909; Concord, NC 28026-0909SITE: 630 Wilhelm Place; Concord, NC 28026

34G153 922880

County: Caldwell

MHL-014-025Creekside Group Home (828)757-9560

ADM: Paige Anderson MGMT: ComServ, Inc. OWN: ComServ Inc, Dawn Kellly

MAIL: P.O. Box 1080; Lenoir, NC 28645-SITE: 723 Hills Farm Street; Lenoir, NC 28645

34G230 921718

MHL-014-039Lower Creek Group Home (828)758-2019


MAIL: P.O. Box 1080; Lenoir, NC 28645-SITE: 3256 Playmore Beach Road; Morganton, NC 28655-

34G343 960194

MHL-014-038Playmore Group Home (828)754-1300


MAIL: P.O. Box 1080; Lenoir, NC 28645-SITE: 3252 Playmore Beach Road; Morganton, NC 28655-

34G340 956955

MHL-014-031VOCA-Laurel Group Home (828)396-5879

ADM: Tracey Norris OWN: VOCA Corporation of NC, Patrick Kelley PAR: Res-Care

MAIL: 301 10th Street NW, Sute. B-101; Conover, NC 28613-SITE: 51 Laurel Street; Granite Falls, NC 28630-

34G287 944838

County: Carteret

MHL-016-011LIFE, Inc./Grey Fox Run Group Home (252)223-2466

ADM: Lakisa Midgette OWN: LIFE Inc, Rhett Raynor, Connie Lamb, Sharon L Rayn

MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 312 Grey Fox Run; Newport, NC 28570-

34G286 944843

MHL-016-012LIFE, Inc./Nine Foot Road Group Home (252)223-3774

ADM: Latisha Grant, Lakisa Midgette OWN: LIFE Inc, Rhett Raynor, Connie Lamb, Sharon L Rayn

MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 1229 Nine Foot Road; Newport, NC 28570-

34G285 944844

County: Catawba23rd Street Home (828)465-2114

ADM: Michael Marshall MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR:Resource Healthcare of America Inc

MAIL: 1754 GKN Way; Newton, NC 28658SITE: 804 East 23rd Street; Newton, NC 28658

34G105 921396




MHL-018-011Penny Lane #1 (828)459-0588

ADM: Michael Marshall MGMT: RHA Health Management Services, LLC OWN: RHA Heath Services NC, LLC, Jeanne Duncan

MAIL: 1754 GKN Way; Newton, NC 28658-SITE: 2840 Hwy 70 East; Claremont, NC 28610-

34G087 922373

County: Catawba

MHL-018-016Penny Lane II (828)459-1339

ADM: Michael Marshall DON: Lori Novak MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC,LLC PAR: Resource Healthcare of America Inc

MAIL: 1754 GKN Way; Newton, NC 28658-SITE: 2830 Highway 70 East; Claremont, NC 28610

34G109 922374

MHL-018-017Shannonbrook Home (828)465-2003

ADM: Michael Marshall MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC

MAIL: 1754 GKN Way; Newton, NC 28658SITE: 914 West First Street; Newton, NC 28658

34G118 922564

MHL-018-018Wendover Home (828)428-3122

ADM: Michael Marshall MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC

MAIL: 1754 GKN Way; Newton, NC 28658SITE: 631 Old Park Road; Maiden, NC 28650

34G119 922856

County: Chatham

MHL-019-007CLLC(Carolina Living & Learning Center) (919)542-1910

ADM: Gladys A Williams OWN: University of North Carolina at Chapel Hill, Carol

MAIL: CB #7180; Chapel Hill, NC 27599-7180SITE: 325 Russet Run; Pittsboro, NC 27312-

34G159 921564

County: Chowan

MHL-021-006LIFE, Inc./Albemarle Group Home (252)482-7909

ADM: Belinda Owens OWN: LIFE Inc, Rhett Raynor, Connie Lamb, Sharon L Rayn

MAIL: 2609 Royall Ave.; Goldsboro, NC 27534-SITE: 243 Coke Avenue; Edenton, NC 27932-

34G331 955733

MHL-021-007LIFE, Inc./Chowan Group Home (252)482-5456


MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 249 Coke Avenue; Edenton, NC 27932-

34G330 955734

MHL-021-008LIFE, Inc./Coke Avenue Group Home (252)482-8121


MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 255 Coke Avenue; Edenton, NC 27932-

34G333 955735




MHL-021-005Luke Street (252)482-8900


MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 206 Luke Street; Edenton, NC 27932-

34G298 944505

County: Cleveland

MHL-023-018VOCA-Young Group Home (704)482-2285

ADM: Robert Barnes, Tracey Norris OWN: VOCA Corporation of NC, Patrick Kelley

MAIL: 301 10th Street, NW Ste. B-101; Conover, NC 28613-SITE: 211 Young Street; Shelby, NC 28150-

34G263 922802

County: Columbus

MHL-024-021Riverside Residential (910)649-6460

ADM: Denise Davis OWN: Community Innovations Inc, Community Based Care, L

MAIL: 80 Alliance Drive; Whiteville, NC 28472-SITE: 353 Elm Street; Fairbluff, NC 28439

34G256 922474

MHL-024-019Strawberry House (910)654-5355

ADM: Patricia Peterson OWN: Community Innovations Inc, Community Based Care, L

MAIL: 80 Alliance Drive; Whiteville, NC 28472-SITE: 303 North Howard Street; Chadbourn, NC 28431-

34G231 922664

County: Craven

MHL-025-007Dogwood House (252)638-2845

ADM: Christy Shaver OWN: Monarch, Peggy S Terhune

MAIL: 350 Pee Dee Ave, Suite 101; Albemarle, NC 28001-SITE: 2401 Dogwood Drive; New Bern, NC 28560

34G191 921769

MHL-025-069Kimberly Road (252)634-1715

ADM: Melissa Hall OWN: Monarch, Peggy S Terhune

MAIL: 350 Pee Dee Ave, Suite 101; Albemarle, NC 28001-SITE: 1503 Kimberly Road; New Bern, NC 28563-

34G329 060531

MHL-025-001Life, Inc./Cherry Lane (252)633-5565

ADM: Latisha Midgette OWN: LIFE Inc, Sharon L Raynor, Rhett A Raynor, Connie

MAIL: 2609 Royall Ave.; Goldsboro, NC 27534-SITE: 1104 Cherry Lane; New Bern, NC 28560

34G102 921644

MHL-025-014Life, Inc./Lavenham Group Home (252)633-5559

ADM: Lakisa Midgette OWN: LIFE Inc, Sharon L Raynor, Rhett A Raynor, Connie

MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 3700 Lavenham Road; New Bern, NC 28560

34G091 922110




MHL-025-013Life, Inc./Oakdale Home (252)636-1288

ADM: Lakisa Midgette OWN: LIFE Inc, Sharon L Raynor, Rhett A Raynor, Connie

MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 907 Oakdale Ave; New Bern, NC 28560-

34G090 922323

County: Craven

MHL-025-004New Bern Family Services (252)638-7900

ADM: Mary Moore OWN: Neuse Center for MH/DD/SAS Services

MAIL: PO Box 1636; New Bern, NC 28560-SITE: 403 George Street; New Bern, NC 28560-

34G190 952270

MHL-025-010Riverbend (252)638-6519

ADM: Tina Stewart MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR: ResourceHealthcare of America Inc

MAIL: 140 Pirates Rd, PO Box 12159; New Bern, NC 28562-SITE: 140 Pirates Road; New Bern, NC 28562-

34G017 942020

County: Cumberland

MHL-026-049Extra Special Care (910)491-2383

ADM: Melody Thomas OWN: Carter Clinic, P.A., Myleme O Harrison

MAIL: PO Box 99778; Raleigh, NC 27624-SITE: 6214 Kilmory Drive; Fayetteville, NC 28304-

34G146 944892

MHL-026-157Holliday's Place Group Home (910)864-4300

ADM: Laura D Lloyd OWN: D & L Health Care Services Incorporated, Eunice Ga

MAIL: 1234 Hoke Loop Road; Fayetteville, NC 28314-SITE: 1108 Quail-Meadow Drive; Fayetteville, NC 28314-

34G299 944300

MHL-026-020Hope Mills Home (910)424-2121

ADM: Samantha Scott MGMT: RHA Health Services NC, LLC OWN: RHA Health Services NC, LLC

MAIL: 2248 Wingate Road; Fayetteville, NC 28304-SITE: 5713 Newton Street; Hope Mills, NC 28348-

34G094 944881

MHL-026-114Kristles (910)864-6779

ADM: Ms Alice Smith, Calvette Cooper

MAIL: 517 Mayview St.; Fayetteville, NC 28306-SITE: 7311 Avalon Drive; Fayetteville, NC 28314

34G259 922089

MHL-026-017My Place (910)488-2459

ADM: Sera W Gilmore OWN: Alice Smith, Midstate Health Systems, Inc., Sera W

MAIL: 3721 Legion Road; Hope Mills, NC 28348-SITE: 1050 Hogan Street; Fayetteville, NC 28301-

34G103 944879




MHL-026-054No Place Like Home (910)483-4043

ADM: Sera W Gilmore OWN: Mid-State Heatlh Systems Inc, Sera Gilmore, George

MAIL: P. O. Box 64724; Fayetteville, NC 28306-SITE: 4309 NC Hwy 87 South; Fayetteville, NC 28306-

34G151 944895

County: Cumberland

MHL-026-125Northside Group Home (910)822-4455

ADM: Tiffany Harrington OWN: Sophia B Pierce and Associates Inc, Alvin R Pierce

MAIL: PO Box 2813; Fayetteville, NC 28302-SITE: 3301 Barksdale Road; Fayetteville, NC 28301

34G273 932314

Southern Avenue Home (910)424-2121


MAIL: 2248 Wingate Road; Fayetteville, NC 28304-SITE: 2001 Southern Avenue; Fayetteville, NC 28301-

34G097 944882

MHL-026-053Strickland Bridge Homes A & B (910)424-2121


MAIL: 2248 Wingate Rd.; Fayetteville, NC 28304-SITE: 1818 Strickland Bridge Rd.; Fayetteville, NC 28304-

34G152 944894

MHL-026-071The Carter Clinic Residential Home (910)488-2049

ADM: Melody Thomas OWN: Carter Clinic, P.A., Myleme O Harrison

MAIL: PO Box 99778; Raleigh, NC 27624-SITE: 235 Kinlaw Street; Fayetteville, NC 28301

34G177 922749

MHL-026-097Thomas S. Decatur Home (910)867-7675

ADM: Sera W Gilmore OWN: Midstate Health Systems, Inc., Sera W Gilmore, Geo

MAIL: 3721 Legion Road; Hope Mills, NC 28348-SITE: 7559 Decatur Drive; Fayetteville, NC 28303-1989

34G239 922748

MHL-026-048Wilmington Road Group Home (910)424-2121

ADM: Samantha Scott MGMT: RHA Health Services NC, LLC OWN: RHA Health Services NC, LLc

MAIL: 2248 Wingate Road; Fayetteville, NC 28304-SITE: 800 Wilmington Road; Fayetteville, NC 28304-

34G149 944891

County: DavidsonScotthurst I & II (336)764-3553

ADM: Shelia Shaw MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC

MAIL: 1701 Westchester Drive, Suite 940; High Point, NC 27262-SITE: 174 Hoots Drive & 222 Heritage Driv; Winston Salem, NC 27107

34G027 922547

County: Davie




MHL-030-006Boxwood Acres (704)278-9681

ADM: Lisa Jones, Jeanne Duncan MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC

MAIL: 211 Roseman Avenue; Cleveland, NC 27013SITE: 3464 US Highway 601 South; Mocksville, NC 27028-

34G062 921518

County: Davie

MHL-030-007Pleasant Acres (704)278-9681

ADM: Lisa Jones, Jeanne Duncan MGMT: RHA Health Management Servicse, LLC OWN: RHA Health Services NC, LLC

MAIL: 211 Roseman Lane; Cleveland, NC 27013SITE: 447 Pleasant Acres Drive; Mocksville, NC 27028

34G070 922407

MHL-030-005Twinbrooks (704)278-9681


MAIL: 211 Roseman Lane; Cleveland, NC 27013SITE: 189 Fairmont Lane; Mocksville, NC 27028-

34G064 952779

County: Duplin

MHL-031-008Rones Chapel Road Group Home (919)658-6584

ADM: Sue Smith OWN: NOVA IC Inc, Kimberly D Ford

MAIL: PO Box 11077; Goldsboro, NC 27532SITE: 119 Rones Chapel Road; Mount Olive, NC 28365

34G179 951780

MHL-031-009SCI-Duplin House (910)293-3068

ADM: Carol Jurbala OWN: Skill Creations Inc, Paul A Hackmann

MAIL: PO Box 1664; Goldsboro, NC 27533-1664SITE: 120 Orville Street; Warsaw, NC 28398

34G244 922523

MHL-031-004Skill Creations of Kenansville (910)296-0078

ADM: Hayden Marshburn OWN: Skill Creations Inc, Paul A Hackmann

MAIL: PO Box 1664; Goldsboro, NC 27533-1664SITE: 218 South Stokes Street; Kenansville, NC 28349

34G056 922588

County: Durham

MHL-032-043Chandler Road (919)598-2558

ADM: Morris Thomas MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR:RHA/North Carolina MR Inc

MAIL: 2527 E. Lyon Station Rd; Creedmoor, NC 27522-SITE: 342 Chandler Road; Durham, NC 27707-

34G125 921633

MHL-032-061Holloway Street Home (336)885-5090MAIL: 1701 Westchester Drive, Suite 940; High Point, NC 27262-SITE: 4795 Stanly Road; Durham, NC 27704-

34G186 080667




MHL-032-079Kenwood Drive Home (919)251-9156

ADM: Alyse Shirley MGMT: ARC-HDS OWN: Autism Services Inc, Alyse Shirley

MAIL: 1310 Corporation Parkway, Ste. H; Raleigh, NC 27610-SITE: 5004 Kenwood Road; Durham, NC 27712-

34G246 922084

County: Durham

MHL-032-049Keywest Center (919)682-9392

ADM: Gwendolyn Johnson OWN: The Keywest Center Inc, Tony Bullock

MAIL: 1722 Athens Avenue; Durham, NC 27707-SITE: 1722 Athens Avenue; Durham, NC 27707-

34G143 922086

MHL-032-058Lynn Road (919)596-0307

ADM: Morris Thomas MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC, Jeanne DuncanPAR: Resource Healthcare of America Inc

MAIL: 2527 E. Lyon Station Rd; Creedmoor, NC 27522-SITE: 515 Lynn Road; Durham, NC 27707-

34G170 922165

MHL-032-056Mineral Springs I (919)528-2558


MAIL: 2527 E. Lyon Station Rd; Creedmoor, NC 27522-SITE: 414 Mineral Springs Road; Durham, NC 27703-

34G157 922230

MHL-032-071SCI-Triangle House I (919)596-4168

ADM: Stephanie Cameron OWN: Skill Creations Inc, Paul A Hackmann

MAIL: PO Box 1664; Goldsboro, NC 27583-1664SITE: 1406 Tyonek Drive; Durham, NC 27703

34G215 922526

MHL-032-070SCI-Triangle House II (919)596-0619

ADM: Tashas Cameron-Wheeler OWN: Skill Creations Inc, Paul A Hackmann

MAIL: PO Box 1664; Goldsboro, NC 27583-1664SITE: 1523 Tyonek Drive; Durham, NC 27703

34G214 922527

MHL-032-010Seven Oaks Road-Durham (919)477-9947

ADM: Jermaine Keatney OWN: VOCA Corporation of NC

MAIL: 1001 Navaho Dr., Ste 101; Raleigh, NC 27609-SITE: 614 Seven Oaks Road; Durham, NC 27704

34G036 922555

MHL-032-075VOCA-Gentry (919)383-1114

ADM: Jermaine Kearney OWN: VOCA Corporation of North Carolina, VOCA Corporati PAR: VOCA Corporation of America

MAIL: 1001 Navaho Dr., Ste 101; Raleigh, NC 27609-SITE: 2219 Gentry Drive; Durham, NC 27705

34G225 921905




MHL-032-069VOCA-Obie (919)361-0983

ADM: Jermaine Kearney OWN: VOCA Corporation of North Carolina, VOCA Corporati PAR: ResCare

MAIL: 1001 Navaho Dr., Ste 101; Raleigh, NC 27609-SITE: 322 Obie Drive; Durham, NC 27713-

34G218 922326

County: Durham

MHL-032-068Voca-Otis Street Home (919)956-7601

ADM: Jermaine Kearney OWN: VOCA Corporation of NC, VOCA Corporation of Americ PAR: ResCare Inc

MAIL: 1001 Navaho Dr., Ste 101; Raleigh, NC 27609-SITE: 2415 Otis Street; Durham, NC 27707-

34G216 922342

County: Edgecombe

MHL-033-008Skill Creations of Tarboro (252)641-1141

ADM: Wanda Parker OWN: Skill Creations Inc, Paul A Hackmann

MAIL: P.O. Box 1664; Goldsboro, NC 27533-1664SITE: 811 Western Boulevard; Tarboro, NC 27886

34G071 922592

County: Forsyth

MHL-034-042Forsyth Group Home #1 (336)996-7457

ADM: Shelia Shaw MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR: ResourceHealthcare of America Inc

MAIL: 1701 Westchester Dr, Ste. 940; High Point, NC 27262-SITE: 216 Linville Springs Road; Kernersville, NC 27284

34G183 921878

MHL-034-043Forsyth Group Home #2 (336)595-2128


MAIL: 1701 Westchester Dr., Ste. 940; High Point, NC 27262-SITE: 8460 Belews Creek Road; Belews Creek, NC 27009-

34G192 921880

MHL-034-054Konnoak Group Home (336)788-5543

ADM: Michael Penland OWN: ResCare of North Carolina-EduCare Community Living PAR: Res-Care Inc

MAIL: P.O. Box 150; Wilkesboro, NC 28697-SITE: 2901 Konnoak Drive; Winston Salem, NC 27127-

34G294 990772

MHL-034-010Pineview (336)744-1805


MAIL: 350 Pee Dee Ave, Suite 101; Albemarle, NC 28001-SITE: 5260 Pineview Drive; Winston-Salem, NC 27105-

34G024 922393

MHL-034-050The Arches-Horizons Residential Care Center (336)661-2190

ADM: Karen Taylor OWN: Horizons Residential Care Center Inc, Thomas D Ada

MAIL: 100 Horizons Lane; Rural Hall, NC 27045-SITE: 5900 Bethabara Park Boulevard; Winston-Salem, NC 27106-

34G241 922700




MHL-034-016The Atrium/The Respite Center (336)767-2411

ADM: Richard Anderson OWN: Horizons Residential Care Center Inc, T David Adam

MAIL: 100 Horizons Lane; Rural Hall, NC 27045SITE: 101 Horizons Lane; Rural Hall, NC 27045

34G123 922007

County: Forsyth

MHL-034-045Wilson Smith Cottage (336)785-3813

ADM: Tiffany Grant OWN: Lutheran Family Services In the Carolinas Inc, Myr

MAIL: PO Box 12818; Wilson Smith Cottage; Winston Salem, NC 27117-SITE: 185 Martindale Road; Winston Salem, NC 27107-

34G204 921983

County: Gaston

MHL-036-016Belmont Group Home (704)825-7422

ADM: Tonda S Stillwell OWN: Gaston Residential Services ICF/MR Inc, Rita B Tho

MAIL: 905-A North New Hope Road; Gastonia, NC 28054-SITE: PO Box 563 - Loop Road/ 205 Wimmer; Belmont, NC 28012-

34G059 951717

MHL-036-022Cherryville Group Home (704)802-4037

ADM: Ms Tonda S Stillwell MGMT: The Arc of North Carolina OWN: Gaston Residential Services-ICF/MR, Inc, Rita Thou

MAIL: 905-A North New Hope Road; Gastonia, NC 28054-SITE: 1102 Requa Road; Cherryville, NC 28021-

34G088 921645

MHL-036-026Franklin Boulevard Group Home (704)861-9280

ADM: Tonya Mull OWN: Gaston Residential Services ICF/MR Inc

MAIL: 905-A North New Hope Road; Gastonia, NC 28054-SITE: 1101 Franklin Blvd.; Gastonia, NC 28054-

34G141 030449

MHL-036-012Holy Angels Services-McAuley Residences (704)825-4161

ADM: Regina P Moody OWN: Holy Angels Services Inc, Regina P Moody

MAIL: 6600 Wilkinson Blvd. PO Box 710; Belmont, NC 28012SITE: McAuley Circle; Belmont, NC 28012

34G249 921533

MHL-036-011Meek Road Group Home (704)671-2743

ADM: Tonda S Stillwell OWN: Gaston Residential Services-ICF/MR, Inc, Rita Thuo

MAIL: 905-A North New Hope Road; Gastonia, NC 28054-SITE: 138 Meek Road; Gastonia, NC 28056-

34G107 922222

MHL-036-031Mountain Ridge Group Home (704)824-8941

ADM: Tiffany Grant MGMT: Lutheran Family Services in the Carolinas OWN: Lutheran Family Services In the Carolinas Inc,Myr

MAIL: 810 King Arthur Drive; Gastonia, NC 28056-SITE: 810 King Arthur Drive; Gastonia, NC 28054-

34G113 922255




MHL-036-069Springdale Lane Group Home (704)671-2350

ADM: Tonda S Stillwell MGMT: The Arc of North Carolina OWN: Gaston Residential Services ICF/MR Inc, Rita Thout

MAIL: 905-A North New Hope Road; Gastonia, NC 28054-SITE: 934 Springdale Lane; Gastonia, NC 28052-

34G018 945217

County: Gaston

MHL-036-088Wooding Place Group Home (704)867-3155

ADM: Leslie Burleson OWN: EduCare Community Living Corporation-NC

MAIL: 301 10th Street NW Suite B101; Conover, NC 26813-SITE: 1521 McCormick Avenue; Gastonia, NC 28054-

34G341 956948

County: Granville

MHL-039-004Dove Road Home (919)528-2558

ADM: Morris Thomas MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR: RHA Inc

MAIL: 2527 E. Lyon Station Rd; Creedmoor, NC 27522-SITE: 102 Dove Road; Creedmoor, NC 27522

34G131 921774

MHL-091-002Granville ICF/MR Group Home (919)693-4610

ADM: Morris Thomas MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC

MAIL: 2527 E. Lyon Station Rd; Creedmoor, NC 27522-SITE: 5509 Dorsey Road; Oxford, NC 27565-

34G013 922508

MURDOCH DEVELOPMENTAL CENTER (919)575-7734

ADM: Mike Hennike OWN: NC Dept of Health and Human Services/DMA Devp Dis

MAIL: 1600 EAST C STREET; BUTNER, NC 27509SITE: 1600 EAST STREET; BUTNER, NC 27509

34G002 955757

MHL-039-007Park Avenue Home (919)528-2558


MAIL: 2527 E. Lyon Station Rd; Creedmoor, NC 27522-SITE: 105 Park Avenue; Creedmoor, NC 27522

34G145 922350

MHL-039-006Stem Road Home (919)528-1266

ADM: Morris Thomas MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC

MAIL: 2527 E. Lyon Station Rd; Creedmoor, NC 27522-SITE: 702 Stem Road; Creedmoor, NC 27522-

34G140 922652

County: Guilford

MHL-041-070Friendway Group Home (336)852-2636

ADM: Madelyn Mclaughlin OWN: Community Innovations Inc, Community Based Care, L

MAIL: 80 Alliance Drive; Whiteville, NC 28472-SITE: 202 Friendway Road; Greensboro, NC 27409-

34G169 921889




MHL-041-055Gatewood (336)273-6105

ADM: Shelia Shaw MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR: ReaourceHealthcare of America Inc

MAIL: 1508 Gatewood avenue; Greensboro, NC 27405-SITE: 1508 Gatewood Avenue; Greensboro, NC 27405-

34G108 922016

County: Guilford

MHL-041-078Guilford #1 (336)298-6688


MAIL: 1701 Westchester Dr., Ste. 940; High Point, NC 27262-SITE: 416 Boxwood Drive; Greensboro, NC 27410-

34G161 921934

MHL-041-080Guilford #2 (336)288-1900


MAIL: 1701 Westchester Dr., Ste. 940; High Point, NC 27262-SITE: 1800 Strathmore Drive; Greensboro, NC 27410-

34G162 921935

MHL-041-081Guilford #3 (336)643-1244

ADM: Shelia Shaw MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR: RHA HealthServices Inc

MAIL: 1701 Westchester Dr, Ste. 940; High Point, NC 27262-SITE: 2600 Pleasant Ridge Road; Summerfield, NC 27358-

34G180 951936

Guilford IV (336)885-0461

ADM: Shelia Shaw MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC

MAIL: 1701 Westchester Dr. Ste 940; High Point, NC 27262-SITE: 404 Skeet Club Road; High Point, NC 27265-

34G355 080755

MHL-041-119Holden Group Home (336)547-0780


MAIL: 1508 Gatewood Ave; Greensboro, NC 27405-SITE: 517 North Holden Road; Greensboro, NC 27410-

34G276 944936

MHL-041-108Ridgely Oak (336)288-3482


MAIL: 1508 Gatewood Ave; Greensboro, NC 27405-SITE: 1307 Westridge Road; Greensboro, NC 27410

34G252 922011




MHL-041-087Rollingwood (336)294-4733


MAIL: 1508 Gatewood Ave; Greensboro, NC 27405-SITE: 4206 West Friendly Avenue; Greensboro, NC 27410-

34G188 922015

County: Guilford

MHL-041-013Southridge Road (336)454-1213


MAIL: 350 Pee Dee Ave., Ste.101; Albemarle, NC 28001-SITE: 301 Southridge Road; Jamestown, NC 27282-

34G033 922667

Summerlyn (336)449-5690

ADM: Emerson R Gibson OWN: Family Affiar Care Group Management Inc, Emerson R

MAIL: 1012 Gregory Street; Greensboro, NC 27403-SITE: 6113 Blue Lantern Road; Gibsonville, NC 27249

34G137 922670

MHL-041-018VOCA-Meadowood Drive Group Home (336)547-8060

ADM: Shane Ferguson, Michael Penland OWN: Voca Corporation of NC Inc, Patrick Kelley

MAIL: P.O. Box 150; Wilkesboro, NC 28697-SITE: 401 Meadowood Street; Greensboro, NC 27409-

34G181 932796

MHL-041-048Watson's Group Home (336)275-1461

ADM: Addie Watson OWN: Addie A. Watson

MAIL: PO Box 20084; Greensboro, NC 27420-SITE: 1310 Elwell Avenue; Greensboro, NC 27405-

34G078 922844

MHL-041-074West Friendly (336)294-5345


MAIL: 1508 Gatewood Ave; Greensboro, NC 27405-SITE: 4011 West Friendly Avenue; Greensboro, NC 27410-

34G148 922012

MHL-041-105Westminister (336)852-3855

ADM: Shelia Shaw MGMT: RHA Health Services, LLC OWN: RHA Health Services NC, LLC PAR: Resource Healthcare ofAmerica Inc

MAIL: 1508 Gatewood Ave; Greensboro, NC 27405-SITE: 1111 Westridge Road; Greensboro, NC 27410-

34G242 922013




MHL-041-076Westridge (336)282-7477


MAIL: 1508 Gatewood Ave; Greensboro, NC 27405-SITE: 1609 Westridge Road; Greensboro, NC 27410-

34G160 922014

MHL-041-017Westridge (336)297-0890

ADM: Kimberly Hayes OWN: Community Innovations Inc, Community Based Care, L PAR: ResCare

MAIL: 4214 Beechwood Dr, Ste 106; Greensboro, NC 27410-SITE: 908 Westridge Road; Greensboro, NC 27410-

34G168 922774

County: Halifax

MHL-042-009Idlewood Group Home (252)537-4386

ADM: Ricky Richmond OWN: LIFE Inc, Rhett Raynor, Sharon Raynor, Connie Lamb

MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 28 Wood Glenn Road; Roanoke Rapids, NC 27870

34G167 922027

MHL-042-028Life Inc./King Street Group Home (252)583-1984

ADM: Mr Ricky Richmond OWN: LIFE Inc, Rhett Raynor, Connie Lamb, Sharon L Rayn

MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 117 King Street; Halifax, NC 27839-

34G346 970428

MHL-042-010LIFE, Inc./ Lakeview (252)535-4031

OWN: LIFE Inc, Rhett Raynor, Connie Lamb, Sharon L Rayn

MAIL: 2609 Royall Ave.; Goldsboro, NC 27534-SITE: 102 Midway Lane; Roanoke Rapids, NC 27870

34G202 922097

MHL-042-027McFarland Road (252)445-1498

ADM: Ricky Richmond OWN: LIFE Inc, Rhett Raynor, Connie Lamb, Sharon L Rayn

MAIL: 2609 Royall Ave; Goldsboro, NC 27534-SITE: 214 McFarland Road; Enfield, NC 27832-

34G347 970429

MHL-042-015SCI-Roanoke House (252)308-0900

ADM: Amy Dennis OWN: Skill Creations Inc, Paul A Hackmann

MAIL: PO Box 1664; Skill Creations, Inc.; Goldsboro, NC 27533-1664SITE: 103&105 Clearfield Drive; Roanoke Rapids, NC 27870-

34G275 944940

County: Harnett

MHL-043-013Erwin #2 Group Home (910)897-2854

ADM: Nesheil Blue MGMT: RHA Health Services, LLC OWN: RHA Health Services NC, LLC PAR: Resource Healthcare ofAmerica Inc

MAIL: 501-C South Wall Street; Benson, NC 27504-SITE: 202 West B Street; Erwin, NC 28339

34G042 921813




MHL-043-006Erwin Avenue Home (910)897-8093


MAIL: 501-C South Wall Street; Benson, NC 27504-SITE: 100 Erwin Avenue; Erwin, NC 28339

34G043 921814

County: Harnett

MHL-043-005Lillington Group Home (910)893-9121

ADM: Neshiel Blue MGMT: RHA Health Services, LLC OWN: RHA Health Services NC, LLC PAR: Resource Healthcare ofAmerica Inc

MAIL: 501-C South Wall Street; Benson, NC 27504-SITE: 1110 NC 210 South; Lillington, NC 27546

34G046 922139

County: Haywood

MHL-044-008Haywood County Group Home #3 (828)627-3822

ADM: Virginia Parker OWN: The ARC of Haywood County Inc

MAIL: 407 Welch Street; Waynesville, NC 28786-SITE: 401 Woodlawn Circle; Clyde, NC 28721

34G057 921958

County: Henderson

MHL-045-002Country Cove Group Home (828)698-0623


MAIL: 145 Cane Creek Ind Park Rd, Ste 250; Fletcher, NC 28732-SITE: 28 Hillpark Drive; Hendersonville, NC 28739

34G067 921704

MHL-045-012Pinebrook Group Home (828)697-4186


MAIL: 145 Cane Creek Ind Park Rd, Ste 250; Fletcher, NC 28732-SITE: 301 Erkwood Drive; Hendersonville, NC 28791-

34G237 922389

MHL-045-019Rayside A (828)697-4484


MAIL: 145 Cane Creek Ind. Park Rd Ste 250; Fletcher, NC 28732-SITE: 617 Ray Avenue; Hendersonville, NC 28739-

34G321 955392

County: Hertford

MHL-046-006Roanoke Place (252)209-0111

ADM: Brigette Perry OWN: Community Innovations Inc, Community Based Care, L PAR: Saguaro Group LLC

MAIL: 704 Carolina Avenue North; Ahoskie, NC 27910-SITE: 704 Carolina Avenue North; Ahoskie, NC 27910-

34G297 944506

County: Hoke

MHL-047-006Ashley Heights Home (910)424-2121


MAIL: 2248 Wingate Road; Fayetteville, NC 28304-SITE: 2990 Reservation Road; Aberdeen, NC 28315-5414

34G074 921463




MHL-047-003Old Farm Road (910)424-2121

ADM: Samantha Scott MGMT: RHA Health Services NC, LLC OWN: RHA Health Services NC, LLC PAR: RHA Inc

MAIL: 2248 Wingate Road; Fayetteville, NC 28304-SITE: 409 Old Farm Road; Raeford, NC 28376-

34G058 922329

County: Iredell

MHL-049-016Bonnie Lane Group Home (704)872-3257

ADM: Jeanne Duncan, Chris Houck MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLCPAR: Residential Healthcare Affiliates Inc

MAIL: 190 Commerce Boulevard; Statesville, NC 28625-SITE: 121 Bonnie Lane; Statesville, NC 28625-

34G077 921515

MHL-049-018Dal-Wan Heights Group Home (704)872-2583


MAIL: 190 Commerce Blvd.; Statesville, NC 28625-SITE: 748 Sharon Dr.; Statesville, NC 28625-

34G086 921730

MHL-049-014Fanjoy Home #1 (704)872-3257

ADM: Chris Houck MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR: ResourceHealthcare of America Inc

MAIL: 190 Commerce Boulevard; Statesville, NC 28625-SITE: 235 Fanjoy Road; Statesville, NC 28625-

34G055 921835

MHL-049-020Fanjoy Home #2 (704)872-3257

ADM: Chris Houck, Jeanne Duncan MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC

MAIL: 190 Commerce Boulevard; Statesville, NC 28625-SITE: 450 Twin Oaks Road; Statesville, NC 28625-

34G081 921836

MHL-049-025Hollingswood Group Home (704)872-3257

ADM: Chris Houck MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR: ResidentialHealthcare Affiliates Inc

MAIL: 190 Commerce Boulevard; Statesville, NC 28625-SITE: 214 Hollingswood Drive; Statesville, NC 28625-

34G248 921990

MHL-049-002Oakdale Group Home (704)872-3257

ADM: Chris Hovck, Chris Hovck,, MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLCPAR: Residential Healthcare Affiliates Inc

MAIL: 190 Commerce Boulevard; Statesville, NC 28625-SITE: 436 Mocksville Highway; Statesville, NC 28625-

34G085 922324




MHL-049-029Pinewood Group Home (704)872-3257

ADM: Chris Houck MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC

MAIL: 190 Commerce Boulevard; Statesville, NC 28625-SITE: 2101 Beauty Street; Statesville, NC 28625-

34G295 944283

County: Jackson

MHL-050-004Smoky ICF/MR Group Home (828)586-9277

ADM: Christi Huff OWN: Macon Citizens Habilities Inc, Jeannie Garrett

MAIL: PO Box 698; Franklin, NC 28744-SITE: 115 Storybook Lane; Sylva, NC 28779

34G032 942605

MHL-050-014Webster Group Home (828)586-3796

ADM: Christi Huff OWN: Macon Citizens Habilities Inc, Jeannie B Garrett

MAIL: PO Box 698; Franklin, NC 28744-SITE: 103 Little Savannah Road; Webster, NC 28788

34G233 922855

County: Johnston

MHL-051-011Canterbury Road Home (919)934-5907


MAIL: 501-C South Wall Street; Benson, NC 27504-SITE: 214 Canterbury Road; Smithfield, NC 27577-

34G045 921586

MHL-051-009Country Manor Group Home (919)934-9424

ADM: Nesheil Blue MGMT: RAHA Health Services, LLC OWN: RHA Health Services NC, LLC PAR: Resource Healthcare ofAmerica Inc

MAIL: 501-C South Wall Street; Benson, NC 27504-SITE: 1070 Packing Plant Road; Smithfield, NC 27577

34G041 921706

MHL-051-010Heath Avenue Home (919)934-1573


MAIL: 501-C South Wall Street; Benson, NC 27504-SITE: 105 East Heath Avenue; Smithfield, NC 27577-

34G044 921962

MHL-051-036VOCA-Greenwood Group Home (919)934-1963

ADM: Kimberly Hale MGMT: Community Alternatives of NC OWN: Voca Corporation of NC Inc, Dennis Roberts, Voca C

MAIL: 1600 W. Thomas Street; Rocky Mount, NC 27804-SITE: 105 Greenwood Circle; Smithfield, NC 27577-

34G281 944969




MHL-051-037VOCA-Laurelwood (919)934-1839

ADM: Marika Whack OWN: VOCA Corporation of NC, Dennis Rodgers, VOCA Corpo PAR: ResCare/VOCA Corporation ofAmerica

MAIL: 1600 W. Thomas Street; Rocky Mount, NC 27804-SITE: 200 Laurelwood Drive; Smithfield, NC 27577-

34G282 955747

County: Lee

MHL-053-022Hickory II Group Home (919)775-3094

ADM: Jermaine Kearney OWN: VOCA Community Alternatives-North Carolina

MAIL: 1001 Navaho Dr., Ste 101; Raleigh, NC 27609-SITE: 322 Hickory Avenue; Sanford, NC 27330-

34G269 931971

MHL-053-027Pine Ridge Group Home (919)774-9747

ADM: Juila Johnson OWN: Community Innovations, Community Based Care, LLC

MAIL: 908 Avent Ferry Road; Holly Springs, NC 27540-SITE: 739 Arthur Maddox Road; Sanford, NC 27330-

34G302 944820

MHL-053-001Skill Creations of Sanford (919)775-5622

ADM: Ciara Stubbs OWN: Skill Creations Inc, Paul A Hackmann

MAIL: PO Box 1664; Goldsboro, NC 27533-1664SITE: 1751 Hawkins Avenue; Sanford, NC 27330

34G054 942591

MHL-053-008T.L.C. Home, Inc. (919)774-4355

ADM: Rita Oglesbee OWN: T.L.C. Home Inc, Kathy Kostrewa

MAIL: 1775 Hawkins Avenue; Sanford, NC 27330SITE: 1775 Hawkins Avenue; Sanford, NC 27330

34G072 922685

MHL-053-023VOCA-Sixth Street Group Home (919)775-4496

ADM: Jermaine Kearney OWN: Voca Corporation of NC Inc, VOCA Corp. of America PAR: VOCA/Mentor Corporation

MAIL: 1001 Navaho Dr., Ste 101; Raleigh, NC 27609-SITE: 201 North Sixth Street; Sanford, NC 27330-

34G270 955474

County: Lenoir

MHL-054-006Bear Creek (252)566-9181

ADM: Melissa Herring MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR: ResourceHealthcare of America Inc

MAIL: 5840 Greenwood Avenue; La Grange, NC 28551SITE: 5840 Greenwood Avenue; La Grange, NC 28551

34G006 922017

CASWELL CENTER (252)559-5100

ADM: Mr Mike Moseley OWN: Caswell Center

MAIL: 2415 W. VERNON AVENUE; KINSTON, NC 28501SITE: 2415 W. VERNON AVENUE; KINSTON, NC 28501

34G001 955755




MHL-054-141Fox Run Group Home (252)566-9543

ADM: Luanne Davis, Melissa Herring MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC

MAIL: 5840 Greenwood Avenue; LaGrange, NC 28551-SITE: 3845 Robin's Nest Road; LaGrange, NC 28551-

34G015 091034

County: Lenoir

MHL-054-019LaGrange Home (252)566-2080

ADM: Candra Hill OWN: NOVA IC Inc, Kimberly Daniel Ford

MAIL: PO Box 11077; Goldsboro, NC 27532-SITE: 405 West Washington Street; La Grange, NC 28551

34G171 922264

MHL-054-142Robin's Nest Group Home (252)566-2069

ADM: Melissa Herring MGMT: RHA Health ManagementServices, LLC OWN: RHA Health Services NC, LLC

MAIL: 5840 Greenwood Avenue; LaGrange, NC 28551-SITE: 3921 Robin's Nest Road; LaGrange, NC 28551-

34G015 091035

Roseanne Group Home (252)686-0906

ADM: Jerry Howell OWN: Howell Support Services LLC, Jerald T Howell

MAIL: P.O. Box 10946; Goldsboro, NC 27532-SITE: 900 Roseanne Drive; Kinston, NC 28504-

34G029 942503

MHL-054-010Skill Creations of Kinston (252)522-1738

ADM: Mary Hall OWN: Skill Creations Inc, Paul A Hackmann

MAIL: PO Box 1664; Goldsboro, NC 27533-1664SITE: 901 Doctors Drive; Kinston, NC 28503-

34G063 922589

MHL-054-038Washington Street East Group Home (252)566-2955

ADM: Candra Hill OWN: NOVA IC Inc, Kimberly D Ford

MAIL: PO Box 11077; Goldsboro, NC 27532-SITE: 407 West Washington Street; LaGrange, NC 28551-

34G309 945081

County: Lincoln

MHL-055-008Brookwood Home (704)735-3199


MAIL: 1754 GKN Way; Newton, NC 28658-SITE: 1254 Brookhaven Drive; Lincolnton, NC 28092-

34G093 921534

MHL-055-016Linoak Group Home (828)428-0552


MAIL: 1754 GKN Way; Newton, NC 28658-SITE: 3175 Bank St.; Lincolnton, NC 28092

34G247 922147




MHL-055-005Riverview Home (704)732-1606


MAIL: 1754 GKN Way; Newton, NC 28658-SITE: 1793 Riverview Road; Lincolnton, NC 28092

34G068 922475

County: Lincoln

MHL-055-006Sunny Hill Group Home #1 (704)732-5609


MAIL: 1754 GKN Way; Newton, NC 28658-SITE: 261 Sunny Hill Drive; Lincolnton, NC 28092

34G073 952674

MHL-055-010Sunny Hill II (704)732-7579

ADM: Michael Marshall MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC, JeanneDuncan PAR: Resource Healthcare of America Inc

MAIL: 1754 GKN Way; Newton, NC 28658-SITE: 279 Sunny Hill Drive; Lincolnton, NC 28092-

34G147 922673

County: Macon

MHL-056-005Iotla Street Group Home (828)524-5888


MAIL: P.O. Box 698; Franklin, NC 28744-SITE: 406 Iotla Street; Franklin, NC 28734

34G258 922041

MHL-056-003Macon County Group Home (828)524-5888


MAIL: P.O. Box 698; Franklin, NC 28744-SITE: 170 Second Street; Franklin, NC 28744-

34G106 922166

County: Madison

MHL-057-003BlueWest Opportunities-Mars Hills Residential Services (828)689-9265

ADM: Chrissie Gulden OWN: Lawerence E Thompson lll, BlueWest Opportunities,

MAIL: PO Box 1250; Asheville, NC 28802-1250SITE: Blue Ridge Homes Drive #50; Mars Hill, NC 28754-

34G092 922427

County: Martin

MHL-058-006Life, Inc./Twin Acres Group Home (252)792-9158


MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 2767 Wildcat Road; Williamston, NC 27892-

34G326 955544

County: McDowell




MHL-059-011Laurelwood Group Home (828)659-3524

ADM: Paige Anderson MGMT: ComServ,Inc OWN: ComServ Inc, Dawn Kelly

MAIL: P.O. Box 1080; Paige Anderson / ComServ, Inc.; Lenoir, NC 28645-SITE: 109 Lonon Avenue; Marion, NC 28752-

34G196 922109

County: Mecklenburg

MHL-060-120Bon Rea Drive Group Home (704)541-7334

ADM: Derrick Montgomery OWN: LifeSpan Incorporated, Devan M Cloninger

MAIL: 1511 Shopton Rd, Suite A; Charlotte, NC 28217-3127SITE: 3747 Bon Rea Drive; Charlotte, NC 28226

34G184 921514

MHL-060-245Browne Group Home (704)405-1509

ADM: Denise Derkowski

MAIL: 818 Tyvola Rd Suite 104; Charlotte, NC 28217-SITE: 8205 Browne Road; Charlotte, NC 28269-

34G322 061106

MHL-060-228Burtonwood Circle Home (704)536-0364

ADM: Katherine Benton MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR:Resource Healthcare of America Inc

MAIL: 195 Ervin Woods Dr.; Kannapolis, NC 28081-SITE: 1710 Burtonwood Circle; Charlotte, NC 28212-

34G314 925192

MHL-060-118Dalmoor Drive Group Home (704)567-1531

ADM: Mr J M Phillips OWN: Autism Services of Mecklenburg County Inc, J M Phi

MAIL: 2211-A Executive Street; Charlotte, NC 28208-3655SITE: 4400 Dalmoor Drive; Charlotte, NC 28212-

34G185 921731

Enoch Drive (704)405-1518

ADM: Denise Derkowski OWN: VOCA Corporation of North Carolina, VOCA Coporatio

MAIL: 818 Tyvola Road, Suite 104; Charlotte, NC 28217-SITE: 4109 Enoch Drive; Charlotte, NC 28269-

34G356 080760

MHL-060-150Flowe Drive Group Home (704)598-6002

ADM: Derrick Montgomery OWN: Lifespan Incorporated, Davan M Cloninger

MAIL: 1511 Shopton Rd, Suite A; Charlotte, NC 28217-SITE: 628 Flowe Drive; Charlotte, NC 28213

34G227 921849

MHL-060-227Gail B. Hanks Group Home (704)391-5559

ADM: J M Phillips OWN: Autism Services of Mecklenburg County Inc, J M Phi

MAIL: 2211A Executive Street; Charlotte, NC 28208-3655SITE: 5917 Rowan Way; Charlotte, NC 28214-2403

34G328 061091




MHL-060-224Heathcroft (704)593-0674

ADM: Denise Derkowski OWN: Educare Community Living Corporation - North Carol PAR: ResCare Inc

MAIL: 818 Tyvola Rd Suite 104; Charlotte, NC 28217-SITE: 3046 Heathcroft Court; Charlotte, NC 28269-

34G308 945043

County: Mecklenburg

MHL-060-027Lakeview (704)366-5108


MAIL: 195 Ervin Woods Dr.; Kannapolis, NC 28081-SITE: 5927 Lakeview Drive; Charlotte, NC 28270-

34G317 925332

MHL-060-236Leaves (704)598-9932

ADM: Denise Derkowski OWN: Educare Community Living Corporation - North Carol PAR: ResCare Inc

MAIL: 818 Tyvola Road Suite 104; Charlotte, NC 28217-SITE: 7106 Leaves Lane; Charlotte, NC 28213-

34G316 925240

MHL-060-167Mantle Court Group Home (704)567-8082

ADM: Mr J M Phillips OWN: Autism Services of Mecklenburg County Inc, J Marc

MAIL: 2211-A Executive Street; Charlotte, NC 28208-3655SITE: 4319 Mantle Court; Charlotte, NC 28205-

34G238 922176

MHL-060-222Monroe Road (704)535-7502


MAIL: 195 Ervin Woods Dr.; Kannapolis, NC 28081-SITE: 7621 Monroe Road; Charlotte, NC 28202-

34G303 924981

MHL-060-018Oak Street Group Home-St. Mark (704)596-4135

ADM: Derrick Montgomery OWN: Lifespan Incorporated, Davan M Cloninger

MAIL: 1511 Shopton Rd., Ste. A; Charlotte, NC 28217-SITE: 1801 Oak Street; Charlotte, NC 28269-

34G095 990150

MHL-060-231Ravendale Drive Group Home (704)399-3538

ADM: J M Phillips OWN: Autism Services of Mecklenburg County Inc, J Marc

MAIL: 2211-A Executive Street; Charlotte, NC 28208-SITE: 1123 Ravendale Drive; Charlotte, NC 28216-

34G312 945214

MHL-060-390Shelburne Place (704)545-7075

ADM: Katherine Benton MGMT: RHA Health Management Service, LLC OWN: RHA Health Services NC, LLC PAR: ResourceHealthcare of America Inc

MAIL: 195 Ervin Woods Dr.; Kannapolis, NC 28081-SITE: 2524 Shelburne Place; Charlotte, NC 28227-

34G213 971037




County: Mecklenburg

MHL-060-125Starnes Group Home (704)399-0018

ADM: Denise Derkowski OWN: Educare Community Living Corporation - North Carol PAR: ResCare

MAIL: 818 Tyvola Road, Suite 104; Charlotte, NC 28217-SITE: 2823 Starnes Road; Charlotte, NC 28214

34G174 952399

MHL-060-147Tuckaseegee Group Home (704)393-9376

ADM: Derrick Montgomery OWN: St Mark's Inc-Lifespan, Davan M Cloninger

MAIL: 1511 Shopton Rd, Suite A; Charlotte, NC 28217-SITE: 5400 Tuckasgee Road; Charlotte, NC 28208

34G210 952775

MHL-060-081VOCA-Denbur Drive Group Home (704)532-9713

ADM: Denise Derkowski OWN: VOCA Corporation of NC, VOCA Corporation of Americ PAR: Res Care Inc

MAIL: 818 Tyvola Rd. Suite 104; Charlotte, NC 28217-SITE: 8324 Denbur Drive; Charlotte, NC 28215

34G096 941756

MHL-060-126VOCA-Freedom Group Home (704)392-3383

ADM: Ms Denise Derkowski OWN: VOCA Corporation of NC, VOCA Corporation of Americ PAR: ResCare

MAIL: 818 Tyvola Rd Suite 112; Charlotte, NC 28217-SITE: 5911 Freedom Drive; Charlotte, NC 28208

34G194 922793

MHL-060-128VOCA-Harrisburg Road Group Home (704)537-2116

ADM: Denise Derkowski OWN: VOCA Corporation of NC, VOCA Corporation of Americ PAR: ResCare Inc

MAIL: 818 Tyvola Rd. Suite 104; Charlotte, NC 28217-SITE: 6620 Harrisburg Road; Charlotte, NC 28277-

34G195 922794

MHL-060-107VOCA-Mallard Drive (704)531-9756


MAIL: 818 Tyvola Road Suite 104; Charlotte, NC 28217-SITE: 6119 Mallard Drive; Charlotte, NC 28227

34G158 922792

MHL-060-102VOCA-Norwich Road Group Home (704)532-6642

ADM: Denise Derkowski OWN: VOCA Corporation of NC, VOCA Corporation of Americ PAR: VOCA Corporation of America

MAIL: 818 Tyvola Rd. Suite 104; Charlotte, NC 28217-SITE: 1006 Norwich Road; Charlotte, NC 28227

34G139 942803

MHL-060-133VOCA-Oak Drive Group Home (704)392-3657

ADM: Ms Denise Derkowski OWN: VOCA Corporation of NC, VOCA Corporation of Americ PAR: ResCare

MAIL: 818 Tyvola Rd Suite 104; Charlotte, NC 28217-SITE: 5416 Oak Drive; Charlotte, NC 28216

34G201 922797




MHL-060-208VOCA-Oakhaven Drive Group Home (704)588-7436

ADM: Denise Derkowski OWN: VOCA Corporation of NC, VOCA Corporation of Americ PAR: ResCare

MAIL: 818 Tyvola Rd. Suite 104; Charlotte, NC 28217-SITE: 12516 Oakhaven Drive; Charlotte, NC 28273-

34G290 944697

County: Mecklenburg

MHL-060-134VOCA-Purser Group Home (704)535-4200


MAIL: 818 Tyvola Rd. Suite 104; Charlotte, NC 28217-SITE: 1615 Purser Drive; Charlotte, NC 28215

34G208 922798

MHL-060-205VOCA-Sandburg Group Home (704)548-0152


MAIL: 818Tyvola Rd. Suite 104; Charlotte, NC 28217-SITE: 9317 Sandburg Avenue; Charlotte, NC 28213-

34G289 944694

MHL-060-122VOCA-Simpson Group Home (704)375-1250

ADM: Denise Derkowski OWN: VOCA Corporation of NC, Voca Corporation Of Americ

MAIL: 818 Tyvola Rd. Suite 104; Charlotte, NC 28217-SITE: 3017 Simpson Drive; Charlotte, NC 28205

34G193 922799

MHL-060-130VOCA-St. John's Church Road Group Home (704)537-2423


MAIL: 818 Tyvola Road Suite 104; Charlotte, NC 28217-SITE: 2220 St. John's Church Road; Charlotte, NC 28215

34G197 952800

MHL-060-213VOCA-Toddville Road Group Home (704)391-8077


MAIL: 818 Tyvola Rd. Suite 104; Charlotte, NC 28217-SITE: 1809 Toddville Road; Charlotte, NC 28214-

34G291 944702

MHL-060-145VOCA-Wilson Avenue Group Home (704)393-7083

ADM: Denise Derkowski OWN: VOCA Corporation of NC, VOCA Corporation of NC, De PAR: ResCare Inc

MAIL: 818 Tyvola Road Suite 104; Charlotte, NC 28217-SITE: 2103 Wilson Avenue; Charlotte, NC 28208-

34G220 922891

MHL-060-111VOCA-Woodbridge Road Group Home (704)567-0006


MAIL: 818 Tyvola Road Suite 104; Charlotte, NC 28217-SITE: 5901 Woodbridge Road; Charlotte, NC 28227

34G165 922801

County: Montgomery




MHL-062-009Mt. Gilead Children's Home (910)439-1307


MAIL: 350 Pee Dee Ave, Suite 101; Albemarle, NC 28001-SITE: 205 East Ingram Avenue; Mt. Gilead, NC 27306-

34G324 955424

County: Montgomery

MHL-062-006Myrtlewood Group Home (910)439-5496


MAIL: 350 Pee Dee Ave, Suite 101; Albemarle, NC 28001-SITE: 175 Myrtlewood Drive; Mt. Gilead, NC 27306

34G207 922263

County: Moore

MHL-063-017Crest Road Group Home (910)246-2272

ADM: Gloria Johnson OWN: Greater Image Healthcare, Corp., Rodney L Johnson,

MAIL: 401 Robeson Street; Fayetteville, NC 28301-SITE: 114 Greenhouse Lane; Southern Pines, NC 28387-

34G272 955486

MHL-063-012Magnolia Group Home (910)944-2611

ADM: Johnathan Bostic MGMT: RHA Health Services, LLC OWN: RHA Health Services NC, LLC PAR: RHA Inc

MAIL: 15235 Airport Road; Maxton, NC 28364-SITE: 928 Magnolia Drive; Aberdeen, NC 28315-

34G211 922167

MHL-063-016Moore County Home For Autistic Adults (910)944-1674

ADM: Gloria Johnson OWN: Greater Image Healthcare, Corp., Rodney L Johnson,

MAIL: 401 Robeson Street; Fayetteville, NC 28301SITE: 1112 Devonshire Trail; Aberdeen, NC 28315-

34G268 932244

MHL-063-007Sherwood Park Home (910)944-7002

ADM: Johnathan Bostic MGMT: RHA Health Services, LLC OWN: RHA Health Services NC, LLC PAR: RHA Health ServicesInc

MAIL: 15235 Airport Road; Maxton, NC 28364SITE: 126 Robinhood Lane; Aberdeen, NC 28315

34G030 922570

County: Nash

MHL-064-020LIFE, Inc/ Green Tee Lane (252)972-6975

ADM: Ricky Richmond OWN: LIFE Inc, Connie Lamb, Rhett Raynor, Sharon L Rayn

MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 1320 Green Tee Lane; Rocky Mount, NC 27804-

34G288 944709

MHL-064-012SCI-Nash House I (252)442-1055

ADM: Miss Pam Brown OWN: Skill Creations Inc, Paul A Hackmann

MAIL: PO Box 1664; Skill Creations, Inc.; Goldsboro, NC 27533-SITE: 1045 Kinchen Drive; Rocky Mount, NC 27803

34G189 922519




MHL-064-013SCI-Nash House II (252)443-4383

ADM: Janice Beach OWN: Skill Creations Inc, Paul A Hackmann

MAIL: PO Box 1664; Skill Creations, Inc.; Goldsboro, NC 27583-1664SITE: 3505 Hawthorne Road; Rocky Mount, NC 27803-

34G187 922520

County: New Hanover

MHL-065-014Greenville Loop Group Home (910)762-1189

ADM: Mr Robert T Thacker Jr OWN: Lifetime Resources Inc, Robert T Thacker Jr

MAIL: 1316 S. 16th Street; Wilmington, NC 28401-SITE: 6100 Greenville Loop Road; Wilmington, NC 28409-

34G104 921928

MHL-065-040LIFE, Inc./Cherokee Trail Group Home (910)799-9517

ADM: April Sprague OWN: LIFE Inc, Connie Lamb, Rhett Raynor, Sharon L Rayn

MAIL: 2609 Royal Avenue; Goldsboro, NC 27534-SITE: 105 Cherokee Trail; Wilmington, NC 28409-

34G310 944598

MHL-065-013Lifetime Resources, Inc. Echo Farms Group Home (910)762-1189

ADM: Mr Robert T Thacker Jr OWN: Lifetime Resources Inc, Robert T Thacker Jr

MAIL: 1316 S. 16th Street; Wilmington, NC 28401-SITE: 220 Dorchester Place; Wilmington, NC 28412-

34G100 921795

MHL-065-022Myrtle Grove Group Home (910)762-1189

ADM: Mr Robert T Thacker Jr OWN: Lifetime Resources Inc, Robert T Thacker, JR

MAIL: 1316 S. 16th Street; Wilmington, NC 28401-SITE: 6732 Myrtle Grove Road; Wilmington, NC 28409-

34G101 922262

MHL-065-033Robert E. Lee Group Home (910)251-2555

ADM: Ed Walsh MGMT: ARC/HDS OWN: Cape Fear Group Homes Inc

MAIL: PO Box 4203; Wilmington, NC 28406-SITE: 1519 Robert E. Lee Drive; Wilmington, NC 28412

34G236 921588

MHL-065-034Robin Hood Group Home (910)251-2555

ADM: Mr Ed Walsh MGMT: ARC/HDS OWN: Cape Fear Group Homes Inc, Ed Walsh

MAIL: PO Box 4203; Wilmington, NC 28406-SITE: 1507 Robin Hood Road; Wilmington, NC 28401-

34G245 921589

MHL-065-028SCI-Coastal House I and II (910)762-7111

ADM: Wanda Covil OWN: Skill Creations Inc, Paul A Hackmann

MAIL: PO Box 1664; Goldsboro, NC 27533-SITE: 1972&1974 West Lake Shore Drive; Wilmington, NC 28401

34G173 922521

County: Onslow




MHL-067-019Countryview Residential (910)455-5863

ADM: Chris Threadgill, Juna Johnson OWN: Community Innovations Inc, Community Based Care, L PAR: Saguard Group LLC

MAIL: 1011A Onsville Drive; Jacksonville, NC 28546-SITE: 359 Firetower Road; Richlands, NC 28574-

34G284 944710

County: OnslowQueen's Pond (910)326-7600

ADM: Vanessa Ervin OWN: Carobell Inc

MAIL: 198 Cinnamon Drive; Hubert, NC 28539-SITE: 561 Queen's Creek Road; Hubert, NC 28539

34G121AKA: Queen's Pond Building A

922425

MHL-067-014Sandridge (910)326-7600

ADM: Ms Vanessa Ervin OWN: Carobell Inc, Vanessa Ervin

MAIL: 198 Cinnamon Drive; Hubert, NC 28539-SITE: 199 Cinnamon Drive; Hubert, NC 28539-

34G172 952537

County: Orange

MHL-068-066Christopher Road (919)929-0732

ADM: Debbie L Klein OWN: Residential Services Inc, Scott A Keller

MAIL: 111 Providence Road; Chapel Hill, NC 27514-SITE: 802 Christopher Road; Chapel Hill, NC 27514-

34G335 956358

MHL-068-034Quail Roost Group Home (ICF/MR) (919)960-6167


MAIL: 111 Providence Road; Chapel Hill, NC 27514-SITE: 102 Quail Roost Drive; Carrboro, NC 27510-

34G142 990876

MHL-068-012Residential Services, Inc. Retirement Center (919)383-4444

ADM: Mike McGahey OWN: Residential Services Inc, Scott A Keller

MAIL: 111 Providence Road; Chapel Hill, NC 27514-SITE: 6310 Mount Hermon Church Road; Durham, NC 27705-

34G050 010376

MHL-068-049Shadylawn (919)933-4335


MAIL: 111 Providence Road; Chapel Hill, NC 27514-SITE: 901 Shadylawn Drive; Chapel Hill, NC 27516-

34G255 922560

MHL-068-014Silo Drive Facility-Chapel Hill (919)942-4172


MAIL: 111 Providence Road; Chapel Hill, NC 27514-SITE: 111 Silo Drive; Chapel Hill, NC 27514

34G035 922576




MHL-068-035West Main Street Facility-Carrboro (919)942-6185


MAIL: 111 Providence Road; Chapel Hill, NC 27514-SITE: 1003 W. Main Street; Carrboro, NC 27510

34G116 922862

County: Person

MHL-073-005Cates Street ICF/MR (336)599-0973

ADM: Frances Zedick Fowler OWN: Person County Group Homes Inc, David Forsythe

MAIL: PO Box 721(202 North Main St.); Roxboro, NC 27573-SITE: 306 Cates Street; Roxboro, NC 27573-

34G217 921625

MHL-073-012Frank Street ICF/MR (336)599-6722

ADM: Frances Zedick Fowler OWN: Person County Group Homes Inc

MAIL: PO Box 721; Roxboro, NC 27573-SITE: 719 Frank Street; Roxboro, NC 27573-

34G300 944323

County: PittCurry House (252)752-0516

ADM: Cynthia Stevens MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC

MAIL: 1793 Briley Road; Greenville, NC 27834-SITE: 1793 Briley Road; Greenville, NC 27834-

34G353 080818

MHL-074-050Forest Hills Group Home (252)756-6467

ADM: Cynthia Stevens MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR: ResourceHealthcare of America Inc

MAIL: 1793 Briley Road; Greenville, NC 27834-SITE: 1913 Forest Hills Drive; Greenville, NC 27834-

34G336 956225

MHL-074-049King George Group Home (252)321-5813

ADM: Cynthia Stevens MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR: ResourceHealthcare of America Inc

MAIL: 1793 Briley Road; Greenville, NC 27834-SITE: 323 King George Road; Greenville, NC 27834-

34G337 956230

MHL-074-003Pitt County Group Home #1 (252)524-3993

ADM: Ms Mary G Bright OWN: Pitt County Group Homes, Jacob Parrish

MAIL: PO Box 9; Grifton, NC 28530SITE: 6570 Fairway Drive; Grifton, NC 28530

34G023 922403

Pitt County Group Home #2 (252)524-4950

ADM: Ms Mary G Bright OWN: Pitt County GH Board for MR Austic Persons Inc, Ja

MAIL: P.O. Box 9; Grifton, NC 28530SITE: 4263 N. Edge Road; Ayden, NC 28513

34G127 922406




MHL-074-018Pitt County Group Home #3 (252)524-3723

ADM: Mary G Bright OWN: Pitt County GH Board for MR Austic Persons Inc

MAIL: PO Box 9; Grifton, NC 28530-SITE: 6775 Pitt Street; Grifton, NC 28530-

34G134 000179

County: Pitt

MHL-074-032SCI-East (252)321-3099

ADM: Shantell Pilgreen OWN: Skill Creations Inc, Paul A Hackmann

MAIL: P.O. Box 1664; Goldsboro, NC 27533-1664SITE: 338 & 348 East Cooper Street; Winterville, NC 28590

34G261 922524

MHL-074-012Skill Creations of Greenville (252)752-8869

ADM: Angie Copeland OWN: Skill Creations Inc, Paul A Hackmann

MAIL: PO Box 1664; Goldsboro, NC 27533-1664SITE: 2701 West Fifth Street; Greenville, NC 27835-

34G084 922587

MHL-074-030Tar River (252)758-1101

ADM: Tara N Ethridge "Nicki" MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR:Resource Healthcare of America Inc

MAIL: 500 Sean Dr; Greenville, NC 27834-SITE: 498 & 500 Sean Drive; Greenville, NC 27834-

34G265 922010

County: Randolph

MHL-076-022Brookwood (336)622-3003

ADM: Melissa Bryant OWN: Community Innovations Inc, Community Based Care, L PAR: Saguaro Group LLC

MAIL: 4214 Beechwood Dr., Ste. 106; Greensboro, NC 27410-SITE: 313 East Brookwood Avenue; Liberty, NC 27298-

34G305 924983

MHL-076-023Timberlea Group Home (336)685-4955

ADM: Shaquial Palmer OWN: Community Innovations Inc, Community Based Care, L

MAIL: 4214 Beechwood Dr., Ste. 106; Climax, NC 27410-SITE: 5691 Mack Lineberry Road; Climax, NC 27233-

34G307 944999

County: Richmond

MHL-077-011Hoffman Group Home (910)281-5623

ADM: Johnathan Bostic MGMT: RHA Health Services, LLC OWN: RHA Health Services NC, LLC

MAIL: 15235 Airport Road; Maxton, NC 28364SITE: 104 Teal Street; Hoffman, NC 28347-

34G212 921984

MHL-077-006Mallard Lane Center (910)895-3428


MAIL: 350 Pee Dee Ave, Suite 101; Albemarle, NC 28001-SITE: 142 Mallard Lane; Rockingham, NC 28379

34G037 922171




MHL-077-019Pence Place (910)895-1154


MAIL: 350 Pee Dee Ave, Suite 101; Albemarle, NC 28001-SITE: 295 Airport Road; Rockingham, NC 28379-

34G342 960122

County: Robeson

MHL-024-023Corbel Residential (910)738-1967

ADM: Octavia Floyd OWN: Community Innovations Inc, Community Based Care, L

MAIL: 80 Alliance Drive; Whiteville, NC 28472-SITE: 483 Creek Road; Orrum, NC 28369-

34G315 945333

MHL-078-010Eastbrook (910)843-3804

ADM: Johnathan Bostic MGMT: RHA Health Services, LLC OWN: RHA Health Services NC, LLC

MAIL: 15235 Airport Road; Maxton, NC 28364SITE: 110 Eastbrook Drive; Red Springs, NC 28377

34G112 921792

MHL-078-029Wakulla I & II (910)843-3760

ADM: Johnathan Bostic MGMT: RHA Health Services, LLC OWN: RHA Health Services NC, LLC, Gordon J Simmons

MAIL: 15235 Airport Rd; Maxton, NC 28364-SITE: 5792 & 5812 NC Hwy 71 North; Maxton, NC 28364-

34G129 922824

MHL-078-049Westside Residential (910)618-0777

ADM: Otavia Floyd OWN: Community Innovations Inc, Community Based Care, L PAR: Saguaro Group LLC

MAIL: 80 Alliance Drive; Whiteville, NC 28472-SITE: 467 Creek Road; Orrum, NC 28369-

34G243 922868

County: Rockingham

MHL-079-047Rouse's Group Home #6 (336)908-3307

ADM: Debra Rouse OWN: Rouse's Group Homes Inc, Debra R Rouse

MAIL: P. O. Box 16; Stoneville, NC 27048-SITE: 5820 NC Highway 135; Stoneville, NC 27048-

34G345 960838

MHL-079-004Rouse's Group Homes (336)427-2562

ADM: Debra Rouse OWN: Rouse's Group Home Inc, Debra R Rouse PAR: Rouse's Group Home #6

MAIL: P. O. Box 16; Stoneville, NC 27048SITE: 5949 NC 135; Stoneville, NC 27048

34G020 922506

County: Rowan

MHL-080-006Laura Springs Road Home (704)278-9681


MAIL: 211 Roseman Lane; Cleveland, NC 27013SITE: 309 Laura Springs Drive; Salisbury, NC 28144

34G051 922107




MHL-080-005Myron Place (704)278-9681


MAIL: 211 Roseman Lane; Cleveland, NC 27013-SITE: 219 Myron Place; Salisbury, NC 28144

34G053 922261

County: Rowan

MHL-080-001Rockwell 1 & 2 (704)278-9681

ADM: Lisa Jones, Jeanne Duncan MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR:Residential Healthcare Affiliates Inc

MAIL: 211 Roseman Lane; Cleveland, NC 27013SITE: Highway 152 East 6330; Rockwell, NC 28138-

34G048 922499

MHL-080-014Smith Street Home (704)278-9681


MAIL: 211 Roseman Lane; Cleveland, NC 27013SITE: 112 Smith Street; Cleveland, NC 27013

34G060 922601

MHL-080-034Stoneridge (704)278-9681


MAIL: 211 Roseman Lane; Cleveland, NC 27013-SITE: 222 Union Heights Boulevard; Salisbury, NC 28144-

34G296 944370

County: Rutherford

MHL-081-018VOCA-Rollins Group Home (828)248-1175

ADM: Tracey Norris, Robert Barnes OWN: VOCA-Rollins Group Home, VOCA Corporation of Ameri

MAIL: 301 10th St NW, Ste b-101; Conover, NC 28613-SITE: 297 Bob Rollins Road; Forest City, NC 28043-

34G271 955481

MHL-081-016VOCA-Woodland (828)286-1099

ADM: Robert Barnes OWN: VOCA Corporation of NC, VOCA Corporation of Americ

MAIL: 301 10th St. NW Ste B-101; Conover, NC 28613-SITE: 123 Woodland Drive; Rutherfordton, NC 28139

34G262 942795

County: Sampson

MHL-082-003Skill Creations of Clinton (910)592-0110

ADM: Victoria Brown OWN: Skill Creations Inc, Paul A Hackmann

MAIL: P.O. Box 1664; Goldsboro, NC 27533-1664SITE: 223 Forest Trail Drive; Clinton, NC 28328

34G047 942586

County: Scotland

MHL-083-009College Park (910)276-0011

ADM: Johnathan Bostic MGMT: RHA Health Services, LLC OWN: RHA Health Services NC, LLC PAR: Resource Healthcareof America Inc

MAIL: 15235 Airport Road; Maxton, NC 28364-SITE: 1900 Lake Drive; Laurinburg, NC 28352

34G138 921672




MHL-083-007Lee Forest Home (910)844-9664

ADM: Johnathan Bostic MGMT: RHA Health Services, LLC OWN: RHA Health Services NC, LLC PAR: RHA/North CarolinaMR Inc

MAIL: 15235 Airport Road; Maxton, NC 28364-SITE: 1209 Pellham Drive; Laurinburg, NC 28352-

34G136 922117

County: Scotland

MHL-083-008Scotland Forest Home (910)844-9824

ADM: Johnathan Bostic MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR: ResourceHealthcare of America Inc

MAIL: 15235 Airport Road; Maxton, NC 28364-SITE: 21760 Andrew J. Hwy; Maxton, NC 28364

34G135 922543

County: Stanly

MHL-084-017A. Jack Wall Group Home (704)983-6696

ADM: Dawn H Allen OWN: GHA Autism Supports, Dawn H Allen

MAIL: PO Box 2487; Albemarle, NC 28002-SITE: 1213 Moss Springs Road; Albemarle, NC 28001

34G164 921401

Carolina Farms Group Home #1 (704)983-2059


MAIL: PO Box 2487; Albemarle, NC 28002-SITE: 31719 Herb Farm Circle; Albemarle, NC 28001-

34G348 010049




34G349 030833




34G350 031013

MHL-084-008Marie G. Smith Group Home (704)982-8065


MAIL: PO Box 2487; Albemarle, NC 28002-SITE: 1921 Palmetto Drive; Albemarle, NC 28001

34G069 922182

MHL-084-011Moss I Group Home (704)983-3911


MAIL: 350 Pee Dee Ave, Suite 101; Albemarle, NC 28001-SITE: 1617 Moss Springs Road; Albemarle, NC 28001

34G080 922249




MHL-084-011Moss II Group Home (704)982-5882


MAIL: 350 Pee Dee Ave, Suite 101; Albemarle, NC 28001-SITE: 1615 Moss Springs Road; Albemarle, NC 28001-

34G110 060969

County: Stanly

MHL-084-015Robert W. Thompson Group Home (704)982-9480


MAIL: PO Box 2487; Albemarle, NC 28002-SITE: 1920 Woodhaven Drive; Albemarle, NC 28001

34G122 922483

County: Stokes

MHL-085-005Pilotview (336)983-0493


MAIL: 350 Pee Dee Ave, Suite101; Albemarle, NC 28001-SITE: 209 Pilot View Drive; King, NC 27021

34G111 922387

County: Surry

MHL-086-020Park Drive Group Home (336)789-6697

ADM: Joshua Denny OWN: Surry-Yadkin Residential Services Inc, Dawn Pegram

MAIL: 401 South Main Street, Suite 100; Mt. Airy, NC 27030-SITE: 1305 Park Drive; Mt. Airy, NC 27030-

34G313 944787

MHL-086-019Sydnor Street Group Home (336)789-3451

ADM: Joshua Denny OWN: Surry-Yadkin Residential Services Inc, Dawn Pegram

MAIL: 401 South Main Street Suite 100; Mt. Airy, NC 27030-SITE: 134 Sydnor Street; Mt. Airy, NC 27030-

34G306 944619

County: Transylvania

MHL-088-002Forest Bend Group Home (828)877-4062

ADM: John Carithers MGMT: RHA Health Management Serivces, LLC OWN: RHA Health Services NC, LLC

MAIL: 145 Cane Creek Ind. Park Rd, Ste250; Fletcher, NC 28732-SITE: 47 S Oak Street; Brevard, NC 28712

34G133 921875

County: Union

MHL-090-026Karen Lane Home (704)283-2336


MAIL: 350 Pee Dee Ave, Suite 101; Albemarle, NC 28001-SITE: 3224 Karen Lane; Monroe, NC 28112-

34G251 922077

MHL-090-010Meadowview Home (704)233-9368


MAIL: 350 Pee Dee Ave, Suite 101; Albrmarle, NC 28001-SITE: 2723 Bobwhite Circle; Wingate, NC 28174-

34G117 922212




MHL-090-027Ridgefield Home (704)896-1500


MAIL: 350 Pee Dee Ave, Suite 101; Albemarle, NC 28001-SITE: 730 Fisher Ridge Road; Monroe, NC 28110

34G250 922471

County: Wake

MHL-092-126Avent Ferry Home (919)557-6336

ADM: Julia Johnson OWN: Community Innovations Inc, Community Based Care, L PAR: Community Innovations Inc

MAIL: 908 Avent Ferry Road; Holly Springs, NC 27540-SITE: 904 Avent Ferry Road; Holly Springs, NC 27540-

34G278 955632

Bass Lake (919)557-3844

ADM: Jason Pearce OWN: VOCA Corporation of NC, VOCA Corporation of Americ PAR: VOCA Corporation of America

MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 408 Bass Lake; Holly Springs, NC 27540-

34G351 080836

MHL-092-057Blanche Drive (919)859-1450

ADM: Jason Peace OWN: Educare Community Living Corporation - North Carol PAR: Rescare

MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 6208 Blanche Drive; Raleigh, NC 27607-

34G083 921504

MHL-092-101Country Lane (919)552-5457

OWN: VOCA Corporation of NC, VOCA Corporation of Americ PAR: VOCA Corporation of America

MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 534 Country Lane; Holly Springs, NC 27540

34G224 921705

MHL-092-022Dartmouth Road Group Home (919)782-2895

ADM: Jason Peace OWN: Educare Community Living Corporation - North Carli PAR: ResCare Inc

MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 210 Dartmouth Road; Raleigh, NC 27606-

34G115 921735

MHL-092-104Dickens Drive Home (919)250-1907


MAIL: 1310 Corporation Parkway, Suite H; Raleigh, NC 27610-SITE: 113 Dickens Drive; Raleigh, NC 27610

34G240 921760

MHL-092-119Electra Drive Group Home (919)460-0280

ADM: Julius Brown OWN: EduCare Community Living Corporation-NC PAR: Rescare

MAIL: 1200 Navaho Dr; Raleigh, NC 27609-SITE: 105 Electra Drive; Cary, NC 27511-

34G274 955751




MHL-092-044Forest Creek Group Home (919)833-1371

ADM: Jason Peace OWN: Educare Community Living Corporation - North Carol PAR: EduCare Community Living Corp-NC

MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 5117 Forest Creek Drive; Raleigh, NC 27606

34G114 921876

County: Wake

MHL-092-041Georgia Court (919)467-2857

ADM: Jason Peace OWN: Educare Community Living Corporation - North Carol PAR: ResCare Inc

MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 107 Miss Georgia Court; Cary, NC 27511-

34G061 921907

MHL-092-107Helmsdale Group Home (919)468-6044

ADM: Jason Peace OWN: Educare Community Living Corporation - North Carol

MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 1317 Helmsdale Drive; Cary, NC 27511

34G253 921963

MHL-092-097Hickory Avenue Home (919)552-5407

ADM: Jason Peace OWN: VOCA Corporation of NC, VOCA Corporation of Americ PAR: VOCA Corporation of America

MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 112 Hickory Avenue; Holly Springs, NC 27540

34G221 921970

Hilltop Home (919)231-8315

ADM: Diane P VanHusen OWN: Diane P VanHusen, Hilltop Home, Inc.

MAIL: PO Box 46749; Raleigh, NC 27620-6749SITE: 2820 Kidd Road; Raleigh, NC 27610-1842

34G352 060710

MHL-092-046Huntleigh (919)876-3834


MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 3300 Huntleigh Drive; Raleigh, NC 27604-

34G065 970227

MHL-092-091Jade Tree (919)954-0560


MAIL: 1310 Corporation Parkway, Suite H; Raleigh, NC 27610-SITE: 6501 Jade Tree Lane; Raleigh, NC 27615-

34G222 922048

Lockley Road (919)303-5665

ADM: Jason Peace OWN: Educare Community Living Corporation - North Carol PAR: Educare Community LivingCorporation-America

MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 4617 Lockley Road; Holly Springs, NC 27540-

34G274 090940




MHL-092-125Mason Street (919)387-5881

ADM: Jason Peace OWN: Voca Corporation of NC Inc, Patrick G Kelly PAR: Res-Care Inc

MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 306 North Mason Street; Apex, NC 27502-

34G277 955746

County: Wake

MHL-092-138Rockwood (919)571-0230

ADM: Jason Peace OWN: Educare Commuity Living Corporation - North Caroli PAR: ResCare Inc

MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 4409 Rockwood Drive; Raleigh, NC 27612-

34G292 955749

MHL-092-045Rolling Meadows (919)662-0047

ADM: Jason Peace OWN: Educare Community Living Corporation - North Carol PAR: Res-Care Inc

MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 2533 Rolling Meadows Drive; Raleigh, NC 27603

34G066 922502

MHL-092-137Stonegate (919)847-8628


MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 8609 Stonegate Drive; Raleigh, NC 27615-

34G293 955748

MHL-092-011Tammy Lynn Center for Developmental Disabilities (919)832-3909

ADM: Holly J Richard, Holly J Richard OWN: TLC Operations Inc, Holly J Richard, TLC Operation PAR: Tammy LynnMemorial Foundation Inc, Tammy Lynn Mem

MAIL: 739 Chappell Drive; Raleigh, NC 27606SITE: 737, 743 and 745 Chappell Drive; Raleigh, NC 27606

34G124 922692

MHL-092-011Tammy Lynn Center for Developmental Disabilities (919)832-3909MAIL: 739 Chappell Drive; Raleigh, NC 27606SITE: 737, 743 and 745 Chappell Drive; Raleigh, NC 27606

34G039 922692

MHL-092-131Trotters Bluff (919)557-6337

ADM: Juila Johnson, Juila Johnson OWN: Community Innovations Inc, Community Based Care, L PAR: Community InnovationsInc

MAIL: 908 Avent Ferry Road; Holly Springs, NC 27540-SITE: 912 Avent Ferry Road; Holly Springs, NC 27540-

34G283 945339

MHL-092-121VOCA Olive Home (919)387-7080

ADM: Json Peace OWN: Voca Corporation of NC Inc, Patrick G Kelly PAR: Voca Corporation of America

MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 707 East Olive Street; Apex, NC 27502-1936

34G279 955745




MHL-092-102VOCA-Creekway (919)552-4359

ADM: Jason Peace OWN: VOCA Corporation of NC, Patrick G Kelley

MAIL: 1001 Navaho Dr., Ste. 101; Raleigh, NC 27609-SITE: 424 Creekway Drive; Fuquay Varina, NC 27526-

34G228 921719

County: Washington

MHL-094-003Life, Inc./Old Roper Road Group Home (252)793-9177

ADM: Bernice Stevens, Belinda Owens OWN: LIFE Inc., Rhett A Raynor, Connie S Lamb, Sharon L

MAIL: 2609 Royall Ave.; Goldsboro, NC 27534-SITE: 206 A Old Roper Road; Plymouth, NC 27962-

34G320 925427

MHL-094-004Life, Inc/ Wilson Street Group Home (252)793-6440

ADM: Ms Tanya Cofield OWN: LIFE Inc., Rhett S Raynor, Connie Lamb, Sharon L R

MAIL: 2609 Royall Ave.; Goldsboro, NC 27534-SITE: 1116 Wilson Street Extension; Plymouth, NC 27962-

34G318 925415

County: Watauga

MHL-095-011Wildcat Group Home (828)262-5454

ADM: Luray Rominger MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR:Residential Healthcare Affiliates Inc

MAIL: 176 Wildcat Road; Deep Gap, NC 28618-SITE: 208 Wildcat Road; Deep Gap, NC 28618-

34G144 922879

County: Wayne

MHL-096-021Airport Road Group Home (919)734-1718

ADM: Candra Hill OWN: Kimberly D Ford

MAIL: PO Box 11077; Goldsboro, NC 27532SITE: 195 Airport Road; Goldsboro, NC 27530

34G176 922850

MHL-096-037Daughtry Field Road Group Home (919)734-8803


MAIL: PO Box 11077; Goldsboro, NC 27532-SITE: 135 Daughtry Field Road; Mount Olive, NC 28365-

34G319 955398

MHL-096-020Highway 117 Group Home (919)734-8803


MAIL: PO Box 11077; Goldsboro, NC 27532SITE: 3801 US 117 North; Goldsboro, NC 27530

34G175 922849

MHL-096-114Holly Street Home (919)734-8803


MAIL: PO Box 11077; Goldsboro, NC 27532-SITE: 1509 Holly Street; Goldsboro, NC 27530-

34G178 000342




MHL-096-002LIFE, Inc./Walnut Street Group Home (919)736-7668

ADM: Della Campbell OWN: LIFE Inc, Sharon L Rayner, Rhett A Raynor, Connie

MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 1011 East Walnut Street; Goldsboro, NC 27530

34G034 952101

County: Wayne

MHL-096-003Life, Inc./William Street Home (919)734-1402

ADM: Barbara Parker OWN: LIFE Inc, Sharon L Raynor, Rhett A Raynor, Connie

MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 407 North William Street; Goldsboro, NC 27530

34G028 922100

MHL-098-020Norwood Avenue Home (919)731-4745


MAIL: PO Box 11077; Goldsboro, NC 27532-SITE: 2510 Norwood Avenue; Goldsboro, NC 27530-

34G332 000055

O'BERRY CENTER (919)581-4001

ADM: Dr Jerry Lyall, Gary Phillips OWN: O'Berry Center

MAIL: 400 OLD SMITHFIELD RD; GOLDSBORO, NC 27530SITE: 400 OLD SMITHFIELD RD; GOLDSBORO, NC 27530

34G004 955758

MHL-096-007Skill Creations (919)736-7471

ADM: Mary Sander OWN: Skill Creations Inc, Paul A Hackmann

MAIL: P.O. Box 1664; Goldsboro, NC 27533-1664SITE: 2101 Royall Ave; Goldsboro, NC 27534-

34G040 922584

MHL-096-009Walnut Creek (919)778-3524

ADM: Linda Woodard DON: Thelma Roberson MGMT: RHA Health Management Services, LLC OWN: RHA Health ServicesNC, LLC PAR: Resource Healthcare of America Inc

MAIL: 5709 US 70 East; Goldsboro, NC 27534-SITE: 5709 US 70 East; Goldsboro, NC 27534

34G009 922018

County: Wilkes

MHL-097-015Lakewood (336)973-2725

ADM: Luray Rominger MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR:Residential Healthcare Affiliated Inc

MAIL: 176 Wildcat Road; Deep Gap, NC 28618-SITE: 554 Ridge Lane; Wilkesboro, NC 28697

34G229 922099

MHL-097-011Lewis Fork Homes I & II (336)973-8151

ADM: Luray Rominger MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR: ResourceHealthcare of America Inc

MAIL: 176 Wildcat Road; Deep Gap, NC 28618-SITE: 1388 Lewis Fork Baptist Church Rd.; Ferguson, NC 28624

34G120 922126




County: Wilkes

MHL-097-016VOCA-Apple Valley (336)838-2199

ADM: Shane Ferguson, Anthony Devore OWN: VOCA Corporation of NC, VOCA Corporation of Americ

MAIL: P.O. Box 150; Wilkesboro, NC 28697-SITE: 1443 Old Highway 60; Wilkesboro, NC 28659-

34G266 010068

MHL-006-005VOCA-Blairfield (336)903-0500

ADM: Anthony Devore OWN: VOCA Corporation of NC, VOCA Corporation of Americ PAR: Rescare

MAIL: P. O. Box 150; Wilkesboro, NC 28697-SITE: 111 Blairfield Court; N. Wilkesboro, NC 28697-

34G203 010954

MHL-095-012VOCA-College Street (336)667-1902

ADM: Anthony Devore OWN: VOCA Corporation of NC, VOCA Corporation of Americ PAR: Res Care Inc

MAIL: P.0. Box 150; Wilkesboro, NC 28697-SITE: 301 College Street; Wilkesboro, NC 28697-

34G154 010955

MHL-095-009VOCA-Kimsey (336)838-4500

ADM: Anthony Devore OWN: VOCA Corporation of NC, VOCA Corporation of Americ

MAIL: P.0. Box 150; Wilkesboro, NC 28697-SITE: 1305 Old Highway 60; Wilkesboro, NC 28697-

34G128 010044

MHL-097-012VOCA-Welborn Ave. (336)667-0688

ADM: Anthony Devore OWN: VOCA Corporation of NC, VOCA Corporation of Americ

MAIL: P.O. Box 150; Wilkesboro, NC 28697-SITE: 1002 Welborn Avenue; Wilkesboro, NC 28697-

34G126 010953

County: Wilson

MHL-098-011Life/Raven Ridge Group Home (252)291-8348

ADM: Della Campbell OWN: LIFE Inc, Rhett Raynor, Connie Lamb, Sharon L Rayn

MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 4105 Raven Ridge Drive NW; Wilson, NC 27896-9656

34G254 922436

MHL-098-012McKeel Loop Road Home (252)291-9647

ADM: Della Campbell OWN: LIFE Inc, sharon L Raynor, Rhett A Raynor, Connie

MAIL: 2609 Royall Avenue; Goldsboro, NC 27534-SITE: 5910 Farmwood Loop Road; Wilson, NC 27896-8007

34G260 922202

MHL-098-005Skill Creations of Wilson (252)291-9700

ADM: Beth Thigpen OWN: Skill Creations Inc, Paul A Hackmann

MAIL: P.O. Box 1664; Goldsboro, NC 27533-1664SITE: 2000 Martin Luther King, Jr. Parkwa; Wilson, NC 27893-

34G079 922593

County: Yadkin




MHL-099-005Yadkin I (704)872-3257


MAIL: 190 Commerce Blvd; Statesville, NC 28625-SITE: 3716 Westwood Drive; Hamptonville, NC 27020

34G156 922913

County: Yadkin

MHL-099-006Yadkin II & III (336)468-2810

ADM: Chris Houck MGMT: RHA Health Management Services, LLC OWN: RHA Health Services NC, LLC PAR: ResidentialHealthcare Affiliates Inc

MAIL: 190 Commerce Boulevard; Statesville, NC 28625-SITE: 3220 & 3224 US Highway 21; Hamptonville, NC 27020

34G166 922912

341Total number of facilities:


Documents

State of North Carolina, Division of Health Service ...State of North Carolina, Division of Health Service Regulation Facilities by County Facility / Also Known As / Address / Misc