MEDICARE: WHITEWATER COVE GROUP HOME, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility		NC

General Provider Information

NPI Number	:	1720258007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITEWATER COVE GROUP HOME, INC.

Provider Business Mailing Address
First Line	:	3127 HENDERSONVILLE HWY
Second Line	:
City	:	PISGAH FOREST
State	:	NC
Zip	:	28768-9269
Country	:	US
Telephone Number	:	828-877-3320
Fax Number	:	630-559-7528

Provider Business Practice Location Address
First Line	:	3127 NEW HENDERSONVILLE HWY
Second Line	:
City	:	PISGAH FOREST
State	:	NC
Zip	:	28768-8611
Country	:	US
Telephone Number	:	828-877-3329
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. MICHAEL AKERS
Credential	:
Telephone Number	:	828-877-3320

Provider Enumeration Date	:	03/03/2008
Last Update Date	:	05/12/2011

Similar Medicare Providers

1588656821 — DR. PETER J KRAGEL MD
Practice Location Address:

2693 FOREST HILLS RD SW STE B
WILSON, NC
27893-8611

Practice Phone: 252-234-2841
Practice Fax:

1629066121 — EASTERN CAROLINA PATHOLOGY INC
Practice Location Address:

2693 FOREST HILLS RD SW STE B
WILSON, NC
27893-8611

Practice Phone: 252-234-9176
Practice Fax:

1881682383 — EASTERN CAROLINA PATHOLOGY ASSOCIATES PA
Practice Location Address:

2693 FOREST HILLS RD SW STE B
WILSON, NC
27893-8611

Practice Phone: 252-234-2841
Practice Fax:

1740269935 — DR. VEENA H DOSHI MD
Practice Location Address:

2693 FOREST HILLS RD SW STE B
WILSON, NC
27893-8611

Practice Phone: 252-234-2841
Practice Fax: 252-234-9270

1336249846 — MS. JANE ANGELL LCSW
Practice Location Address:

2693 FOREST HILLS RD SW STE D
WILSON, NC
27893-8611

Practice Phone: 252-234-7800
Practice Fax: 252-234-7830

1851457857 — MR. THOMAS STEPHEN PEDIGO LCSW
Practice Location Address:

2693 FOREST HILLS RD SW STE D
WILSON, NC
27893-8611

Practice Phone: 252-234-7800
Practice Fax: 252-234-7030

Directions to “WHITEWATER COVE GROUP HOME, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.