THE SANCTUARY CENTRE (NPI# 1104457951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104457951 |
| Entity Type | Organization |
| Organization Name | THE SANCTUARY CENTRE |
| Practice Address |
13420 Michael Lynn Rd Charlotte NC 28278-7640 |
| Mailing Address |
Po Box 663 Pineville NC 28134-0663 |
| Practice Telephone | 2197303976 |
| Mailing Telephone | 2197303976 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | MR. THEODORE GILBERT JR. (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2197303976 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | ONE ACCORD GLOBAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
13420 MICHAEL LYNN RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28278-7640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588869184 | Theodore Gilbert Jr. | Counselor | 13420 Michael Lynn Rd, Charlotte, NC 28278-7640 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
| 1245742279 | Ruby Home Healthcare, LLC | Home Health | 17202 Belmont Stakes Lane, Charlotte, NC 28278 | 2017-10-31 |
| 1962926287 | Limitless Little Learners | Community/Behavioral Health | 13909 Derby Farm Lane, Charlotte, NC 28278 | 2017-07-28 |
| 1497106694 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 4821 Berewick Town Center Dr, Charlotte, NC 28278 | 2016-06-29 |
| 1932574753 | Adrienne Forney | Counselor | 14923 Alyssa Faith Court, Charlotte, NC 28278 | 2015-12-04 |
| 1447620398 | Sherae Threatt Lattimore | Behavioral Analyst | 5614 Samuel Neel Rd, Charlotte, NC 28278 | 2015-10-05 |
| 1528340676 | Khyati Dhaval Shah | Pediatrics | 13557 Steelecroft Pkwy Ste 2200, Charlotte, NC 28278 | 2011-09-14 |
| 1184915043 | John Angelo Tenini | Internal Medicine | 13557 Steelecroft Pkwy Ste 1200, Charlotte, NC 28278 | 2011-04-27 |
| 1568612240 | Kim Marie Briden | Contractor | 13805 Appling Lane, Charlotte, NC 28278 | 2008-09-30 |
| 1144477258 | Presbyterian Imaging Centers LLC | Radiology | 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 | 2008-08-20 |
| Find all providers in zip 28278 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1154818284 | Nana Hinton | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11000 Huntington Meadow Ln, Charlotte, NC 28273-3440 | 2018-04-14 |
| 1497289417 | T Bennett Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3325 Alderknoll Ct, Charlotte, NC 28216-8827 | 2017-04-17 |
| 1477909406 | Dreams and Vision, LLC- Cades Cove | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4429 Cades Cove Dr, Charlotte, NC 28273-4586 | 2016-05-09 |
| 1578967089 | The Moon Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4548 Hyperion Court, Charlotte, NC 28216 | 2014-10-13 |
| 1568870558 | The Moore Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2438 Hemby Wood Drive, Charlotte, NC 28262 | 2014-07-23 |
| 1740612746 | Bumpas Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4128 Houldsworth Dr, Charlotte, NC 28213-5714 | 2013-08-01 |
| 1578815940 | Autism Services of Mecklenburg County, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5300 Kelly St, Charlotte, NC 28205-7912 | 2012-10-10 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.