A SAFE PLACE COMMUNITY HOUSING, LLC


Address: 2049 Highland St, Charlotte, NC 28208-4909
Phone: 7047800432

A SAFE PLACE COMMUNITY HOUSING, LLC (NPI# 1174048078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174048078
Entity Type Organization
Organization Name A SAFE PLACE COMMUNITY HOUSING, LLC
Practice Address 2049 Highland St
Charlotte
NC 28208-4909
Mailing Address 7203 Waldon Park Ln
Charlotte
NC 28214-2385
Practice Telephone 7047800432
Mailing Telephone 7047800432
Enumeration Date 2017-08-11
Last Update Date 2017-08-11
Authorized Official Name SHAUNTA BETHEA (PROGRAM DEVELOPMENT)
Authorized Official Telephone 7047800432
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Office Location

Street Address 2049 HIGHLAND ST
City CHARLOTTE
State NC
Zip Code 28208-4909

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124645544 Charlotte Sp Senior Housing Opco, LLC Custodial Care Facility 6041 Piedmont Row Drive, Charlotte, NC 28208 2020-07-01
1750929659 Tru Pearl Solution Services Pllc Community/Behavioral Health 2128 Remount Road Suite B, Charlotte, NC 28208 2019-12-11
1245880699 Camilla A Raley Technician 1539 Walton Rd, Charlotte, NC 28208 2019-09-18
1912567041 Nolan Scott Blake In Home Supportive Care 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 2019-06-20
1699244145 Catalyst Chiropractic, Pllc Chiropractor 2620 Tuckaseegee Rd., Charlotte, NC 28208 2018-11-14
1255854691 Jessica Lynne Hunter Social Worker 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 2017-07-18
1700311420 Matthew Christian Mundorf Chiropractor 2620 Tuckaseegee Rd, Charlotte, NC 28208 2017-05-01
1700235439 Erin Merchant Counselor 2016 Millerton Avenue, #2213, Charlotte, NC 28208 2016-06-03
1528432564 Monika Sheree Moore Counselor 3205 Freedom Dr, Charlotte, NC 28208 2015-11-13
1205224540 Phadality Home Care Home Health 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 2015-01-08
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679058440 Miracle Houses Inc Residential Treatment Facility, Emotionally Disturbed Children 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 2018-09-27
1740720036 New Place, Inc. Residential Treatment Facility, Emotionally Disturbed Children 5419 Twin Ln, Charlotte, NC 28269-4635 2017-03-06
1336385699 1st Choice Professional Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 10532 Green Hedge Ave, Charlotte, NC 28269-1541 2008-12-16
1578735866 New Place, Inc. Residential Treatment Facility, Emotionally Disturbed Children 8134 Strawberry Point Dr, Charlotte, NC 28215-8487 2008-03-27
1194901157 Echelon Consulting Inc. Residential Treatment Facility, Emotionally Disturbed Children 2139 Jennie Linn Dr, Charlotte, NC 28215-2925 2008-01-21
1558547513 Echelon Consulting Inc. Residential Treatment Facility, Emotionally Disturbed Children 4724 Carriage Drive Cir, Charlotte, NC 28205-4922 2008-01-21
1972798841 Walkers Group Home Residential Treatment Facility, Emotionally Disturbed Children 5719 Kinglet Ln, Charlotte, NC 28269-7113 2007-09-13
1528188802 Murray Adolescent Training & Txment Academy Residential Treatment Facility, Emotionally Disturbed Children 2012 Commonwealth Ave, Charlotte, NC 28205-5022 2007-03-30
1760506919 Echelon Consulting Inc Residential Treatment Facility, Emotionally Disturbed Children 4508 Carriage Drive Cir, Charlotte, NC 28205 2007-03-16
1316083769 Golden Rule of Charlotte, Inc. Residential Treatment Facility, Emotionally Disturbed Children 6627 Love Ridge Ln, Charlotte, NC 28213-4914 2007-01-30
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Competitor

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City CHARLOTTE
Zip Code 28208

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Dataset Information

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.

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