ILLUMINATION FOUNDATION OF NORTH CAROLINA (NPI# 1386198877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386198877 |
| Entity Type | Organization |
| Organization Name | ILLUMINATION FOUNDATION OF NORTH CAROLINA |
| Other Organization Name | IFNC |
| Practice Address |
2540 Annecy Dr Matthews NC 28105-2323 |
| Practice Telephone | 9802398374 |
| Mailing Telephone | 9802398374 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Authorized Official Name | MRS. CHARLOTTE K MOORE (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9802398374 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | C201601100142-I | NC | Agencies |
| Other Name | Type Code |
|---|---|
| IFNC | Other Name - Individual/Organization |
| Street Address |
2540 ANNECY DR |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-2323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437798709 | Medication Engagement Reward Initiative | Voluntary or Charitable | 2274 Winthrop Chase Dr, Charlotte, NC 28212-8595 | 2020-01-03 |
| 1588168462 | Pitt County Community Collaborative On Mental Health and Substance Abu | Voluntary or Charitable | 1913 Turnbury Dr, Greenville, NC 27858-6168 | 2018-03-23 |
| 1932628989 | Reanimations | Voluntary or Charitable | 8501 Tower Point Dr Ste B-8, Charlotte, NC 28227-7849 | 2017-09-11 |
| 1871036632 | Healing Springs Farmacy Inc | Voluntary or Charitable | 1300 Ashe St, Greensboro, NC 27406-2214 | 2016-11-28 |
| 1679021018 | Atlantic Life Safety & Emergency Services, Inc. | Voluntary or Charitable | 3348 Starboard Way, Suite 3, Fayetteville, NC 28314 | 2016-09-14 |
| 1336592690 | American Red Cross | Voluntary or Charitable | 4737 University Dr, Building 3, Durham, NC 27707-3460 | 2016-07-21 |
| 1437512050 | Invisible Bridges | Voluntary or Charitable | 11723 Sweetbriar Ridge Drive, Charlotte, NC 28269 | 2016-03-31 |
| 1306202155 | Samara's Village, Inc | Voluntary or Charitable | 5098 Capstan Ct, Southport, NC 28461-2203 | 2016-01-10 |
| 1649640590 | Dr Daves Companies, Corp | Voluntary or Charitable | 204 Morayshire Ct, Holly Springs, NC 27540-5597 | 2015-10-05 |
| 1699145227 | Peaceful Places, Inc. | Voluntary or Charitable | 3260 Barons Court Rd, Charlotte, NC 28213-4867 | 2015-09-25 |
| Find all providers with the same taxonomy | ||||
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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.