FIRST STEP DIRECT CARE, INC (NPI# 1467592436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467592436 |
| Entity Type | Organization |
| Organization Name | FIRST STEP DIRECT CARE, INC |
| Practice Address |
320 Winding Canyon Dr Charlotte NC 28214-5013 |
| Mailing Address |
Po Box 668683 Charlotte NC 28266-8683 |
| Practice Telephone | 7043952432 |
| Practice Fax Number | 7043952432 |
| Mailing Telephone | 7043952432 |
| Mailing Fax Number | 7043952432 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-24 |
| Authorized Official Name | GWENDOLYN LAVERN GRAHAM (ADMINISTRATIVE PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8032809263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL060709 | NC | Residential Treatment Facilities |
| Street Address |
320 WINDING CANYON DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28214-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| 1104473974 | Daquan Ford | Technician | 7011 Hunters Glen Drive, Charlotte, NC 28214 | 2019-08-26 |
| 1457836736 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7827 Kerry Brook Circle, Charlotte, NC 28214 | 2018-10-02 |
| 1912481029 | Charlotte Afriyie | Behavior Technician | 2122 Sonoma Valley Drive, Charlotte, NC 28214 | 2018-09-25 |
| 1588161350 | Future Impression | Counselor | 619 Sullivan Street, Charlotte, NC 28214 | 2018-04-09 |
| 1588072326 | Key Choice Counseling | Community/Behavioral Health | 2909 Berry Creek Rd., Charlotte, NC 28214 | 2014-07-24 |
| 1255751699 | Joyce Patterson Melton | Registered Nurse | 7409 Pawtuckett Rd, Charlotte, NC 28214 | 2014-04-24 |
| 1407271109 | Central Carolina Medical Clinic, Pa | Internal Medicine | 515 Little Rock Road, Charlotte, NC 28214 | 2014-03-04 |
| 1063764702 | Autism Services of Mecklenburg County, Inc. | Intermediate Care Facility, Mentally Retarded | 5917 Rowan Way, Charlotte, NC 28214 | 2012-10-04 |
| 1043569460 | Loretta Massey | Social Worker | 2202 Lisa Carole Drive, Charlotte, NC 28214 | 2012-08-30 |
| Find all providers in zip 28214 | ||||
| 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.