GARDEN OF LIFE, INC


Address: 8339 Fox Swamp Rd, Charlotte, NC 28215-9011
Phone: 9803096863

GARDEN OF LIFE, INC (NPI# 1477174407) 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) 1477174407
Entity Type Organization
Organization Name GARDEN OF LIFE, INC
Practice Address 8339 Fox Swamp Rd
Charlotte
NC 28215-9011
Practice Telephone 9803096863
Mailing Telephone 8457289166
Enumeration Date 2020-04-30
Last Update Date 2020-08-13
Authorized Official Name DESHALL HILL (OWNER)
Authorized Official Telephone 8903096863
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
N 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 106H0000X 05
NC 106S0000X 05
NC 171M00000X 05
NC 22420000X 05
NC 225I0000X 05
NC 302F0000X 05
NC 302R0000X 05
NC 2260000X 05
NC 251S00000X 05
NC 305R0000X 05
NC 175T0000X 05
NC 363L0000X 05
NC 251B00000X 05
NC 1041I0000X 05
NC 164W0000X 05

Other Data Sources

Entity Type Entity Name Entity Address
Vermont Business Registrations GARDEN OF LIFE, INC. 6614 Main Road, West Haven, VT 05743

Office Location

Street Address 8339 FOX SWAMP RD
City CHARLOTTE
State NC
Zip Code 28215-9011

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679111769 Lawana Ussery Hill Case Management 1740 Misty Morn Drive, Charlotte, NC 28215 2019-12-19
1053961110 Tonya Anita Brown Behavior Technician 10230 White Oak Rd, Charlotte, NC 28215 2019-09-19
1780242412 Mikhail A Rybin Registered Nurse 7502 Malden Park Drive, Charlotte, NC 28215 2019-05-29
1033698527 Novant Medical Group, Inc Internal Medicine 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 2018-08-07
1538646088 Andrew Simpson Pharmacist 3805 Rocky River Rd, Charlotte, NC 28215 2018-07-26
1154818425 Korinne A Umlauft Specialist/Technologist 8618 Terra Cotta Dr, Charlotte, NC 28215 2018-04-22
1477058196 Harmony Health Pllc Community/Behavioral Health 8633 Pine Circle, Charlotte, NC 28215 2018-03-26
1639671357 Total Renal Care of North Carolina LLC Clinic/Center 9562 Rocky River Rd, Charlotte, NC 28215 2018-03-08
1588166060 Allcare Medical Center,pllc Internal Medicine 7401 The Plaza, Charlotte, NC 28215 2018-03-01
1851891774 Bio-medical Applications of North Carolina, Inc. Clinic/Center 3211 Bishops Way Lane, Charlotte, NC 28215 2018-02-16
Find all providers in zip 28215

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972153328 Monida Fields Case Manager/Care Coordinator 4845 Ashley Park Ln Apt 220, Charlotte, NC 28210-4134 2019-09-18
1760970768 Andra R Summey Case Manager/Care Coordinator 8210 Deodora Cedar Ln, Charlotte, NC 28215-7140 2018-04-25
1265983779 Lindsey Nicole Riesselman Case Manager/Care Coordinator 10955 Winds Crossing Dr Ste 300, Charlotte, NC 28273-6778 2016-10-19
1225482847 Richard Wright Case Manager/Care Coordinator 338 S Cochran Ave, Charlotte, MI 48813-1595 2016-04-20
1538526678 Jacqueline Terrell Inman Case Manager/Care Coordinator 4203 Plato Cir, Charlotte, NC 28208-5853 2016-01-20
1750751715 Deanna M Williams Case Manager/Care Coordinator 7459 Elwood Dr, Charlotte, NC 28227-1266 2015-10-03
1124420070 Chontaye Michelle Richardson Case Manager/Care Coordinator 16803 Silversword Dr, Charlotte, NC 28213-4883 2014-09-23
1326469495 Juani Thomas Case Manager/Care Coordinator 709 N Davidson St, Suite E, Charlotte, NC 28202-2565 2013-12-17
1932540630 Tony Rontice Turner Case Manager/Care Coordinator 7352 Rose Terrace Ct, Charlotte, NC 28215-3682 2013-07-10
1407116312 Debra Redfern Case Manager/Care Coordinator 9905 Mattie Ct, Charlotte, NC 28213-4719 2012-05-24
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28215

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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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