APEX RESIDENTIAL SERVICES, LLC (NPI# 1730597337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730597337 |
| Entity Type | Organization |
| Organization Name | APEX RESIDENTIAL SERVICES, LLC |
| Practice Address |
1900 Teddington Dr Charlotte NC 28214-2449 |
| Practice Telephone | 7044513124 |
| Mailing Telephone | 7044513124 |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2014-07-27 |
| Authorized Official Name | CARLA BURTON (COMPLIANCE) |
| Authorized Official Telephone | 7044513124 |
| Authorized Official Credential | BA, QP, QDDP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | APEX RESIDENTIAL SERVICES, LLC | 32 Root St, New Hartford, Ny 13413 |
| Street Address |
1900 TEDDINGTON DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28214-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831507607 | Alternatives Residential Services | Social Worker | 1900 Teddington Dr, Charlotte, NC 28214-2449 | 2014-07-24 |
| 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 | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| 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. |
| 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 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 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 |
| 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.