MECKLENBURG OPEN DOOR, INC. (NPI# 1821227091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821227091 |
| Entity Type | Organization |
| Organization Name | MECKLENBURG OPEN DOOR, INC. |
| Practice Address |
4350 Denver Ave Charlotte NC 28208-4701 |
| Mailing Address |
1515 Mockingbird Ln Suite 1015 Charlotte NC 28209-3236 |
| Practice Telephone | 7043932318 |
| Practice Fax Number | 7043932318 |
| Mailing Telephone | 7045253255 |
| Mailing Fax Number | 7045250949 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |
| Authorized Official Name | EDWARD G PAYTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7045253255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952531717 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3950 Freedom Dr, Charlotte, NC 28208-2292 | 2009-07-15 |
| 1366671539 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4218 Sofley Rd, Charlotte, NC 28206-1757 | 2009-07-09 |
| 1568691723 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3630 Frontenac Ave, Charlotte, NC 28215-2920 | 2009-07-09 |
| 1669601829 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8936 Sharonbrook Dr, Charlotte, NC 28210-5698 | 2009-07-09 |
| 1790819621 | Mecklenburg Open Door, Inc. | Clinic/Center | 245 N Cedar St, Charlotte, NC 28202-1212 | 2007-03-15 |
| 1407989874 | Mecklenburg Open Door, Inc. | Clinic/Center | 1211 Robinhood Cir, Charlotte, NC 28227-4036 | 2007-03-14 |
| 1285767665 | Mecklenburg Open Door, Inc. | Clinic/Center | 1518 Briar Creek Rd, Charlotte, NC 28205-5576 | 2007-03-14 |
| 1750414132 | Mecklenburg Open Door, Inc. | Clinic/Center | 3711 Carmel Forest Dr, Charlotte, NC 28226-8117 | 2007-03-14 |
| 1629101225 | Mecklenburg Open Door, Inc. | Clinic/Center | 714 Mcalway Rd, Charlotte, NC 28211-1414 | 2007-03-13 |
| 1306076161 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1515 Mockingbird Ln, Suite 1015, Charlotte, NC 28209-3236 | 2009-07-15 |
| Street Address |
4350 DENVER AVE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28208-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699113878 | Monarch | Community/Behavioral Health | 4350 Denver Ave, Suite F, Charlotte, NC 28208-4702 | 2013-06-10 |
| 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 |
| Find all providers in zip 28208 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1457836736 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7827 Kerry Brook Circle, Charlotte, NC 28214 | 2018-10-02 |
| 1306353248 | Families United | Community Based Residential Treatment Facility, Mental Illness | 6610 Harburn Forest Dr, Charlotte, NC 28269-6912 | 2017-12-31 |
| 1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
| 1104270636 | Dennis Griffin's Consulting | Community Based Residential Treatment Facility, Mental Illness | 4428 Staffordshire Ln, Charlotte, NC 28213-4238 | 2016-04-21 |
| 1336579077 | Growth and Wellness Center, LLC. | Community Based Residential Treatment Facility, Mental Illness | 12001 Olympic Club Dr, Charlotte, NC 28277-4057 | 2013-11-15 |
| 1912267477 | Between Faces Foundation, Inc | Community Based Residential Treatment Facility, Mental Illness | 13000 S Tryon St Ste F-179, Charlotte, NC 28278-7652 | 2012-05-17 |
| 1194084194 | Promising Youth & Adults Behavioral Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 2750 E Wt Harris Blvd Ste 105, Charlotte, NC 28213-4286 | 2012-05-10 |
| 1265747349 | Primary Care Solutions Inc | Community Based Residential Treatment Facility, Mental Illness | 6807 Idlewild Brook Ln, Charlotte, NC 28212-5858 | 2010-08-12 |
| 1902110828 | Primary Care Solutions Inc. | Community Based Residential Treatment Facility, Mental Illness | 2744 Fairstone Ave, Charlotte, NC 28269-5412 | 2010-08-03 |
| 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.