ANOTHER CHANCE: HOUSE OF REFUGE (NPI# 1831701903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831701903 |
| Entity Type | Organization |
| Organization Name | ANOTHER CHANCE: HOUSE OF REFUGE |
| Practice Address |
1708 Chambers Dr Apt 15 Matthews NC 28105-4782 |
| Mailing Address |
Po Box 220184 Charlotte NC 28222-0184 |
| Practice Telephone | 7045627500 |
| Practice Fax Number | 9803397002 |
| Mailing Telephone | 7045627500 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | SHAKIETA ZOLLICOFFER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7045627500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 174200000X | Meals | Other Service Providers | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 332U00000X | Home Delivered Meals | Suppliers | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 251B00000X | Case Management | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | ANOTHER CHANCE: HOUSE OF REFUGE INC. | 1642 Chippendale Road, Charlotte, NC 28205 |
| Street Address |
1708 CHAMBERS DR APT 15 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-4782 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063829588 | Tosh Health Services LLC | Case Management | 3921 Cameron Creek Drive, Matthews, NC 28105-6772 | 2014-07-16 |
| 1306406905 | I Am Whole | Case Management | 2412 Nettleton Ct, Matthews, NC 28105-3216 | 2019-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548084 | Carolina Bridges Home Health | Case Management | 8410 Six Forks Rd Ste 104, Raleigh, NC 27615-3079 | 2020-11-07 |
| 1861008179 | Maggie Janes LLC | Case Management | 3004 Hillmer Dr, Raleigh, NC 27609-7810 | 2020-09-22 |
| 1245846294 | Tamekia Dowdy | Case Management | 845 Mckoy Town Rd, Cameron, NC 28326-9619 | 2020-09-16 |
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1700499944 | Goal Digger Network LLC | Case Management | 5220 Delco St, Fayetteville, NC 28311-2332 | 2020-08-27 |
| 1598377731 | Lux Glamorous Wigs & Company | Case Management | 1237 Tyvola Dr # Rd, Charlotte, NC 28210-3870 | 2020-08-19 |
| 1588275432 | Green Life Enhancement Services | Case Management | 1220 Aragon Dr Apt 101, Knightdale, NC 27545-6027 | 2020-08-13 |
| 1629688122 | Aketre Whitaker | Case Management | 526 Coker Town Rd, Whitakers, NC 27891-8942 | 2020-08-09 |
| 1912517046 | Coastal Community Services, LLC | Case Management | 138 Turquoise Dr, Jacksonville, NC 28546-8757 | 2020-08-04 |
| 1700494903 | Reimagine Billing Concepts LLC | Case Management | 9816 Cockerham Ln, Huntersville, NC 28078-2737 | 2020-07-14 |
| 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.