WALTER JASON YOUNG JR.


Address: 412 Rook Rd, Charlotte, NC 28216-3199
Phone: 7047135293

WALTER JASON YOUNG JR. (NPI# 1881230795) 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) 1881230795
Entity Type Individual
Full Name WALTER JASON YOUNG JR.
Credential QP
Practice Address 412 Rook Rd
Charlotte
NC 28216-3199
Practice Telephone 7047135293
Practice Fax Number 9802074791
Mailing Telephone 7047135293
Mailing Fax Number 9802074791
Enumeration Date 2019-11-26
Last Update Date 2020-03-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities MHL-060-1441 NC Residential Treatment Facilities

Other Providers WALTER YOUNG

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1003019050 Walter Fuller Young Dentist 2265 Cascade Rd Sw, Atlanta, GA 30311-2801 2007-06-07
1295206571 Walter Milton Young Iv Physical Therapist 59 Weaver Village Way, Weaverville, NC 28787-9492 2018-12-11
1770515868 Walter Clark Young Obstetrics & Gynecology 1118 Ross Clark Cir, Suite 600, Dothan, AL 36301-3007 2006-07-07
1578528832 Walter C. Young Counselor 25 N Spruce St, Colorado Springs, CO 80905-1436 2006-04-19
1356301055 Walter Young Internal Medicine 221 W Colorado Blvd, Pav II, Suite 630, Dallas, TX 75208-2363 2006-03-25

Office Location

Street Address 412 ROOK RD
City CHARLOTTE
State NC
Zip Code 28216-3199

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689201451 Exclusive Caring Partners Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 412 Rook Rd, Charlotte, NC 28216-3199 2020-03-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942837331 Transit Consortium of South Carolina, LLC Non-emergency Medical Transport (VAN) 5025 Roundstone Way, Suite 103, Charlotte, NC 28216 2020-03-25
1811538796 Strengthening Families Within Communities LLC Community/Behavioral Health 4135 Bryan Furr Drive, Charlotte, NC 28216 2019-10-02
1841705159 Karen Sue Rhea Registered Nurse 4004 Nicole Eileen Lane, Charlotte, ND 28216 2017-12-08
1992225890 Be Free Counseling, Pllc Social Worker 7800 Bridle Court, Charlotte, NC 28216 2017-06-21
1013466416 Roha Solutions, Inc Community Based Residential Treatment Facility, Mental Illness 1529 Jennings St, Charlotte, NC 28216 2016-09-26
1336595826 North Carolina Neurodiagnostics, LLC Clinic/Center 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 2016-05-13
1346600699 Elizabeth Ayodele Agiri Registered Nurse 9404 Perimeter Station Dr, Apt. 108, Charlotte, NC 28216 2016-02-29
1922479179 Prashant Patel Pharmacist 9820 Callibridge Court, Charlotte, NC 28216 2015-10-14
1205226685 Sarah Baker Social Worker 10506 Grobie Way Apt 104, Charlotte, NC 28216 2015-01-23
1578967089 The Moon Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4548 Hyperion Court, Charlotte, NC 28216 2014-10-13
Find all providers in zip 28216

Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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
1477805745 Autism Services of Mecklenburg County, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4016 Piney Grove Rd, Charlotte, NC 28212-9012 2012-10-10
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28216

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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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