SPECIAL K. ENRICHMENT, INC. (NPI# 1932256021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932256021 |
| Entity Type | Organization |
| Organization Name | SPECIAL K. ENRICHMENT, INC. |
| Practice Address |
2838 A Queen City Drive Charlotte NC 28208-2738 |
| Mailing Address |
Po Box 668882 Charlotte NC 28266 |
| Practice Telephone | 7043959387 |
| Practice Fax Number | 7043959436 |
| Mailing Telephone | 7043959387 |
| Mailing Fax Number | 7043959436 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2010-12-16 |
| Authorized Official Name | SHARON A. KENDRICK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7043959387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302R00000X | Health Maintenance Organization | NC | Managed Care Organizations | |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409000 | 05 | |
| NC | 8300898 | 05 | |
| NC | 8300419 | 05 |
| Street Address |
2838 A QUEEN CITY DRIVE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28208-2738 |
| 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 | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093335283 | Brionna Rene Mielke I | Technician | 4188 Carlisle Hwy, Charlotte, MI 48813-9562 | 2020-04-17 |
| 1922464353 | Shavon Land | Technician | 1323 Spruce St, Charlotte, NC 28203-4670 | 2016-01-14 |
| 1871905182 | Angie Wirick | Technician | 4023 Winfield Dr, Charlotte, NC 28205-6430 | 2014-05-21 |
| 1326489162 | Lynette Mccorkle-austin | Technician | 7228 Cranswick Pl, Charlotte, NC 28227-8794 | 2013-07-09 |
| 1639510605 | Undray Containe Mills | Technician | 7313 Pebblestone Dr Apt B, Charlotte, NC 28212-0020 | 2013-07-08 |
| 1679813760 | Homecare of North Carolina | Technician | 1107 Beatties Ford Rd Unit A, Charlotte, NC 28216-5034 | 2013-02-26 |
| 1992028716 | Hughes Comprehensive Homecare, LLC | Technician | 3460 N Davidson St, Charlotte, NC 28205-1123 | 2010-03-08 |
| 1902135619 | Tyshieka Maylee Stinson | Technician | 12512 Welland Trl, Charlotte, NC 28215-9640 | 2009-12-09 |
| 1013240522 | Kimberly T Tanner | Technician | 9836 Feldbank Dr, Charlotte, NC 28216-2135 | 2009-09-15 |
| 1508002171 | Mlm Home Care,llc | Technician | 1505 Long Paw Ln, Charlotte, NC 28214-7704 | 2009-01-01 |
| 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.