MICAH'S ANGELS INC NPI 1033241005

NPI Information

NPI: 1033241005
Provider Name: MICAH'S ANGELS INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
11822 STEWARTS CROSSING DR
CHARLOTTE, NC
ZIP 28215
Phone: (704) 712-8454
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MICAH'S ANGELS INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Charlotte, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MICAH'S ANGELS INC NPI is 1033241005. The provider is registered as an organization entity type.

The provider's business location address is:

11822 STEWARTS CROSSING DR
CHARLOTTE, NC
ZIP 28215-072
Phone: (704) 712-8454
Fax: (704) 532-4414

The provider's authorized official is Paulette L Washington .
The authorized official title is Owner and has the following contact phone number (704) 712-8454.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 6/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-060-846	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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