INNOVATIVE RESIDENTIAL CARE LLP NPI 1619246675

NPI Information

NPI: 1619246675
Provider Name: INNOVATIVE RESIDENTIAL CARE LLP
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
9305 KESTRAL RIDGE DR
CHARLOTTE, NC
ZIP 28269
Phone: (704) 875-2230
Get Directions

INNOVATIVE RESIDENTIAL CARE LLP is an assisted living facility in Charlotte, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. INNOVATIVE RESIDENTIAL CARE LLP NPI is 1619246675. The provider is registered as an organization entity type.

The provider's business location address is:

9305 KESTRAL RIDGE DR
CHARLOTTE, NC
ZIP 28269-170
Phone: (704) 875-2230
Fax: (866) 741-2056

The provider's authorized official is Melissa Gail Lynch .
The authorized official title is Partner/administrator and has the following contact phone number (704) 473-5263.

The enumeration date for this NPI number is 12/21/2011 and was last updated on 12/21/2011.

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	310400000X	Assisted Living Facility		FCL-060-119	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FCL-060-119	MEDICAID	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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