GOSHEN DEVELOPMENTAL DISABILITY CENTER NPI 1235910175

NPI Information

NPI: 1235910175
Provider Name: GOSHEN DEVELOPMENTAL DISABILITY CENTER
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address: 617 MORNINGSIDE RD
CHARLOTTE, NC
ZIP 28214
Phone: (704) 361-9868

Map and Directions

Get Directions

NPI Details

GOSHEN DEVELOPMENTAL DISABILITY CENTER is a residential treatment facility, intellectual and/or developmental disabilities in Charlotte, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. GOSHEN DEVELOPMENTAL DISABILITY CENTER NPI is 1235910175. The provider is registered as an organization entity type.

The provider's business location address is:

617 MORNINGSIDE RD
CHARLOTTE, NC
ZIP 28214-105
Phone: (704) 361-9868

The provider's authorized official is Marcel Kalonga .
The authorized official title is Executive Director and has the following contact phone number (704) 361-9868.

The enumeration date for this NPI number is 10/6/2023 and was last updated on 10/6/2023.

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	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		No
2	261QA0600X	Clinic/Center	Adult Day Care	No
3	261QD1600X	Clinic/Center	Developmental Disabilities	No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
5	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
6	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI