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OUTREACHED ARMS INC. NPI 1275791550


NPI Information

NPI: 1275791550
Provider Name: OUTREACHED ARMS, INC.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1517 N ALEXANDER ST
CHARLOTTE, NC
ZIP 28205
Phone: (704) 345-2019
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OUTREACHED ARMS, INC. 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. OUTREACHED ARMS, INC. NPI is 1275791550. The provider is registered as an organization entity type.

The provider's business location address is:

1517 N ALEXANDER ST
CHARLOTTE, NC
ZIP 28205-640
Phone: (704) 345-2019
Fax: (704) 334-0544

The provider's authorized official is Tammaria Lucilia Boyd .
The authorized official title is Owner/operator and has the following contact phone number (704) 345-2019.

The enumeration date for this NPI number is 5/23/2008 and was last updated on 12/7/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL0601106NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17806530MEDICAIDNORTH 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: 11/14/2023

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