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GARDEN OF LIFE INC NPI 1477174407


NPI Information

NPI: 1477174407
Provider Name: GARDEN OF LIFE, INC
Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Organization
Address:
8339 FOX SWAMP RD
CHARLOTTE, NC
ZIP 28215
Phone: (980) 309-6863
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GARDEN OF LIFE, INC is a case manager care coordinator in Charlotte, NC. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. GARDEN OF LIFE, INC NPI is 1477174407. The provider is registered as an organization entity type.

The provider's business location address is:

8339 FOX SWAMP RD
CHARLOTTE, NC
ZIP 28215-011
Phone: (980) 309-6863

The provider's authorized official is Deshall Hill .
The authorized official title is Owner and has the following contact phone number (890) 309-6863.

The enumeration date for this NPI number is 4/30/2020 and was last updated on 8/13/2020.


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
1251S00000XCommunity/Behavioral HealthNo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
3171M00000XCase Manager/Care CoordinatorYes

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
1106H0000XMEDICAIDNORTH CAROLINA
2106S0000XMEDICAIDNORTH CAROLINA
3171M00000XMEDICAIDNORTH CAROLINA
422420000XMEDICAIDNORTH CAROLINA
5225I0000XMEDICAIDNORTH CAROLINA
6302F0000XMEDICAIDNORTH CAROLINA
7302R0000XMEDICAIDNORTH CAROLINA
82260000XMEDICAIDNORTH CAROLINA
9251S00000XMEDICAIDNORTH CAROLINA
10305R0000XMEDICAIDNORTH CAROLINA
11175T0000XMEDICAIDNORTH CAROLINA
12363L0000XMEDICAIDNORTH CAROLINA
13251B00000XMEDICAIDNORTH CAROLINA
141041I0000XMEDICAIDNORTH CAROLINA
15164W0000XMEDICAIDNORTH 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

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.