AUTISM SERVICES OF MECKLENBURG COUNTY INC. NPI 1477683308

NPI Information

NPI: 1477683308
Provider Name: AUTISM SERVICES OF MECKLENBURG COUNTY, INC.
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
2211-A EXECUTIVE STREET
CHARLOTTE, NC
ZIP 28208
Phone: (704) 392-9220
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AUTISM SERVICES OF MECKLENBURG COUNTY, INC. is an intermediate care facility mental illness in Charlotte, NC. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. AUTISM SERVICES OF MECKLENBURG COUNTY, INC. NPI is 1477683308. The provider is registered as an organization entity type.

The provider's business location address is:

2211-A EXECUTIVE STREET
CHARLOTTE, NC
ZIP 28208-655
Phone: (704) 392-9220
Fax: (704) 392-9221

The provider's authorized official is Marcy Alford .
The authorized official title is Business Manager and has the following contact phone number (704) 392-9220.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 9/13/2018.

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	311ZA0620X	Custodial Care Facility	Adult Care Home	MHL-060-908	NORTH CAROLINA	No
2	311ZA0620X	Custodial Care Facility	Adult Care Home	MHL-060-468	NORTH CAROLINA	No
3	311ZA0620X	Custodial Care Facility	Adult Care Home	MHL-060-166	NORTH CAROLINA	No
4	315P00000X	Intermediate Care Facility, Intellectual Disabilities				No
5	251S00000X	Community/Behavioral Health			NORTH CAROLINA	No
6	310500000X	Intermediate Care Facility, Mental Illness		MHL-060-167	NORTH CAROLINA	No
7	310500000X	Intermediate Care Facility, Mental Illness		MHL-060-118	NORTH CAROLINA	No
8	310500000X	Intermediate Care Facility, Mental Illness		MHL-060-514	NORTH CAROLINA	No
9	311ZA0620X	Custodial Care Facility	Adult Care Home	MHL-060-350	NORTH CAROLINA	No
10	310500000X	Intermediate Care Facility, Mental Illness		MHL-060-231	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
1	3406362	MEDICAID	NORTH CAROLINA
2	341612T	MEDICAID	NORTH CAROLINA
3	7802270	MEDICAID	NORTH CAROLINA
4	7804897	MEDICAID	NORTH CAROLINA
5	340602B	MEDICAID	NORTH CAROLINA
6	340609A	MEDICAID	NORTH CAROLINA
7	3408804	MEDICAID	NORTH CAROLINA
8	7803089	MEDICAID	NORTH CAROLINA
9	3406022	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

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