AUTISM SERVICES OF MECKLENBURG COUNTY INC. NPI 1477805745

NPI Information

NPI: 1477805745
Provider Name: AUTISM SERVICES OF MECKLENBURG COUNTY, INC.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
4016 PINEY GROVE RD
CHARLOTTE, NC
ZIP 28212
Phone: (704) 568-4868
Get Directions

AUTISM SERVICES OF MECKLENBURG COUNTY, 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. AUTISM SERVICES OF MECKLENBURG COUNTY, INC. NPI is 1477805745. The provider is registered as an organization entity type.

The provider's business location address is:

4016 PINEY GROVE RD
CHARLOTTE, NC
ZIP 28212-012
Phone: (704) 568-4868

The provider's authorized official is Jack Marcellous Phillips .
The authorized official title is Executive Director/ceo and has the following contact phone number (704) 392-9220.

The enumeration date for this NPI number is 10/10/2012 and was last updated on 10/10/2012.

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	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		060-908	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	7804897	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: 11/14/2023

NPI Synchronization or Removal

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