MALLARD CREEK LEARNING CENTER NPI 1508246331

NPI Information

NPI: 1508246331
Provider Name: MALLARD CREEK LEARNING CENTER
Classification: Home Health - 251E00000X
Entity Type: Organization
Doing Business As: DIVINE HEALTH AND WELLNESS
Address: 8136 BROWNE RD
CHARLOTTE, NC
ZIP 28269
Phone: (704) 533-2870

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NPI Details

MALLARD CREEK LEARNING CENTER is a home health in Charlotte, NC. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. MALLARD CREEK LEARNING CENTER NPI is 1508246331. The provider is registered as an organization entity type.
The provider Is Doing Business As Divine Health And Wellness.

The provider's business location address is:

8136 BROWNE RD
CHARLOTTE, NC
ZIP 28269-101
Phone: (704) 533-2870
Fax: (704) 948-2047

The provider's authorized official is Jacqueline Denise Williams .
The authorized official title is Owner and has the following contact phone number (704) 533-2870.

The enumeration date for this NPI number is 6/6/2015 and was last updated on 6/6/2015.

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	License Number	License State	Primary
1	251B00000X	Case Management			No
2	251C00000X	Day Training, Developmentally Disabled Services			No
3	251G00000X	Hospice Care, Community Based			No
4	251J00000X	Nursing Care			No
5	251K00000X	Public Health or Welfare			No
6	251S00000X	Community/Behavioral Health			No
7	252Y00000X	Early Intervention Provider Agency			No
8	253J00000X	Foster Care Agency			No
9	253Z00000X	In Home Supportive Care			No
10	251E00000X	Home Health	60002874	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	60002874	OTHER	NORTH CAROLINA	CHILD CARE LICENSE

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

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