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COMMERCIAL CAPITAL INVESTMENT NPI 1629302534


NPI Information

NPI: 1629302534
Provider Name: COMMERCIAL CAPITAL INVESTMENT

Doing Business As: CCI

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
6047 TYVOLA GLEN CIRCLE
CHARLOTTE, NC
ZIP 28217
Phone: (980) 522-4195
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COMMERCIAL CAPITAL INVESTMENT is a community based residential treatment facility, intellectual and/or developmental disabilities in Charlotte, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. COMMERCIAL CAPITAL INVESTMENT NPI is 1629302534. The provider is registered as an organization entity type.
The provider Is Doing Business As Cci.

The provider's business location address is:

6047 TYVOLA GLEN CIRCLE
CHARLOTTE, NC
ZIP 28217
Phone: (980) 522-4195
Fax: (888) 854-8514

The provider's authorized official is Michael Brooks .
The authorized official title is Ceo/ Chairman and has the following contact phone number (980) 522-4195.

The enumeration date for this NPI number is 9/24/2009 and was last updated on 4/14/2017.


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
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthNo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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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