GOLDENBLUSH CIRCLE GROUP HOME NPI 1639336878

NPI Information

  • NPI: 1639336878
  • Provider Name: GOLDENBLUSH CIRCLE GROUP HOME
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 416 MCCULLOUGH DR
    SUITE 125
    CHARLOTTE, NC
    ZIP 28262
  • Phone: (704) 547-1900

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NPI Details

GOLDENBLUSH CIRCLE GROUP HOME is a community based residential treatment facility mental illness in Charlotte, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. GOLDENBLUSH CIRCLE GROUP HOME NPI is 1639336878. The provider is registered as an organization entity type.

The provider's business location address is:

416 MCCULLOUGH DR
SUITE 125
CHARLOTTE, NC
ZIP 28262-385
Phone: (704) 547-1900

The provider's authorized official is Stephanie Cahoon .
The authorized official title is Billing Specialist and has the following contact phone number (704) 906-8893.

The enumeration date for this NPI number is 5/16/2008 and was last updated on 5/16/2008.

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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
16603994MEDICAIDNORTH 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: 11/21/2025

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