PIEDMONT RESIDENTIAL DEVELOPMENT CENTER INC NPI 1801942263

NPI Information

  • NPI: 1801942263
  • Provider Name: PIEDMONT RESIDENTIAL DEVELOPMENT CENTER, INC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • CLIA Number: 34D2104339
  • Address: 1006 MICHIGAN ST
    KANNAPOLIS, NC
    ZIP 28083
  • Phone: (704) 788-2304

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NPI Details

PIEDMONT RESIDENTIAL DEVELOPMENT CENTER, INC is an intermediate care facility mentally retarded in Kannapolis, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PIEDMONT RESIDENTIAL DEVELOPMENT CENTER, INC NPI is 1801942263. The provider is registered as an organization entity type.

The provider's business location address is:

1006 MICHIGAN ST
KANNAPOLIS, NC
ZIP 28083-724
Phone: (704) 788-2304
Fax: (704) 788-2951

The provider's authorized official is Sharon A Lipke .
The authorized official title is Finance Director and has the following contact phone number (704) 788-2304.

The CLIA number assigned to this NPI record is 34D2104339 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 8/22/2020.

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
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesMHL-013-005NORTH CAROLINAYes

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
13406305MEDICAIDNORTH 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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