ONE LOVE DEVELOPMENTAL SERVICES INC NPI 1831265180

NPI Information

NPI: 1831265180
Provider Name: ONE LOVE DEVELOPMENTAL SERVICES, INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
324 W MAIN AVE
GASTONIA, NC
ZIP 28052
Phone: (704) 642-0140
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ONE LOVE DEVELOPMENTAL SERVICES, INC is a residential treatment facility emotionally disturbed children in Gastonia, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. ONE LOVE DEVELOPMENTAL SERVICES, INC NPI is 1831265180. The provider is registered as an organization entity type.

The provider's business location address is:

324 W MAIN AVE
GASTONIA, NC
ZIP 28052-113
Phone: (704) 642-0140

The provider's authorized official is Stevie Wideman .
The authorized official title is Vice President and has the following contact phone number (704) 642-0140.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 9/10/2010.

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 State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness	NORTH CAROLINA	No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	NORTH CAROLINA	No
4	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	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
1	6603804	MEDICAID	NORTH CAROLINA
2	8300947	MEDICAID	NORTH CAROLINA
3	6603717	MEDICAID	NORTH CAROLINA
4	3408216	MEDICAID	NORTH CAROLINA
5	6603307	MEDICAID	NORTH CAROLINA
6	6603555	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: 5/5/2024

NPI Synchronization or Removal

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