MISS PEGGY GREEN


Address: 6400 Ivory Palm Dr, Charlotte, NC 28227-2435
Phone: 7049105458

MISS PEGGY GREEN (NPI# 1174826390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174826390
Entity Type Individual
Full Name MISS PEGGY GREEN
Practice Address 6400 Ivory Palm Dr
Charlotte
NC 28227-2435
Mailing Address 6400 Ivorypalmdr.
Charlotte
NC 28227-2435
Practice Telephone 7049105458
Enumeration Date 2010-12-09
Last Update Date 2010-12-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 6400 IVORY PALM DR
City CHARLOTTE
State NC
Zip Code 28227-2435

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396396693 Phyllis Newsome Wilson Technician 8423 Empress Ct, Charlotte, NC 28227 2019-09-27
1134611239 Alyssa Latonia Rodgers Counselor 7512 Spring Spruce Ln, Charlotte, NC 28227 2018-06-04
1114463429 Andrea Henneberry Physical Therapy Assistant 9706 Stoney Glen Dr Apt L, Mint Hill, NC 28227 2017-01-10
1649726589 Keba Bosley Social Worker 5912 Brightstar Valley Road, Mint Hill, NC 28227 2016-08-31
1710330071 Carolina Family Services Community/Behavioral Health 5737 Old Magnolia Lane, Mint Hill, NC 28227 2016-07-21
1518311901 Aynsley Girardeau Optometrist 7014 Tutor Street, Suite C, Mint Hill, NC 28227 2016-04-21
1487037875 Shalini Kamodia Dentist 11300 Cresthill Dr Ste 105, Mint Hill, NC 28227 2015-07-02
1629455720 Yes We Care Human Services of Mecklenburg County Adult Companion 8201 Willowlake Ct, Charlotte, NC 28227 2015-04-28
1841677077 Hewitt Home Care Psychiatric Residential Treatment Facility 2331 Crownpoint Executive Drive, Charlotte, NC 28227 2015-04-27
1467847426 Marguerita Sitrin Blaker Psychologist 2400 Crownpoint Executive Drive, Suite 100, Office #5, Charlotte, NC 28227 2015-04-06
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922623792 Our Home At Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 2020-06-08
1740744283 Tri Plex Industries Corp Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 2019-01-29
1982144796 Care Connection Help,llc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 206 Cottonwood Park Dr, Charlotte, NC 28214-8700 2017-02-27
1841741980 Quest Provider Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8611 Parkland Cir, #101, Charlotte, NC 28227-2211 2016-10-24
1255882494 Quest Provider Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7911 Rusty Plow Ct, Charlotte, NC 28216-6837 2016-10-24
1336593698 Miracle Houses, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2627 Providence Rd, Charlotte, NC 28211-2238 2016-04-22
1114386059 Elite Care Services, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4933 Farm Pond Ln, Charlotte, NC 28212-8582 2016-02-21
1699196766 Reese Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1900 Mcallister Dr Apt C, Charlotte, NC 28216-0050 2013-12-17
1134408719 A New Beginning II Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6002 Lillyshire Pl, Charlotte, NC 28213-4315 2011-08-12
1750689253 Leap of Faith Family Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8420 Strider Dr, Charlotte, NC 28212-1555 2011-03-08
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28227

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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