SPECTRUM DEVELOPMENTAL SERVICES, LLC (NPI# 1265582324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265582324 |
| Entity Type | Organization |
| Organization Name | SPECTRUM DEVELOPMENTAL SERVICES, LLC |
| Practice Address |
11816 Churchfield Ln Charlotte NC 28277-7000 |
| Practice Telephone | 7049692575 |
| Practice Fax Number | 7049433778 |
| Mailing Telephone | 7049692575 |
| Mailing Fax Number | 7049433778 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JENNIFER ANN ROBINSON (PRESIDENT, EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7049692575 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
11816 CHURCHFIELD LN |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500616 | New Horizon Residential Services L.l.c | Day Training, Developmentally Disabled Services | 11120 Carver Pond Rd, Charlotte, NC 28269-5007 | 2020-05-26 |
| 1730718776 | Dedicated Caregivers LLC | Day Training, Developmentally Disabled Services | 2750 E W T Harris Blvd Ste 218, Charlotte, NC 28213-4367 | 2020-04-02 |
| 1073054730 | Champion House of Care | Day Training, Developmentally Disabled Services | 5907 Barrington Dr, Charlotte, NC 28215-2311 | 2017-03-14 |
| 1285003590 | Velar Farmer | Day Training, Developmentally Disabled Services | 2603 Midland Ave, Charlotte, NC 28208-4717 | 2015-09-16 |
| 1285038091 | The Kid's Workshop | Day Training, Developmentally Disabled Services | 5901 Beatties Ford Rd, Charlotte, NC 28216-2203 | 2014-10-22 |
| 1457770141 | Special K Enrichment, Inc | Day Training, Developmentally Disabled Services | 8224 Reams Road, Charlotte, NC 28216 | 2014-04-10 |
| 1265851877 | Special K Enrichment, Inc. | Day Training, Developmentally Disabled Services | 1118 Pondella Dr, Charlotte, NC 28213-5939 | 2014-04-10 |
| 1427477033 | Special K Enrichment, Inc. | Day Training, Developmentally Disabled Services | 1618 Galesburg St, Charlotte, NC 28216-4088 | 2014-04-10 |
| 1104245877 | Special K Enrichment, Inc | Day Training, Developmentally Disabled Services | 7618 Woodknoll Drive, Charlotte, NC 28217 | 2014-04-10 |
| 1467871152 | Special K Enrichment, Inc | Day Training, Developmentally Disabled Services | 1504 North Cliff Drive, Charlotte, NC 28216 | 2014-04-10 |
| Find all providers in CHARLOTTE | ||||
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| 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.