MR. ABRAHAM E KETTER (NPI# 1376018895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376018895 |
| Entity Type | Individual |
| Full Name | MR. ABRAHAM E KETTER |
| Practice Address |
4708 Twisted Oaks Rd Apt 104 Charlotte NC 28212-7317 |
| Practice Telephone | 7044331700 |
| Practice Fax Number | 7045099208 |
| Mailing Telephone | 7044331700 |
| Mailing Fax Number | 7045099208 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Street Address |
4708 TWISTED OAKS RD APT 104 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28212-7317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572613 | Bartina Sharee Bowden | Adult Companion | 4708 Twisted Oaks Rd Apt 104, Charlotte, NC 28212-7317 | 2020-03-06 |
| 1619442076 | Paul Pickett Jr. | Psychologist | 4708 Twisted Oaks Rd Apt 104, Charlotte, NC 28212-7317 | 2018-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371250 | Amy Sierra Conner | Counselor | 5700 Executive Drive Suite 110, Charlotte, NC 28212 | 2019-11-25 |
| 1700447307 | Nagarani Nagarajan Dds.,pllc | Clinic/Center | 2510 Vista Drive, Suite 100, Charlotte, NC 28212 | 2019-06-25 |
| 1700441011 | Khadija Brown | Counselor | 6601 English Hills Dr, Charlotte, NC 28212 | 2019-05-02 |
| 1245711514 | Savannah Huneycutt | Dentist | 6708 Albemarle Road, Charlotte, NC 28212 | 2018-08-24 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| 1447701511 | Christine Walker Physical Therapy, LLC | Clinic/Center | 8850 Monroe Rd, Charlotte, NC 28212 | 2016-10-24 |
| 1013376128 | Colby Edward Joyner | Physician Assistant | 7005 Wallace Rd Ste 600, Charlotte, NC 28212 | 2016-02-17 |
| 1760814412 | Nguyen Tri Nguyen, Dds, Pa | Dentist | 6404 Albemarle Road, #c, Charlotte, NC 28212 | 2013-08-05 |
| 1477806834 | Tara Thompson | Counselor | 6900 Democracy Dr., Charlotte, NC 28212 | 2012-10-23 |
| 1568711109 | Mary Dianne Branch | Counselor | 8130 Runaway Bay Drive Apt Q, Charlotte, NC 28212 | 2012-08-29 |
| Find all providers in zip 28212 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275014359 | Paris Washington | Assisted Living Facility | 3220 Atlas Dr, Charlotte, NC 28269-4193 | 2018-08-27 |
| 1699185678 | Phadality Home Care LLC | Assisted Living Facility | 1109 Beatties Ford Rd, Suite B, Charlotte, NC 28216-5034 | 2014-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032320 | Healthy Moral Homes, LLC | Assisted Living Facility | 1513 Parks Village Rd, Zebulon, NC 27597-9580 | 2020-10-28 |
| 1578182556 | Connecting Dots Counseling Services | Assisted Living Facility | 2305 Woodbury Dr, Hillsborough, NC 27278-6620 | 2020-04-10 |
| 1629600770 | Safe Haven Facilities LLC | Assisted Living Facility | 412 Warren St, Williamston, NC 27892-2454 | 2020-02-06 |
| 1609406578 | True Nobility Care, LLC | Assisted Living Facility | 206 S Bend Dr, Durham, NC 27713-6163 | 2020-01-20 |
| 1265998124 | Valerie Smith | Assisted Living Facility | 112 Shore Lake Dr Apt A, Greensboro, NC 27455-1452 | 2019-02-15 |
| 1396232195 | Southern Living for Seniors of Burnsville Nc LLC | Assisted Living Facility | 270 Love Fox Rd, Burnsville, NC 28714-9109 | 2018-04-17 |
| 1598123564 | Hills Dda Group Home | Assisted Living Facility | 2017 Eastridge Cir, Kinston, NC 28501-5224 | 2016-02-05 |
| 1013382811 | Joy and Devotion Family Services, Inc. | Assisted Living Facility | 5616 Old Garden Rd Apt 101, Wilmington, NC 28403-4435 | 2015-12-04 |
| 1831581289 | Duckworth Acquisitions LLC | Assisted Living Facility | 3341 Old Hwy 10 East, Nebo, NC 28761-6768 | 2015-02-23 |
| 1225459308 | Easter Seals Ucp North Carolina & Virginia Inc. | Assisted Living Facility | 505 Hemphill St, Stantonsburg, NC 27883-9011 | 2013-12-17 |
| Find all providers with the same taxonomy | ||||
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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.