MALLARD CREEK LEARNING CENTER (NPI# 1508246331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508246331 |
| Entity Type | Organization |
| Organization Name | MALLARD CREEK LEARNING CENTER |
| Other Organization Name | DIVINE HEALTH AND WELLNESS |
| Practice Address |
8136 Browne Rd Charlotte NC 28269-1101 |
| Practice Telephone | 7045332870 |
| Practice Fax Number | 7049482047 |
| Mailing Telephone | 7045332870 |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2015-06-06 |
| Authorized Official Name | MRS. JACQUELINE DENISE WILLIAMS (OWNER) |
| Authorized Official Telephone | 7045332870 |
| Is Organization Subpart | Y |
| Parent Organization Name | MALLARD CREEK LEARNING CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 253J00000X | Foster Care Agency | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | 60002874 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CHILD CARE LICENSE | 60002874 | 01 |
| Other Name | Type Code |
|---|---|
| Divine Health and Wellness | Doing Business As Name - Organization |
| Street Address |
8136 BROWNE RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28269-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093195737 | Williams House Human Services Coalition, Inc. | Counselor | 8136 Browne Rd, Charlotte, NC 28269-1101 | 2015-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
| 1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
| 1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
| 1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
| 1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
| 1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
| 1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
| 1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
| 1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
| 1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
| Find all providers in zip 28269 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831361 | Us Advocate Care LLC | Home Health | 1981 J N Pease Pl Ste 103, Charlotte, NC 28262-4529 | 2020-11-04 |
| 1467052688 | Vital Stability Home Care Services LLC | Home Health | 10130 Mallard Creek Rd Ste 338, Charlotte, NC 28262-6001 | 2020-10-27 |
| 1063011724 | Andreas Family Services LLC | Home Health | 9700 Research Dr Ste 135e, Charlotte, NC 28262-8577 | 2020-10-22 |
| 1649882473 | Ashers Enterprises | Home Health | 7010 Sycamore Grove Ct, Charlotte, NC 28227-3017 | 2020-08-21 |
| 1952926768 | American Patriot Services LLC | Home Health | 3557 N Sharon Amity Rd Ste 202, Charlotte, NC 28205-8936 | 2020-06-08 |
| 1831713593 | Ummah Care LLC | Home Health | 537 W Sugar Creek Rd Ste 202, Charlotte, NC 28213-6102 | 2020-05-28 |
| 1962022889 | Essential Healthcare & Supplies Inc | Home Health | 3557 N Sharon Amity Rd Ste 100-102, Charlotte, NC 28205-8849 | 2020-04-21 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154953495 | Loving Hearts Home Care One,l.l.c. | Home Health | 2925 E Independence Blvd Ste 224, Charlotte, NC 28205-7034 | 2020-02-05 |
| 1225669682 | Dequincy Cornish | Home Health | 7506 E Independence Blvd Ste 112, Charlotte, NC 28227-9456 | 2020-02-03 |
| 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.