COMMERCIAL CAPITAL INVESTMENT (NPI# 1629302534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629302534 |
| Entity Type | Organization |
| Organization Name | COMMERCIAL CAPITAL INVESTMENT |
| Other Organization Name | CCI |
| Practice Address |
6047 Tyvola Glen Circle Charlotte NC 28217 |
| Practice Telephone | 9805224195 |
| Practice Fax Number | 8888548514 |
| Mailing Telephone | 9805224195 |
| Mailing Fax Number | 8888548514 |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2017-04-14 |
| Authorized Official Name | MR. MICHAEL BROOKS (CEO/ CHAIRMAN) |
| Authorized Official Telephone | 9805224195 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| CCI | Doing Business As Name - Organization |
| Street Address |
6047 TYVOLA GLEN CIRCLE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| 1356967749 | Optum Pharmacy 701, LLC | Pharmacy | 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 | 2020-06-22 |
| 1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
| 1275016933 | Zarah Pulfrey | Physician Assistant | Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 | 2018-09-10 |
| 1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
| 1184102048 | Charday Caple | Counselor | 735 Echodale Dr, Charlotte, NC 28217 | 2018-08-02 |
| 1326532250 | Dupont Livery LLC | Non-emergency Medical Transport (VAN) | 4200 S Tryon St, Charlotte, NC 28217 | 2018-06-14 |
| 1891215232 | Lakesha Shamise Welch | Counselor | 5709 South Hampton R., Charlotte, NC 28217 | 2017-06-27 |
| 1245768282 | Allison Harris Lafone | Counselor | 515 Clanton Road, Charlotte, NC 28217 | 2017-06-02 |
| 1619416906 | Charlie Randolph Taylor Jr. | Counselor | 517 Clanton Road, Charlotte, NC 28217 | 2017-02-20 |
| Find all providers in zip 28217 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| 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 | ||||
Please comment or provide details below to improve the information on COMMERCIAL CAPITAL INVESTMENT.
| 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.