HAVEN OF LOVE INC (NPI# 1972760395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972760395 |
| Entity Type | Organization |
| Organization Name | HAVEN OF LOVE INC |
| Practice Address |
1832 Burgandy Dr Charlotte NC 28262-4966 |
| Mailing Address |
10936 Gold Pan Rd Charlotte NC 28215-8603 |
| Practice Telephone | 7045982723 |
| Practice Fax Number | 7045687897 |
| Mailing Telephone | 7048391977 |
| Mailing Fax Number | 7045687897 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2009-04-07 |
| Authorized Official Name | MISS WHITNEY WILLIAMS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7048391977 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3418612 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124353479 | Haven of Love Inc | Home Health | 10936 Gold Pan Rd, Charlotte, NC 28215-8603 | 2009-10-05 |
| Street Address |
1832 BURGANDY DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-4966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1154818284 | Nana Hinton | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11000 Huntington Meadow Ln, Charlotte, NC 28273-3440 | 2018-04-14 |
| 1497289417 | T Bennett Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3325 Alderknoll Ct, Charlotte, NC 28216-8827 | 2017-04-17 |
| 1477909406 | Dreams and Vision, LLC- Cades Cove | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4429 Cades Cove Dr, Charlotte, NC 28273-4586 | 2016-05-09 |
| 1578967089 | The Moon Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4548 Hyperion Court, Charlotte, NC 28216 | 2014-10-13 |
| 1568870558 | The Moore Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2438 Hemby Wood Drive, Charlotte, NC 28262 | 2014-07-23 |
| 1740612746 | Bumpas Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4128 Houldsworth Dr, Charlotte, NC 28213-5714 | 2013-08-01 |
| 1578815940 | Autism Services of Mecklenburg County, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5300 Kelly St, Charlotte, NC 28205-7912 | 2012-10-10 |
| 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.