Dickens Group Home, Llc in Charlotte - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Dickens Group Home, Llc - NPI 1942464409

Dickens Group Home, Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Charlotte, North Carolina. Dickens Group Home, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Dickens Group Home, Llc is 1942464409. The last update date is 2008-07-14.

Dickens Group Home, Llc's current location address is 10719 Starwood Ave, Charlotte, North Carolina. You can contact this provider via phone number 7049061519 and fax number 7045739407. The mailing address for Dickens Group Home, Llc is 10719 Starwood Ave, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dickens Group Home, Llc
Address 10719 Starwood Ave, Charlotte, North Carolina
Phone Number 7049061519
Fax Number 7045739407
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Dickens Jerome
Telephone Number 7049061519

NPI Number Detail

NPI Number 1942464409
Provider Enumeration Date 2008-07-14
Last Updated Date 2008-07-14

Provider Mailing Address Detail

Address 10719 Starwood Ave
City Charlotte
State North Carolina (NC)
Post Code 282159587
Phone Number 7049061519
Fax Number 7045739407

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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FAQs about Dickens Group Home, Llc

What is the unique 10-digit identification code issued to Dickens Group Home, Llc by the Centers for Medicare & Medicaid Services?

The Dickens Group Home, Llc has been assigned the NPI (National Provider Identifier) 1942464409 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Dickens Group Home, Llc's facilities are geographically located?

The facilities of Dickens Group Home, Llc are physically situated at the following location: 10719 Starwood Ave, Charlotte, NC, 282159587.

What is Dickens Group Home, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dickens Group Home, Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.

On what date did Dickens Group Home, Llc receive its 1942464409 assignment from the Centers for Medicare & Medicaid Services?

The Dickens Group Home, Llc was assigned its 1942464409 on 2008-07-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Dickens Group Home, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Dickens Group Home, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-14.

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