Organization Active NPI

The Valley Nest, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1093642761
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
THE VALLEY NEST, LLC
Practice address
1112 Vanizer St
Charlotte, NC 28208-4160
Phone
(704) 426-9812
NPI assigned
May 6, 2026
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Zeberina Adams
Title
Executive Drive
Phone
(704) 426-9812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

1112 Vanizer St
Charlotte, NC 28208-4160

Mailing address

1112 Vanizer St
Charlotte, NC 28208-4160

National Provider Directory

National Provider Directory

Locations

1112 Vanizer St
Charlotte, NC 28208
Phone (704) 426-9812

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1093642761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 VANIZER ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 VANIZER ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084160",
            "telephone_number": "704-426-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VALLEY NEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ZEBERINA",
        "authorized_official_title_or_position": "EXECUTIVE DRIVE",
        "authorized_official_telephone_number": "704-426-9812"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.