NPIMap

Organization Active NPI

Golden Rule of Charlotte, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1124164132
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-060-882 Issued in NC
Legal business name
GOLDEN RULE OF CHARLOTTE, INC.
Practice address
1612 Clooney LN
Charlotte, NC 28262-3552
Phone
(704) 598-0392
Fax
(704) 532-5948
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hattie Malone, LCSW
Title
Executive Director
Phone
(704) 724-3783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-060-882 NC Primary

Addresses

Primary practice location

1612 Clooney LN
Charlotte, NC 28262-3552

Mailing address

PO Box 680132
Charlotte, NC 28216-0003
Phone (704) 532-0566

Other identifiers 1

IdentifierTypeStateIssuer
6603655MedicaidNC

Other names 1

  • Bodie's Group Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Bodie' Group Home I6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124164132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680132",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160003",
            "telephone_number": "704-532-0566",
            "fax_number": "704-532-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 CLOONEY LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623552",
            "telephone_number": "704-598-0392",
            "fax_number": "704-532-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN RULE OF CHARLOTTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "HATTIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-724-3783",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-060-882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603655",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodie's Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.