A Safe Place Community Housing, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

A SAFE PLACE COMMUNITY HOUSING, LLC

Practice address

2049 Highland St
Charlotte, NC 28208-4909

Phone

(704) 780-0432

NPI assigned

Aug 11, 2017

Organization subpart

No

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

Authorized official

Name

Shaunta Bethea

Title

Program Development

Phone

(704) 780-0432

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1174048078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7203 WALDON PARK LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282142385",
            "telephone_number": "704-780-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 HIGHLAND ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084909",
            "telephone_number": "704-780-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SAFE PLACE COMMUNITY HOUSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-08-11",
        "status": "A",
        "authorized_official_last_name": "BETHEA",
        "authorized_official_first_name": "SHAUNTA",
        "authorized_official_title_or_position": "PROGRAM DEVELOPMENT",
        "authorized_official_telephone_number": "704-780-0432"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; 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.