Nurturing Nest Residential Home

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

NURTURING NEST RESIDENTIAL HOME

Practice address

3901 Thompson St
Charlotte, NC 28216-3941

Phone

(419) 699-5739

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. K'Lynn Beal, MS

Title

Owner/Director

Phone

(419) 699-5739

Specialties & licenses 1

Addresses

Other names 1

• Nurturing Nest Residential Home Former legal business name

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1174340913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S MINT ST APT 633",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036843",
            "telephone_number": "419-699-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 THOMPSON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163941",
            "telephone_number": "419-699-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURING NEST RESIDENTIAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "K'LYNN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "419-699-5739",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurturing Nest Residential Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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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 Sep 23, 2024; 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.