NPIMap

Organization Active NPI

Innovative Residential Care, LLP

  • Assisted Living Facility
  • Charlotte, NC
National Provider Identifier
1205106366
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL-060-112 Issued in NC
Legal business name
INNOVATIVE RESIDENTIAL CARE, LLP
Practice address
6602 Cardinal Glen CT
Charlotte, NC 28269-6182
Phone
(704) 274-9612
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Ms. Melissa Gail Lynch, RN, BSN, MBA
Title
Partner/Administrator
Phone
(704) 473-5263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL-060-112 NC Primary

Addresses

Primary practice location

6602 Cardinal Glen CT
Charlotte, NC 28269-6182

Mailing address

9640 Gilead Grove Rd
Huntersville, NC 28078-2289
Phone (704) 473-5263

National Provider Directory

National Provider Directory
Tax ID family
Innovative Residential Care LLP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1205106366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 GILEAD GROVE RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280782289",
            "telephone_number": "704-473-5263",
            "fax_number": "866-741-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 CARDINAL GLEN CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696182",
            "telephone_number": "704-274-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE RESIDENTIAL CARE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "PARTNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "704-473-5263",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-060-112",
            "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 Jan 6, 2012; 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.