Organization Active NPI

BS Way LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1306625611
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
BS WAY LLC
Practice address
750 Newfound Hollow Dr
Charlotte, NC 28214-4502
Phone
(980) 417-3190
NPI assigned
Sep 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Kelly Lachelle Smith, MD
Title
Counselor
Phone
(562) 743-8166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

750 Newfound Hollow Dr
Charlotte, NC 28214-4502

Mailing address

PO Box 31323
Charlotte, NC 28231
Phone (980) 417-3190

National Provider Directory

National Provider Directory

Locations

1517 Barto Pl
Greensboro, NC 27405

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1306625611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31323",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28231",
            "telephone_number": "980-417-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NEWFOUND HOLLOW DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282144502",
            "telephone_number": "980-417-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BS WAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LACHELLE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "562-743-8166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "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 Jun 3, 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.