Tarheel Residential Treatment

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-060-632 Issued in NC

Legal business name

TARHEEL RESIDENTIAL TREATMENT

Practice address

7921 Chestnut Ridge Dr
Charlotte, NC 28215-5517

Phone

(704) 536-4595

Fax

(704) 645-8900

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Munir Mohammed, BSW, MS

Title

Director

Phone

(704) 506-3575

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316073737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43537",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282150040",
            "telephone_number": "704-536-4595",
            "fax_number": "704-645-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7921 CHESTNUT RIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155517",
            "telephone_number": "704-536-4595",
            "fax_number": "704-645-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARHEEL RESIDENTIAL TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "MUNIR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-506-3575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSW, MS"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-060-632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603921",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Target
• Target
• Target Corporation
• Targetcare, Inc.
• Tarheel Orthomed LLC
• Nauman Tariq, MD
• Beth Spangenberg Tarkington, MD
• Ann Tarlton
• Melonie Rebecca Tarlton, LCSW
• Sandy Brewer Tarlton, D.D.S.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• 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.