Active NPI
Kindway Center LLC
- Mental Illness Community Based Residential Treatment Facility
- Charlotte, NC
National Provider Identifier
1336038389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- KINDWAY CENTER LLC
- Practice address
- 5320 Nevin Rd Ste B
Charlotte, NC 28269-2946 - Phone
- (321) 831-9197
- NPI assigned
- Jul 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tasha Williams
- Title
- Managing Member
- Phone
- (321) 831-9197
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary | ||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X |
Addresses
Primary practice location
5320 Nevin Rd Ste B
Charlotte, NC 28269-2946
Mailing address
5320 Nevin Rd Ste a
Charlotte, NC 28269-2946
Phone (321) 831-9197
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752019200000",
"number": "1336038389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5320 NEVIN RD STE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282692946",
"telephone_number": "321-831-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5320 NEVIN RD STE B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282692946",
"telephone_number": "321-831-9197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINDWAY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-02",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "TASHA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "321-831-9197"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.