Active NPI
Gracious Living Adhcc Corporation
- Adult Day Care Clinic/Center
- Huntersville, NC
National Provider Identifier
1407259179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- GRACIOUS LIVING ADHCC CORPORATION
- Practice address
- 17220 Northcross Dr
Suite 120
Huntersville, NC 28078-5085 - Phone
- (704) 997-5032
- NPI assigned
- Oct 8, 2014
- 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
- Mrs. Michele D Allgood
- Title
- Program Director/ Owner
- Phone
- (704) 997-5032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | NC | Primary |
Addresses
Primary practice location
17220 Northcross Dr
Suite 120
Huntersville, NC 28078-5085
Mailing address
17220 Northcross Dr
Suite 120
Huntersville, NC 28078-5085
Phone (704) 997-5032
National Provider Directory
National Provider DirectoryLocations
17220 Northcross Dr
Ste 120
Huntersville, NC 28078
Phone (704) 997-5032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412726400000",
"number": "1407259179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17220 NORTHCROSS DR",
"address_2": "SUITE 120",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785085",
"telephone_number": "704-997-5032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17220 NORTHCROSS DR",
"address_2": "SUITE 120",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785085",
"telephone_number": "704-997-5032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACIOUS LIVING ADHCC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-08",
"last_updated": "2014-10-08",
"status": "A",
"authorized_official_last_name": "ALLGOOD",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PROGRAM DIRECTOR/ OWNER",
"authorized_official_telephone_number": "704-997-5032",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.