Katrina Renees Safe Place LLC

Primary specialty

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

Legal business name

KATRINA RENEES SAFE PLACE LLC

Practice address

5017 Elizabeth Rd
Charlotte, NC 28269-4534

Phone

(704) 352-8043

NPI assigned

Apr 12, 2024

Last updated

Apr 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Katrina R. Bryant, MS, LCASNPI 1730960741

Title

Owner

Phone

(704) 352-8043

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katrina Renee Bryant, MS, LCAS

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Charlotte, NC
  • NPI 1730960741

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1528812930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 W MOREHEAD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085576",
            "telephone_number": "704-325-8336",
            "fax_number": "704-325-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 ELIZABETH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694534",
            "telephone_number": "704-352-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATRINA RENEES SAFE PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-352-8043",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LCAS"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Kickertz DDS Ms PLLC (Premier Endodontics of SouthPark)
• Ava Rose Katinas
• Bobby Kato, LPC
• Cara Deanna Kato, OTR
• Katrina M. Lavalliere, D.D.S, P.L.L.C. (Lavalliere Dentistry)
• Levon Katsakhyan, MD
• James Katsoudas, MACC, LPCA
• Belange Katungu
• Barbara Ballantine Katz, MSW
• Seth Katz

• 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 Apr 12, 2024; 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.