Active NPI
St. Michael's Residential & Community Services, Inc.
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Charlotte, NC
National Provider Identifier
1629123856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- MHL-060-1006
- Legal business name
- ST. MICHAEL'S RESIDENTIAL & COMMUNITY SERVICES, INC.
- Practice address
- 6630 Fair Lawn Rd
Charlotte, NC 28215-3720 - Phone
- (704) 537-3297
- Fax
- (704) 434-0268
- NPI assigned
- Jan 25, 2007
- Last updated
- Aug 22, 2020
- 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
- Mr. James R Singleton, QMHP
- Title
- Executive Director
- Phone
- (704) 466-0046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL-060-1006 | NC | Primary |
Addresses
Primary practice location
6630 Fair Lawn Rd
Charlotte, NC 28215-3720
Mailing address
6630 Fair Lawn Rd
Charlotte, NC 28215-3720
Phone (704) 537-3297
National Provider Directory
National Provider Directory- Tax ID family
- Saint Michaels Residential Community Services Inc 2
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Charlotte, NC
- NPI 1740474907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629123856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6630 FAIR LAWN RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282153720",
"telephone_number": "704-537-3297",
"fax_number": "704-434-0268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6630 FAIR LAWN RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282153720",
"telephone_number": "704-537-3297",
"fax_number": "704-434-0268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. MICHAEL'S RESIDENTIAL & COMMUNITY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SINGLETON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-466-0046",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "QMHP"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "NC",
"license": "MHL-060-1006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Jean Wesley St. John, MS, CGC
- Mary St. John, MMS, PA-C
- Gregory St. Martin, MA, NCC
- St. Mary's Home Care Services, Inc
- St. Mary's Home Care Services, Inc.
- Stacey D. Alston, DDS, PA (Genesis Family Dentistry)
- Anne Carter Stack, LCSW
- Phillip Stack, ATC
- Robert Kevin Stack, M.D.
- Daniel Jay Stackhouse, M.D.
Sources for this page
- 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.