Organization Active NPI

Carolina Center for Recovery

  • Substance Abuse Rehabilitation Facility
  • Charlotte, NC
National Provider Identifier
1669989554
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CAROLINA CENTER FOR RECOVERY
Practice address
7349 Statesville Rd
Charlotte, NC 28269-3702
Phone
(704) 844-6958
Fax
(704) 973-7875
NPI assigned
Jan 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Mr. Russell Guccio
Title
Director of Operations
Phone
(704) 844-6958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

7349 Statesville Rd
Charlotte, NC 28269-3702

Mailing address

7349 Statesville Rd
Charlotte, NC 28269-3702
Phone (704) 844-6958

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2142409Carolina Center for Recovery7349 Statesville Rd, Charlotte, NC 28269Certificate of waiverJan 9, 2028

National Provider Directory

National Provider Directory

Locations

7349 Statesville Rd
Ste A
Charlotte, NC 28269

8509 Crown Crescent Ct
Charlotte, NC 28227
Phone (309) 634-9946

1320 Matthews Mint Hill Rd
Matthews, NC 28105
Phone (704) 844-6958

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1669989554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 STATESVILLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693702",
            "telephone_number": "704-844-6958",
            "fax_number": "704-973-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7349 STATESVILLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693702",
            "telephone_number": "704-844-6958",
            "fax_number": "704-973-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CENTER FOR RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "GUCCIO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "704-844-6958",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.