Inreach
Organization Active NPI Adult Care Home Facility · Charlotte, NC
NPI 1700905643 · NPPES record last updated Mar 28, 2025
Key facts
- NPI
- 1700905643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- Legal business name
- INREACH
- Practice address
- 4724 Shamrock Dr
Charlotte, NC 28215-5108 - Phone
- (704) 563-9885
- Fax
- (704) 536-0074
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Lori Gougeon
- Title
- Executive Director
- Phone
- (704) 536-6661
Corporate family (same tax ID) 29
National Provider Directory
- Tax ID family
- Inreach
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Care Home Facility | 311ZA0620X | Yes | ||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL 060-152 | NC |
Addresses
Primary practice location
4724 Shamrock Dr
Charlotte, NC 28215-5108
Mailing address
4014 Monroe Rd Ste 170
Charlotte, NC 28205-0094
Phone (704) 536-6661
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7802275 | Medicaid | NC | |
| MHL-060-152 | Other | NC | NC DEPARTMENT OF HEALTH AND HUMAN SERVICES |
Other providers in Charlotte, NC
All providers in Charlotte, NC · Adult Care Home Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.