Saint Michaels Residential & Community Services, Inc. #2

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-060-1027 Issued in NC

Legal business name

SAINT MICHAELS RESIDENTIAL & COMMUNITY SERVICES, INC. #2

Practice address

7921 Chestnut Ridge Dr
Charlotte, NC 28215-5517

Phone

(704) 466-0046

Fax

(704) 535-1836

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Rick Singleton

Title

Executive Director

Phone

(704) 537-3297

Specialties & licenses 1

Addresses

Tax ID family

Saint Michaels Residential Community Services Inc 22 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Michael'S Residential & Community Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Charlotte, NC
  • NPI 1629123856
  NPD tax ID

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1740474907",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7921 CHESTNUT RIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155517",
            "telephone_number": "704-466-0046",
            "fax_number": "704-535-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MICHAELS RESIDENTIAL & COMMUNITY SERVICES, INC. #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-537-3297",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-060-1027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaelle Livingston Saine, RPH
• Tami Saine, PA
• Saint Francis Home Care
• Herbert Ludwig Saint Jean, DDS, MPH.
• Saint Michael Transportation LLC
• Jude Saint-Cyr, LCSWA
• Neielle Saint-Cyr
• Sannica Saint-Cyr
• Faith Caine Saint, PA-C
• Donna Howard Saintvil, LMBT

• Emotionally Disturbed Childrens' Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.