Active NPI
Gifted Living Home Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Charlotte, NC
National Provider Identifier
1770417149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- GIFTED LIVING HOME SERVICES
- Practice address
- 3913 Bearwood Ave
Charlotte, NC 28205-1329 - Phone
- (704) 713-8361
- Fax
- (704) 270-9309
- NPI assigned
- Jun 10, 2026
- 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. Vincent Bryant Able Jr.
- Title
- Ceo
- Phone
- (704) 713-8361
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
3913 Bearwood Ave
Charlotte, NC 28205-1329
Mailing address
3913 Bearwood Ave
Charlotte, NC 28205-1329
Phone (704) 713-8361
National Provider Directory
National Provider Directory- Tax ID family
- Gifted Living Home Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Charlotte, NC
- NPI 1356286249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781049600000",
"number": "1770417149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3913 BEARWOOD AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282051329",
"telephone_number": "704-713-8361",
"fax_number": "704-270-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3913 BEARWOOD AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282051329",
"telephone_number": "704-713-8361",
"fax_number": "704-270-9309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIFTED LIVING HOME SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-10",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A",
"authorized_official_last_name": "ABLE",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "BRYANT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-713-8361",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"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 Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.