Parkland Residential Care

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PARKLAND RESIDENTIAL CARE

Practice address

3124 Berry Creek Rd
Charlotte, NC 28214-3376

Phone

(607) 232-0419

NPI assigned

Jul 16, 2022

Organization subpart

No

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

Authorized official

Name

Yannick Ndayisenga

Title

Ceo

Phone

(607) 232-0419

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657929600000",
    "number": "1801520622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 BERRY CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282143376",
            "telephone_number": "607-232-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 BERRY CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282143376",
            "telephone_number": "607-232-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A",
        "authorized_official_last_name": "NDAYISENGA",
        "authorized_official_first_name": "YANNICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "607-232-0419"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Devices",
            "affiliation": "N",
            "endpointDescription": "Electronic Devices",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3124 Berry Creek Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282143376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Parker, M.D.
• Allison May Parkes, OTR/L
• Kivette Parkes, N.D
• Parkhill Community Partners LLC
• Julia Parkhurst, PA-C
• Balrie Parks-Dixon, M.ED. COUNSELING
• Alneesah Parks, MSW, LCSWA
• Ashley Parks, LCMHC, LCAS
• Breanne Parks, PT, DPT
• Dustin Tripp Parks

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; 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.