Organization Active NPI

Christian Women of Elegance, Inc.

Doing business as Beatties Ford Family Counseling & Vocational Rehabilitation Center

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1801997416
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MHL-060-973 Issued in NC
Legal business name
CHRISTIAN WOMEN OF ELEGANCE, INC.
Doing business as
Beatties Ford Family Counseling & Vocational Rehabilitation Center
Practice address
1406 Beatties Ford Road
Charlotte, NC 28216-4550
Phone
(704) 332-9434
Fax
(704) 332-9439
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Mrs. Frances Rebecca Hall
Title
Executive Director
Phone
(704) 332-9434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X MHL-060-973 NC Primary

Addresses

Primary practice location

1406 Beatties Ford Road
Charlotte, NC 28216-4550

Mailing address

1406 Beatties Ford Road
Charlotte, NC 28216-4550
Phone (704) 332-9434

Other identifiers 5

IdentifierTypeStateIssuer
6005768MedicaidNC
8301350GMedicaidNC
8301350BMedicaidNC
8301350HMedicaidNC
8301350PMedicaidNC

Other names 1

  • Beatties Ford Family Counseling & Vocational Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beatties Ford Family Counseling Vocational Rehabilitation Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1801997416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 BEATTIES FORD ROAD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164550",
            "telephone_number": "704-332-9434",
            "fax_number": "704-332-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 BEATTIES FORD ROAD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164550",
            "telephone_number": "704-332-9434",
            "fax_number": "704-332-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN WOMEN OF ELEGANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-332-9434",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "MHL-060-973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005768",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301350G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301350B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301350H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301350P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beatties Ford Family Counseling & Vocational Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 31, 2011; 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.