Organization Active NPI

Point Fof Love and Grace Inc,

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Shelby, NC
National Provider Identifier
1811034531
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL023098 Issued in NC
Legal business name
POINT FOF LOVE AND GRACE INC,
Practice address
1734 Stony Point Rd
Shelby, NC 28150-9600
Phone
(704) 435-8666
Fax
(704) 435-8666
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Garry Mitchell Stevenson, J.D., QP
Title
Executive Diorector
Phone
(704) 435-8666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL023098 NC Primary

Addresses

Primary practice location

1734 Stony Point Rd
Shelby, NC 28150-9600

Mailing address

1419 Fawn Ridge Rd NW
Concord, NC 28027-9066
Phone (704) 788-2366

Other names 1

  • Stoney Point Group Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811034531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 FAWN RIDGE RD NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279066",
            "telephone_number": "704-788-2366",
            "fax_number": "704-723-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 STONY POINT RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281509600",
            "telephone_number": "704-435-8666",
            "fax_number": "704-435-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINT FOF LOVE AND GRACE INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "EXECUTIVE DIORECTOR",
        "authorized_official_telephone_number": "704-435-8666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D., QP"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL023098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoney Point Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.