Active NPI
Point Fof Love and Grace Inc,
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Shelby, NC
National Provider Identifier
1811034531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- MHL023098
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.