Active NPI
Americare Developmental Services
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Charlotte, NC
National Provider Identifier
1821142282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- AMERICARE DEVELOPMENTAL SERVICES
- Practice address
- 6120 Carriage Oaks Dr
Charlotte, NC 28262-3253 - Phone
- (704) 506-6888
- Fax
- (704) 378-0363
- NPI assigned
- Jan 23, 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
- Tanis Watkins, MPA
- Title
- Ceo
- Phone
- (704) 506-6888
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary |
Addresses
Primary practice location
6120 Carriage Oaks Dr
Charlotte, NC 28262-3253
Mailing address
PO Box 217125
Charlotte, NC 28221-0125
Phone (704) 506-6888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6604421 | Medicaid | NC | |
| 6603747 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Americare Developmental Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Forest City, NC
- NPI 1760663058
-
- Point of Service
- Forest City, NC
- NPI 1548596430
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Charlotte, NC
- NPI 1659555183
Residential Treatment Facility, Emotionally Disturbed Children
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308787200000",
"number": "1821142282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 217125",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282210125",
"telephone_number": "704-506-6888",
"fax_number": "704-378-0363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 CARRIAGE OAKS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623253",
"telephone_number": "704-506-6888",
"fax_number": "704-378-0363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICARE DEVELOPMENTAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2011-06-23",
"status": "A",
"authorized_official_last_name": "WATKINS",
"authorized_official_first_name": "TANIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-506-6888",
"authorized_official_credential": "MPA"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6604421",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6603747",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- American Current Care of North Carolina PC (dba, Concentra Urgent Care)
- American Current Care of North Carolina PC (dba, Concentra Urgent Care)
- American Hero Shuttle LLC
- American Home Care & Transportation Inc
- American Patriot Services LLC (American Patriot Home Healthcare)
- Americare Health (Americare at the Park)
- Americare Health, PC (Plaza Medical)
- Amerita South Atlantic LLC (Advanced Home Infusion)
- Anisha Roxanna Ames, MSW, LCSW-A
- Amethyst Birth Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.