Active NPI
Stone Bride Community Partners, LLC
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1831703040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- STONE BRIDE COMMUNITY PARTNERS, LLC
- Practice address
- 9625 David Taylor Dr Ste 109
Charlotte, NC 28262-2362 - Phone
- (704) 659-3759
- Fax
- (980) 301-9766
- NPI assigned
- Sep 4, 2020
- 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
- Mrs. Syreeta Watkins Reaves, MSN, RN, NPD-BC
- Title
- Chief Executive Officer
- Phone
- (910) 352-2023
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
9625 David Taylor Dr Ste 109
Charlotte, NC 28262-2362
Mailing address
10926 David Taylor Dr Ste 120
Charlotte, NC 28262-0039
Phone (704) 659-3753
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831703040 | Medicaid | NC |
Other names 1
- StoneBridge Home Care Agency
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220310000824 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 9234524208 | Practice locations: Charlotte, NC |
National Provider Directory
National Provider DirectoryLocations
9625 David Taylor Dr
Ste 109
Charlotte, NC 28262
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Concord, NC
- NPI 1629681002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1831703040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10926 DAVID TAYLOR DR STE 120",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282620039",
"telephone_number": "704-659-3753",
"fax_number": "980-301-9766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9625 DAVID TAYLOR DR STE 109",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282622362",
"telephone_number": "704-659-3759",
"fax_number": "980-301-9766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STONE BRIDE COMMUNITY PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-04",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A",
"authorized_official_last_name": "REAVES",
"authorized_official_first_name": "SYREETA",
"authorized_official_middle_name": "WATKINS",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "910-352-2023",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSN, RN, NPD-BC"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831703040",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "StoneBridge Home Care Agency",
"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 Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.