Keystone Charlotte LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

MHL-060-600 Issued in NC

Legal business name

KEYSTONE CHARLOTTE LLC

Doing business as

Keys of Carolina

Practice address

1715 Sharon Rd W
Charlotte, NC 28210-5663

Phone

(704) 554-9874

Fax

(704) 554-9641

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Steve Filton

Title

Cfo/Sr VP

Phone

(610) 768-3300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Keys of Carolina Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 344031

Legal name

STRATEGIC BEHAVIORAL CENTER-CHARLOTTE

Certification status

Terminated Voluntary: merger or closure, Jan 20, 2021

Provider type (POS)

Hospital – Psychiatric

Participating since

Jan 7, 2016

Last certification

Jan 7, 2016

Beds

60 (24 certified)

Ownership / control type

Private (for profit)

Facility address

1715 Sharon Road West
Charlotte, NC 28210

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1851325880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 SHARON RD W",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105663",
            "telephone_number": "704-554-9874",
            "fax_number": "704-554-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SHARON RD W",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105663",
            "telephone_number": "704-554-9874",
            "fax_number": "704-554-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE CHARLOTTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO/SR VP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NC",
            "license": "MHL-060-600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404524",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603904",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keys of Carolina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kelli Keys, MSW, LCSW
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• Keyvan Jalali D.D.S., PLLC
• KFM Services LLC
• Madhuri Khadka, NP
• Laquinta Khaldun, CCC-SLP

• Psychiatric Hospital in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatric Hospital in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.