Inreach

Organization Active NPI Adult Care Home Facility · Charlotte, NC

NPI 1891814737 · NPPES record last updated Mar 28, 2025

Key facts

NPI
1891814737
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
Legal business name
INREACH
Practice address
3018 Crosby Rd
Charlotte, NC 28211-2817
Phone
(704) 366-8667
Fax
(704) 536-0074
NPI assigned
Mar 29, 2007
Organization subpart
No

Authorized official

Name
Lori Gougeon
Title
Executive Director
Phone
(704) 536-6661

Corporate family (same tax ID) 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

National Provider Directory

Tax ID family
Inreach (30 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Care Home Facility 311ZA0620X Yes
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 060-161 NC

Addresses

Primary practice location

3018 Crosby Rd
Charlotte, NC 28211-2817

Mailing address

4014 Monroe Rd Ste 170
Charlotte, NC 28205-0094
Phone (704) 536-6661

Other identifiers

IdentifierTypeStateIssuer
MHL-060-161OtherNCNC DEPARTMENT OF HEALTH AND HUMAN SERVICES
7802248MedicaidNC

Other providers in Charlotte, NC

All providers in Charlotte, NC · Adult Care Home Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.