Grant Adult Care Homes, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

060-071 Issued in NC

Legal business name

GRANT ADULT CARE HOMES, INC.

Practice address

3613 Havenwood Rd
Charlotte, NC 28205-4724

Phone

(704) 365-1504

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Miss Annette Harper, MSW

Title

Owner/Administrator

Phone

(704) 365-1504

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1942561527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 HAVENWOOD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282054724",
            "telephone_number": "704-365-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 HAVENWOOD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282054724",
            "telephone_number": "704-365-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT ADULT CARE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "704-365-1504",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "060-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Charlotte, NC
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• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.