NPIMap

Organization Active NPI

Inreach

  • Adult Care Home Facility
  • Charlotte, NC
National Provider Identifier
1962521823
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
INREACH
Practice address
4922 Greywood Dr
Charlotte, NC 28212-4826
Phone
(704) 563-0105
Fax
(704) 536-0074
NPI assigned
Mar 29, 2007
Last updated
Mar 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Care Home Facility 311ZA0620X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL060-157 NC

Addresses

Primary practice location

4922 Greywood Dr
Charlotte, NC 28212-4826

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
MHL-060-157OtherNCNC DEPARTMENT OF HEALTH AND HUMAN SERVICES
7802264MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Inreach30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1962521823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 MONROE RD STE 170",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282050094",
            "telephone_number": "704-536-6661",
            "fax_number": "704-536-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 GREYWOOD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282124826",
            "telephone_number": "704-563-0105",
            "fax_number": "704-536-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "GOUGEON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-536-6661"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL060-157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DEPARTMENT OF HEALTH AND HUMAN SERVICES",
            "identifier": "MHL-060-157",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802264",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 28, 2025; 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.