Active NPI
Haven of Love Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Charlotte, NC
National Provider Identifier
1972760395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- HAVEN OF LOVE INC
- Practice address
- 1832 Burgandy Dr
Charlotte, NC 28262-4966 - Phone
- (704) 598-2723
- Fax
- (704) 568-7897
- NPI assigned
- May 22, 2008
- 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
- Miss Whitney Williams
- Title
- Executive Director
- Phone
- (704) 839-1977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | NC | Primary |
Addresses
Primary practice location
1832 Burgandy Dr
Charlotte, NC 28262-4966
Mailing address
10936 Gold Pan Rd
Charlotte, NC 28215-8603
Phone (704) 839-1977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418612 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Haven of Love Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Charlotte, NC
- NPI 1124353479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239062400000",
"number": "1972760395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10936 GOLD PAN RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282158603",
"telephone_number": "704-839-1977",
"fax_number": "704-568-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1832 BURGANDY DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624966",
"telephone_number": "704-598-2723",
"fax_number": "704-568-7897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVEN OF LOVE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-22",
"last_updated": "2009-04-07",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "WHITNEY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-839-1977",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418612",
"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 Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.