Gifted Living Home Services
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Charlotte, NC. Organization (NPI-2).
NPI number1356286249
StatusActive
Last updated in NPPESApr 20, 2026
Details
- NPI
- 1356286249
- Entity type
- Organization (NPI-2)
- Legal business name
- Gifted Living Home Services
- Organization subpart
- No
- Enumeration date
- Apr 20, 2026
- Certification date
- Apr 20, 2026
- Last updated
- Apr 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 320700000X | Residential Treatment Facility, Physical Disabilities | – | – | |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – |
Practice location
3913 Bearwood AveCharlotte, NC 28205-1329
Phone 704-713-8361
Mailing address
4224 Stoneygreen LnCharlotte, NC 28215-7092
Phone 704-713-8361
Authorized official
Vincent Able
Owner
7047138361
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