MEDICARE: ANOTHER CHANCE: HOUSE OF REFUGE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	253Z00000X	In Home Supportive Care Agency
3	385H00000X	Respite Care
4	343900000X	Non-emergency Medical Transport (VAN)
5	177F00000X	Lodging Provider
6	324500000X	Substance Abuse Rehabilitation Facility
7	174200000X	Meals Provider
8	251E00000X	Home Health Agency
9	251V00000X	Voluntary or Charitable Agency
10	347C00000X	Private Vehicle
11	251C00000X	Developmentally Disabled Services Day Training Agency
12	332U00000X	Home Delivered Meals
13	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1831701903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANOTHER CHANCE: HOUSE OF REFUGE, INC

Provider Business Mailing Address
First Line	:	3325 WASHBURN AVE STE 212
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-7172
Country	:	US
Telephone Number	:	704-562-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1818 KENNESAW DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-4825
Country	:	US
Telephone Number	:	704-562-7500
Fax Number	:	704-910-5576

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MS. SHAKIETA MALOYE
Credential	:
Telephone Number	:	704-562-7500

Provider Enumeration Date	:	08/20/2020
Last Update Date	:	03/03/2026

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Directions to “ANOTHER CHANCE: HOUSE OF REFUGE, INC ” Practice Location

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