Healthcare Provider Details

I. General information

NPI: 1235050758
Provider Name (Legal Business Name): JOY PALACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10926 DAVID TAYLOR DR STE 120
CHARLOTTE NC
28262-0039
US

IV. Provider business mailing address

10926 DAVID TAYLOR DR STE 120
CHARLOTTE NC
28262-0039
US

V. Phone/Fax

Practice location:
  • Phone: 980-748-1984
  • Fax:
Mailing address:
  • Phone: 980-748-1984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SHAKITA MORRIS
Title or Position: CEO
Credential:
Phone: 980-748-1984