Healthcare Provider Details

I. General information

NPI: 1730873779
Provider Name (Legal Business Name): CAREPATH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 DRURY DR
CHARLOTTE NC
28206-3706
US

IV. Provider business mailing address

2214 YADKIN POINT LN
CHARLOTTE NC
28262-2866
US

V. Phone/Fax

Practice location:
  • Phone: 704-595-3967
  • Fax:
Mailing address:
  • Phone: 917-533-0368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. KHALID BAKER
Title or Position: CEO
Credential:
Phone: 917-533-0368