Healthcare Provider Details

I. General information

NPI: 1760217848
Provider Name (Legal Business Name): SARACHEL HOMES NC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 CARTER CIR
WINSTON SALEM NC
27106-4807
US

IV. Provider business mailing address

10721 JOHN PRICE RD STE A8
CHARLOTTE NC
28273-0326
US

V. Phone/Fax

Practice location:
  • Phone: 336-529-4569
  • Fax:
Mailing address:
  • Phone: 980-430-3669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MIA TANEE HATTEN
Title or Position: DIRECTOR
Credential:
Phone: 704-993-7388