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NPI Code Detail

MEDICARE: LIKE HOME LIVING

MEDICARE: LIKE HOME LIVING
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1285517862
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIKE HOME LIVING
Provider Business Mailing Address
First Line : 2813 COLUMBUS CIR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-5013
Country : US
Telephone Number : 276-358-0076
Fax Number :
Provider Business Practice Location Address
First Line : 2813 COLUMBUS CIR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-5013
Country : US
Telephone Number : 276-358-0076
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : CARNIECE GREENE FOUNTAIN
Credential :
Telephone Number : 276-358-0076
Provider Enumeration Date : 07/30/2025
Last Update Date : 07/30/2025

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Directions to “LIKE HOME LIVING ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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