MEDICARE: UPLIFTED AND ROOTED IN WELLNESS AND RECOVERY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1396670899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPLIFTED AND ROOTED IN WELLNESS AND RECOVERY

Provider Business Mailing Address
First Line	:	10600 TURKEY POINT DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214-1067
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10600 TURKEY POINT DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214-1067
Country	:	US
Telephone Number	:	980-273-5638
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JASMINE GARRETT
Credential	:
Telephone Number	:	980-273-5638

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “UPLIFTED AND ROOTED IN WELLNESS AND RECOVERY ” Practice Location

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