MEDICARE: PINK ELEPHANT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	177F00000X	Lodging Provider
2	332U00000X	Home Delivered Meals
3	174200000X	Meals Provider
4	252Y00000X	Early Intervention Provider Agency
5	343900000X	Non-emergency Medical Transport (VAN)
6	261QA0600X	Adult Day Care Clinic/Center
7	251E00000X	Home Health Agency
8	341600000X	Ambulance
9	251F00000X	Home Infusion Agency
10	251B00000X	Case Management Agency
11	253J00000X	Foster Care Agency
12	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
13	251C00000X	Developmentally Disabled Services Day Training Agency
14	251S00000X	Community/Behavioral Health Agency
15	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1558200022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINK ELEPHANT

Provider Business Mailing Address
First Line	:	7136 BULLOCK DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214-7102
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7918 BRISTLE LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214-8409
Country	:	US
Telephone Number	:	704-635-4671
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VICTORIA PANNELL
Credential	:
Telephone Number	:	980-420-0626

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/28/2026

Similar Medicare Providers

1144178963 — MAKAYLA GRANT
Practice Location Address:

7918 BRISTLE LN
CHARLOTTE, NC
28214-8409

Practice Phone: 980-420-0626
Practice Fax:

1114877743 — LEONDRE HORSEY
Practice Location Address:

7918 BRISTLE LN
CHARLOTTE, NC
28214-8409

Practice Phone: 240-761-5274
Practice Fax:

1952813354 — MS. ALEXANDRA BLISS COLARUSSO PA-C
Practice Location Address:

7940 WILLIAMS POND LN STE 150
CHARLOTTE, NC
28277-8409

Practice Phone: 704-247-8355
Practice Fax:

1326522475 — MRS. KATHERINE BUSKER GIBBONS M.S., R.D.N., L.D.N.
Practice Location Address:

7940 WILLIAMS POND LN STE 150
CHARLOTTE, NC
28277-8409

Practice Phone: 704-752-7779
Practice Fax:

1255944716 — CORETTA QUEEN CHAFFIN
Practice Location Address:

7940 WILLIAMS POND LN STE 150
CHARLOTTE, NC
28277-8409

Practice Phone: 704-247-8355
Practice Fax:

1205413267 — RACHEL M MENK
Practice Location Address:

7400 CARMEL EXECUTIVE PARK DR STE 115
CHARLOTTE, NC
28226-8409

Practice Phone: 980-237-3132
Practice Fax:

Directions to “PINK ELEPHANT ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.