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NPI Code Detail

MEDICARE: SUPPORTIVE HOUSING COMMUNITIES

MEDICARE: SUPPORTIVE HOUSING COMMUNITIES
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
1261QM0855XAdolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number : 1871372359
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUPPORTIVE HOUSING COMMUNITIES
Provider Business Mailing Address
First Line : 601 E 5TH ST STE 255
Second Line :
City : CHARLOTTE
State : NC
Zip : 28202-3010
Country : US
Telephone Number : 980-505-6358
Fax Number :
Provider Business Practice Location Address
First Line : 2120 N DAVIDSON ST
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-1828
Country : US
Telephone Number : 980-505-6358
Fax Number :
Authorized Official
Title or Position : CEO
Name : LAURA CALDWELL
Credential :
Telephone Number : 703-587-3237
Provider Enumeration Date : 09/25/2023
Last Update Date : 09/11/2025

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Directions to “SUPPORTIVE HOUSING COMMUNITIES ” Practice Location

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