Goshen Developmental Disability Center

LBN: Goshen Developmental Disability Center
Goshen Developmental Disability Center is an health care organization with primary practice located at 617 Morningside Rd , Charlotte NC 28214-9105. The organization recently has 6 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Goshen Developmental Disability Center can be contacted via phone (704) 361-9868, or through Kalonga, Marcel via phone (704) 361-9868.

Contact Information

Primary practice address
617 Morningside Rd Charlotte NC 28214-9105
Phone: (704) 361-9868
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kalonga, Marcel
Phone: (704) 361-9868

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1235910175
LBN Legal business name Goshen Developmental Disability Center
DBA Doing business as
Authorized official Kalonga, Marcel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2023
Last updated Oct 6th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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