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A PLACE OF MY OWN, LLC
NPI 1093319170
Community/Behavioral Health in Kannapolis, NC

Active since November 30, 2020CLIA 34D2328363 · Waiver
315 LOWER POND RD, KANNAPOLIS, NC 28083(704) 925-1158(855) 975-3055 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2021, Nov 30, 2020 (2 updates tracked since 2020).

About A Place Of My Own, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A PLACE OF MY OWN, LLC (NPI 1093319170) is a healthcare organization registered as a community/behavioral health in Kannapolis, North Carolina and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through August 7, 2027 and lists Toi Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1093319170
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameA PLACE OF MY OWN, LLC
Location Address315 LOWER POND RDKannapolis, NC 28083-6526
Mailing Address315 Lower Pond RdKannapolis, NC 28083-6526 · (704) 925-1158 · Fax (855) 975-3055
Phone(704) 925-1158
Fax(855) 975-3055
Organization SubpartNo
Authorized OfficialToi JacksonOwner · (704) 965-7210
Enumeration DateNovember 30, 2020
Last NPPES UpdateAugust 27, 20212 updates tracked since enumeration
NPPES CertifiedAugust 26, 2021
✔ NPI 1093319170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedCustodial Care FacilityTaxonomy 311Z00000X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
315 LOWER POND RD, Kannapolis, NC 28083
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2328363

A Place Of My Own · Kannapolis, NC
Active · expires Aug 7, 2027
CLIA Number34D2328363
Laboratory TypeGroup Home
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorVanessa P. Sanders
Laboratory Phone(704) 925-1158
Laboratory LocationA Place Of My Own5155 Patterson Road, Kannapolis, NC 28083
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAQUANYA LEANNE SPANN
Counselor (Mental Health)
315 LOWER POND RD
KANNAPOLIS, NC 28083
Cabarrus County (704) 267-7540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Place Of My Own, LLC's NPI number?

The NPI number for A Place Of My Own, LLC is 1093319170. It was assigned to this organization in the NPPES registry on November 30, 2020.

Where is A Place Of My Own, LLC located?

A Place Of My Own, LLC is located at 315 Lower Pond Rd, Kannapolis, NC 28083. The listed phone number is (704) 925-1158.

What is A Place Of My Own, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does A Place Of My Own, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2328363) is associated with this NPI, valid through August 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for A Place Of My Own, LLC was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.