WILLOW RESIDENTIAL LLC
NPI 1154252203
Residential Treatment Facility, Emotionally Disturbed Children in Charlotte, NC
NPI Status: Active since May 27, 2026
Contact Information
2631 KENHILL DR
CHARLOTTE, NC
ZIP 28208
Phone: (704) 749-4564
This NPI profile has been added to the NPI registry within the last 30 days.
- Organization
- Residential Treatment Facility, Emotiona...
About WILLOW RESIDENTIAL LLC
This page provides the complete NPI Profile along with additional information for Willow Residential Llc, a provider established in Charlotte, North Carolina operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1154252203 assigned on May 2026. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Amantii Samson (Owner)
- NPI
- 1154252203
- Provider Name
- WILLOW RESIDENTIAL LLC
- Entity Type
- Organization
- Location Address
- 2631 KENHILL DR CHARLOTTE, NC 28208
- Location Phone
- (704) 749-4564
- Mailing Address
- 2631 KENHILL DR CHARLOTTE, NC 28208
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2026
- Last Update Date
- 05-27-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154252203, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154252203, enumerated as an "organization" on May 27, 2026.
The provider is located at 2631 KENHILL DR CHARLOTTE, NC 28208 and the phone number is (704) 749-4564.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
