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MISS PEGGY GREEN
NPI 1174826390
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Charlotte, NC

Active since December 09, 2010
6400 IVORY PALM DR, CHARLOTTE, NC 28227(704) 910-5458 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Miss Peggy Green NPPES

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

MISS PEGGY GREEN (NPI 1174826390) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Charlotte, North Carolina and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1174826390
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameMISS PEGGY GREEN
Location Address6400 IVORY PALM DRCharlotte, NC 28227-2435
Mailing Address6400 Ivorypalmdr.Charlotte, NC 28227-2435
Phone(704) 910-5458
Sole ProprietorYes
Enumeration DateDecember 9, 2010
✔ NPI 1174826390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
6400 IVORY PALM DR, Charlotte, NC 28227
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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 Peggy Green's NPI number?

The NPI number for Peggy Green is 1174826390. It was assigned to this individual provider in the NPPES registry on December 9, 2010.

Where is Peggy Green located?

Peggy Green practices at 6400 Ivory Palm Dr, Charlotte, NC 28227. The listed phone number is (704) 910-5458.

What is Peggy Green's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Peggy Green was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.