GOSHEN DEVELOPMENTAL DISABILITY CENTER
NPI 1235910175
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Charlotte, NC

Active since October 06, 2023
617 MORNINGSIDE RD, CHARLOTTE, NC 28214(704) 361-9868 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Goshen Developmental Disability Center NPPES

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

GOSHEN DEVELOPMENTAL DISABILITY CENTER (NPI 1235910175), doing business as Goshen Ddc, is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Charlotte, North Carolina and active in the NPI registry since October 2023. The organization lists Marcel Kalonga, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1235910175
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameGOSHEN DEVELOPMENTAL DISABILITY CENTER
Location Address617 MORNINGSIDE RDCharlotte, NC 28214-9105
Mailing Address3306 N 190th PlzElkhorn, NE 68022-3554 · (402) 252-4497
Organization SubpartNo
Authorized OfficialMarcel KalongaExecutive Director · (704) 361-9868
Enumeration DateOctober 6, 2023
NPPES CertifiedOctober 6, 2023
NPI 1235910175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
617 MORNINGSIDE RD, Charlotte, NC 28214

Other Names 1

Doing Business AsGoshen Ddc

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 Goshen Developmental Disability Center's NPI number?

The NPI number for Goshen Developmental Disability Center is 1235910175. It was assigned to this organization in the NPPES registry on October 6, 2023. The provider is doing business as Goshen DDC.

Where is Goshen Developmental Disability Center located?

Goshen Developmental Disability Center is located at 617 Morningside Rd, Charlotte, NC 28214. The listed phone number is (704) 361-9868.

What is Goshen Developmental Disability Center's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Goshen Developmental Disability Center was last updated on October 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.