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CHARLOTTE MC LLC
NPI 1417759028
Custodial Care Facility - Adult Care Home in Charlotte, NC

Active since March 25, 2025
9108 REAMES RD, CHARLOTTE, NC 28216(980) 655-2032 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charlotte Mc Llc NPPES

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

CHARLOTTE MC LLC (NPI 1417759028), doing business as Northlake House, is a healthcare organization registered as an adult care home in Charlotte, North Carolina and active in the NPI registry since March 2025. The organization lists Jennilee M Richardson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417759028
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameCHARLOTTE MC LLC
Location Address9108 REAMES RDCharlotte, NC 28216-1824
Mailing Address5430 Wade Park Blvd Ste 310Raleigh, NC 27607-4191 · (919) 371-4233
Phone(980) 655-2032
Organization SubpartNo
Authorized OfficialJennilee M RichardsonCfo · (919) 621-2093
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1417759028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
9108 REAMES RD, Charlotte, NC 28216
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Other Names 1

Doing Business AsNorthlake House

Other Providers at the Same Location NPPES 2

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

NORTHLAKE AL HOLDINGS, LLC
Custodial Care Facility (Adult Care Home)
9108 REAMES RD
CHARLOTTE, NC 28216
Mecklenburg County (980) 859-6000
FRIENDSHIP ENTERPRISES, LLC
Assisted Living Facility
9108 REAMES RD
CHARLOTTE, NC 28216
Mecklenburg County (704) 597-7575

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 Charlotte Mc LLC's NPI number?

The NPI number for Charlotte Mc LLC is 1417759028. It was assigned to this organization in the NPPES registry on March 25, 2025. The provider is doing business as Northlake House.

Where is Charlotte Mc LLC located?

Charlotte Mc LLC is located at 9108 Reames Rd, Charlotte, NC 28216. The listed phone number is (980) 655-2032.

What is Charlotte Mc LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Charlotte Mc LLC was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.