CONCRETE ROSES LIFE CENTER
NPI 1508360892
Clinic/Center - Mental Health (Including Community Mental Health Center) in Charlotte, NC
About Concrete Roses Life Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONCRETE ROSES LIFE CENTER (NPI 1508360892) is a healthcare organization registered as a mental health (including community mental health center) in Charlotte, North Carolina and active in the NPI registry since March 2018. The organization lists Shaukura Mandisa Brown, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Concrete Roses Life Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Concrete Roses Life Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Concrete Roses Life Center's NPI number?
The NPI number for Concrete Roses Life Center is 1508360892. It was assigned to this organization in the NPPES registry on March 21, 2018.
Where is Concrete Roses Life Center located?
Concrete Roses Life Center is located at 5960 Fairview Rd Ste 323, Charlotte, NC 28210. The listed phone number is (980) 263-0991.
What is Concrete Roses Life Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Concrete Roses Life Center enrolled in Medicare?
Yes. Concrete Roses Life Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Concrete Roses Life Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Concrete Roses Life Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Concrete Roses Life Center accept?
Health plans from Blue Cross and Blue Shield of NC list Concrete Roses Life Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Concrete Roses Life Center was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Concrete Roses Life Center · NPI 1508360892
Mental Health (Including Community Mental Health Center) organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since March 21, 2018.
## Identity
- **NPI:** 1508360892 (Entity type: Organization)
- **Enumerated:** March 21, 2018
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Shaukura Brown, CEO
## Practice location
- **Address:** 5960 FAIRVIEW RD STE 323, Charlotte, NC 28210-3102
- **Phone:** (980) 263-0991
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Clinical Social Worker) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1508360892) · Data from the CMS NPPES public registry.