COMMUNITY LIVING CONCEPTS OF NC, INC.
NPI 1518032267
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Statesville, NC

Active since November 21, 2006
211 SOUTH CENTER ST., SUITE 403, STATESVILLE, NC 28677(704) 838-0016(704) 838-0019 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Community Living Concepts Of Nc, Inc. NPPES

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

COMMUNITY LIVING CONCEPTS OF NC, INC. (NPI 1518032267) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Statesville, North Carolina and active in the NPI registry since November 2006. The organization lists Muhammad Shabazz, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1518032267
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCOMMUNITY LIVING CONCEPTS OF NC, INC.
Location Address211 SOUTH CENTER ST., SUITE 403Statesville, NC 28677-5873
Mailing Address440 Action Drive NwConcord, NC 28027 · (704) 788-2080 · Fax (704) 788-2088
Fax(704) 838-0019
Organization SubpartNo
Authorized OfficialMuhammad ShabazzExecutive Director · (704) 788-2080
Enumeration DateNovember 21, 2006
Last NPPES UpdateMarch 9, 2017
NPI 1518032267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
211 SOUTH CENTER ST., Statesville, NC 28677

Other Identifiers 4

Medicaid8301477NC
Medicaid3409659NC
Medicaid8301157NC
Medicaid8301158NC

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 Community Living Concepts Of Nc, Inc.'s NPI number?

The NPI number for Community Living Concepts Of Nc, Inc. is 1518032267. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Community Living Concepts Of Nc, Inc. located?

Community Living Concepts Of Nc, Inc. is located at 211 South Center St. Suite 403, Statesville, NC 28677. The listed phone number is (704) 838-0016.

What is Community Living Concepts Of Nc, Inc.'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 Community Living Concepts Of Nc, Inc. was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.