AUTISM SERVICES OF MECKLENBURG COUNTY, INC.
NPI 1578815940
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Charlotte, NC

Q: What is Autism Services Of Mecklenburg County, Inc.'s specialty?

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

Active since October 10, 2012

5300 KELLY ST, CHARLOTTE, NC 28205(704) 531-1875 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Autism Services Of Mecklenburg County, Inc. NPPES

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

AUTISM SERVICES OF MECKLENBURG COUNTY, INC. (NPI 1578815940) 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 2012. The organization lists Jack Marcellous Phillips, Executive Director/ceo, as its authorized official.

NPPES Registry Identity

NPI1578815940

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameAUTISM SERVICES OF MECKLENBURG COUNTY, INC.

Location Address5300 KELLY STCharlotte, NC 28205-7912

Mailing Address2211 Executive St, Suite ACharlotte, NC 28208-3661 · (704) 392-9220 · Fax (704) 392-9221

Phone(704) 531-1875

Organization SubpartNo

Authorized OfficialJack Marcellous PhillipsExecutive Director/ceo · (704) 392-9220

Enumeration DateOctober 10, 2012

✔ NPI 1578815940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in NC · 060-350

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.

5300 KELLY ST, Charlotte, NC 28205

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Other Identifiers 1

Medicaid7803089NC

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 Autism Services Of Mecklenburg County, Inc.'s NPI number?

The NPI number for Autism Services Of Mecklenburg County, Inc. is 1578815940. It was assigned to this organization in the NPPES registry on October 10, 2012.

Where is Autism Services Of Mecklenburg County, Inc. located?

Autism Services Of Mecklenburg County, Inc. is located at 5300 Kelly St, Charlotte, NC 28205. The listed phone number is (704) 531-1875.

What is Autism Services Of Mecklenburg County, Inc.'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 Autism Services Of Mecklenburg County, Inc. was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.