MYHOME ,LLC
NPI 1659049351
Assisted Living Facility - Assisted Living, Mental Illness in Charlotte, NC

Active since August 30, 2021
6418 REDDMAN RD, CHARLOTTE, NC 28212(980) 209-0704 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness

About MYHOME ,LLC

This page provides the complete NPI Profile along with additional information for Myhome ,llc, a provider established in Charlotte, North Carolina operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1659049351 assigned on August 2021. The practitioner's primary taxonomy code is 3104A0625X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Daget Ayana Tegegne Technologist (Mr)

NPI
1659049351 Verify this NPI
Provider Name
MYHOME ,LLC
Entity Type
Organization
Location Address
6418 REDDMAN RD CHARLOTTE, NC 28212
Location Phone
(980) 209-0704
Mailing Address
6418 REDDMAN RD CHARLOTTE, NC 28212
Mailing Phone
(980) 209-0704
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2021
Last Update Date
08-30-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAGET AYANA TEGEGNE TECHNOLOGIST

Authorized Official Title
MR
Authorized Official Phone
(704) 963-5277

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659049351, enumerated as an "organization" on August 30, 2021.

The provider is located at 6418 REDDMAN RD CHARLOTTE, NC 28212 and the phone number is (980) 209-0704.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.