LATESHA GREEN
NPI 1972239127
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Charlotte, NC

Active since July 29, 2022
3409 DOMINION GREEN DR, CHARLOTTE, NC 28269(704) 906-4522 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Latesha Green NPPES

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

LATESHA GREEN (NPI 1972239127) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Charlotte, North Carolina and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1972239127
Entity TypeIndividualFemale
Primary Taxonomy320600000X
Provider Legal NameLATESHA GREEN
Location Address3409 DOMINION GREEN DRCharlotte, NC 28269-7932
Mailing Address3409 Dominion Green DrCharlotte, NC 28269-7932 · (704) 906-4522
Sole ProprietorYes
Enumeration DateJuly 29, 2022
NPPES CertifiedJuly 29, 2022
NPI 1972239127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
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.

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
3409 DOMINION GREEN DR, Charlotte, NC 28269

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 Latesha Green's NPI number?

The NPI number for Latesha Green is 1972239127. It was assigned to this individual provider in the NPPES registry on July 29, 2022.

Where is Latesha Green located?

Latesha Green practices at 3409 Dominion Green Dr, Charlotte, NC 28269. The listed phone number is (704) 906-4522.

What is Latesha Green'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 Latesha Green was last updated on July 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.