Concrete Roses Life Center

LBN: Concrete Roses Life Center
Concrete Roses Life Center is an health care organization with primary practice located at 5960 Fairview Rd Ste 323 , Charlotte NC 28210-3102. The organization recently has 15 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Public Health, Federal, Ambulatory Health Care Facilities / Public Health, State or Local, Ambulatory Health Care Facilities / Physical Therapy, Residential Treatment Facilities / Substance Abuse Treatment, Children, Respite Care Facility / Respite Care Camp, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Concrete Roses Life Center can be contacted via phone (980) 263-0991, or through Brown, Shaukura Mandisa via phone (980) 263-0991.

Contact Information

Primary practice address
5960 Fairview Rd Ste 323 Charlotte NC 28210-3102
Phone: (980) 263-0991
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Shaukura Mandisa
Phone: (980) 263-0991

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Voluntary or Charitable 251V00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Public Health, Federal 261QP0904X
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X
Respite Care Facility / Respite Care Camp 385HR2050X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1508360892
LBN Legal business name Concrete Roses Life Center
DBA Doing business as
Authorized official Brown, Shaukura Mandisa
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2018
Last updated Sep 2nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers