Bertha'S Place, Inc.
NPI 1063569127 · Emotionally Disturbed Childrens' Residential Treatment Facility · Charlotte, NC
Bertha'S Place, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Charlotte, NC (NPI 1063569127).
Provider details
- NPI number
- 1063569127
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Wayne Garris, Executive Director(704) 598-5106
- License
- MHL060-871 (NC)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense MHL060-871 (NC)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is Bertha'S Place, Inc.'s NPI number?
- Bertha'S Place, Inc.'s National Provider Identifier (NPI) is 1063569127, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bertha'S Place, Inc.?
- Bertha'S Place, Inc. is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Bertha'S Place, Inc. located?
- Bertha'S Place, Inc.'s practice location on file with NPPES is 3412 Green Meadow Dr., Charlotte, NC 28269-2982.
- What is Bertha'S Place, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Bertha'S Place, Inc. is (704) 598-5106.
- Who is the authorized official for Bertha'S Place, Inc.?
- The authorized official listed on Bertha'S Place, Inc.'s NPPES record is Wayne Garris, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bertha'S Place, Inc.'s NPI active?
- Yes — Bertha'S Place, Inc.'s NPI (1063569127) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.