OrganizationActive
Autism Services of Mecklenburg County, Inc.
NPI 1093066714 · Intellectual Disabilities Intermediate Care Facility · Charlotte, NC
Provider details
- NPI number
- 1093066714
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Phillips, Executive Director/Ceo(704) 392-9220
- License
- MHL-060-118 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
4400 Dalmoor Dr
Charlotte, NC 28212-2157
Phone: (704) 567-1531
Street-level locationGet directions
Mailing address
2211 Executive St
Charlotte, NC 28208-3661
Registry dates
- Enumerated
- 2012-09-20
- Last updated
- 2012-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.