OrganizationActive
A Place of My Own, LLC
NPI 1093319170 · Community/Behavioral Health Agency · Kannapolis, NC
Provider details
- NPI number
- 1093319170
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Toi Jackson, Owner(704) 965-7210
Specialties & taxonomies
Agencies
Agencies
- Custodial Care Facility311Z00000X
Nursing & Custodial Care Facilities
- Adult Care Home Facility311ZA0620X
Nursing & Custodial Care Facilities
Practice location
315 Lower Pond Rd
Kannapolis, NC 28083-6526
Phone: (704) 925-1158
Fax: (855) 975-3055
Approximate (ZIP-level) locationGet directions
Mailing address
315 Lower Pond Rd
Kannapolis, NC 28083-6526
Registry dates
- Enumerated
- 2020-11-30
- Last updated
- 2021-08-27
- Certified
- 2021-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.