OrganizationActive
Innovative Ground Works, Inc
NPI 1104069715 · Community/Behavioral Health Agency · Charlotte, NC
Provider details
- NPI number
- 1104069715
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Latisha Ford, Ceo/Executive Director(704) 560-7712
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
3141 Amity Ct Ste 300
Charlotte, NC 28215-5745
Phone: (704) 560-7712
Fax: (704) 531-4405
Street-level locationGet directions
Mailing address
3141 Amity Ct Ste 300
Charlotte, NC 28215-5745
Registry dates
- Enumerated
- 2009-04-13
- Last updated
- 2009-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.