OrganizationActive
The Support Village LLC
NPI 1164218368 · Community/Behavioral Health Agency · Charlotte, NC
The Support Village LLC is a Community/Behavioral Health Agency organization in Charlotte, NC (NPI 1164218368).
Provider details
- NPI number
- 1164218368
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jerritt Davis, Owner(980) 240-5713
Specialties & taxonomies
Agencies
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
4048 Evelyn Ave
Charlotte, NC 28213-3938
Phone: (980) 240-5713
Street-level locationGet directions
Mailing address
4111e Rose Lake Dr # 8215
Charlotte, NC 28217-2858
Registry dates
- Enumerated
- 2025-04-16
- Last updated
- 2025-04-16
- Certified
- 2025-04-16
Frequently asked questions
- What is The Support Village LLC's NPI number?
- The Support Village LLC's National Provider Identifier (NPI) is 1164218368, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Support Village LLC?
- The Support Village LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is The Support Village LLC located?
- The Support Village LLC's practice location on file with NPPES is 4048 Evelyn Ave, Charlotte, NC 28213-3938.
- What is The Support Village LLC's phone number?
- The practice phone number listed in the NPPES registry for The Support Village LLC is (980) 240-5713.
- Who is the authorized official for The Support Village LLC?
- The authorized official listed on The Support Village LLC's NPPES record is Jerritt Davis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Support Village LLC's NPI active?
- Yes — The Support Village LLC's NPI (1164218368) is active in the NPPES registry as of the last update on 2025-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.