OrganizationActive
Brothers Care Group Homes LLC
NPI 1407697865 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waxhaw, NC
Provider details
- NPI number
- 1407697865
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kel Njike Tah, Manager(617) 877-1429
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
611 Beauhaven Ln
Waxhaw, NC 28173-7451
Phone: (617) 877-1429
Approximate (ZIP-level) locationGet directions
Mailing address
611 Beauhaven Ln
Waxhaw, NC 28173-7451
Other names (DBA / former)
- Former legal business name
- Brothers Care Group Homes LLC
- Former legal business name
- Brothers Care Group Homes LLC
Registry dates
- Enumerated
- 2024-06-01
- Last updated
- 2024-06-04
- Certified
- 2024-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.