PINK ELEPHANT – NPI #1558200022
Clinic/Center

PINK ELEPHANT is an AHC clinic located in CHARLOTTE, NC. NPPES recently assigned the NPI number 1558200022 to PINK ELEPHANT on March 27, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Apr 01, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PINK ELEPHANT below.

NPI Profile for
PINK ELEPHANT

NPI Number
1558200022
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PINK ELEPHANT
Primary location
7918 BRISTLE LN
CHARLOTTE, NC 28214-8409
Phone: (704) 635-4671 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAQUANDRA JEFFERIES
OWNER
Phone: (980) 420-0626
Updated
Certification Date
Apr 01, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0400X
- Clinic/Center / Rehabilitation (Primary)
343900000X
- Non-emergency Medical Transport (VAN)
341600000X
- Ambulance
332U00000X
- Home Delivered Meals
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
261QA0600X
- Clinic/Center / Adult Day Care
253J00000X
- Foster Care Agency
252Y00000X
- Early Intervention Provider Agency
251S00000X
- Community/Behavioral Health
251F00000X
- Home Infusion
251E00000X
- Home Health
251C00000X
- Day Training, Developmentally Disabled Services
251B00000X
- Case Management
177F00000X
- Lodging
174200000X
- Meals

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.