HOPE HAVEN YOUTH SERVICES LLC – NPI #1790632446
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

HOPE HAVEN YOUTH SERVICES LLC is a community based residential treatment facility located in CHARLOTTE, NC. NPPES recently assigned the NPI number 1790632446 to HOPE HAVEN YOUTH SERVICES LLC on March 12, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

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 HOPE HAVEN YOUTH SERVICES LLC below.

NPI Profile for
HOPE HAVEN YOUTH SERVICES LLC

NPI Number
1790632446
Enumeration Date

(about 3 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
HOPE HAVEN YOUTH SERVICES LLC
Primary location
6400 ZIEGLER LN
CHARLOTTE, NC 28269-3300
Phone: (704) 769-5546 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KAREEM SHAW
OWNER
Phone: (704) 769-5546
Updated
Certification Date
Mar 12, 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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

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.