Provider Demographics
NPI:1336617356
Name:ROYAL CHILD ACADEMY COMPANY
Entity Type:Organization
Organization Name:ROYAL CHILD ACADEMY COMPANY
Other - Org Name:ROYAL CHILD HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NANA
Authorized Official - Middle Name:AFRIYIE
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-606-9243
Mailing Address - Street 1:11000 HUNTINGTON MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-3440
Mailing Address - Country:US
Mailing Address - Phone:704-606-9243
Mailing Address - Fax:
Practice Address - Street 1:6625 SULLINS RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28214-4102
Practice Address - Country:US
Practice Address - Phone:704-606-9243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-07
Last Update Date:2022-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1336617356Medicaid