Provider Demographics
NPI:1831701903
Name:ANOTHER CHANCE: HOUSE OF REFUGE, INC
Entity type:Organization
Organization Name:ANOTHER CHANCE: HOUSE OF REFUGE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAKIETA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-562-7500
Mailing Address - Street 1:3325 WASHBURN AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-7172
Mailing Address - Country:US
Mailing Address - Phone:704-562-7500
Mailing Address - Fax:
Practice Address - Street 1:1818 KENNESAW DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-4825
Practice Address - Country:US
Practice Address - Phone:704-562-7500
Practice Address - Fax:704-910-5576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No253J00000XAgenciesFoster Care Agency
No251V00000XAgenciesVoluntary or Charitable
No347C00000XTransportation ServicesPrivate Vehicle
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No332U00000XSuppliersHome Delivered Meals
No177F00000XOther Service ProvidersLodging
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)