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:EXECUTIVE DIRECTOR
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:PO BOX 220184
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28222-0184
Mailing Address - Country:US
Mailing Address - Phone:704-562-7500
Mailing Address - Fax:
Practice Address - Street 1:1708 CHAMBERS DR APT 15
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4782
Practice Address - Country:US
Practice Address - Phone:704-562-7500
Practice Address - Fax:980-339-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251V00000XAgenciesVoluntary or Charitable
No253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered Meals
No347C00000XTransportation ServicesPrivate Vehicle