Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Concrete Roses Life Center

Organization Case Management Agency · NPI 1508360892

Concrete Roses Life Center is a Case Management Agency in Charlotte, North Carolina. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
15

Practice location Address checks out

5960 Fairview Rd Ste 323
Charlotte, NC 28210-3102
Phone: (980) 263-0991
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Case Management Agency Taxonomy 251B00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Voluntary or Charitable Agency Taxonomy 251V00000X
Adult Day Care Clinic/Center Taxonomy 261QA0600X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Federal Public Health Clinic/Center Taxonomy 261QP0904X
State or Local Public Health Clinic/Center Taxonomy 261QP0905X
Physical Therapy Clinic/Center Taxonomy 261QP2000X
Children's Substance Abuse Rehabilitation Facility Taxonomy 3245S0500X
Respite Care Camp Taxonomy 385HR2050X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X

Record details

NPI number1508360892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaukura Brown — Ceo · (980) 263-0991
NPI enumeratedMarch 21, 2018
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021
Mailing address2040 Randolph Rd Ste A, Charlotte, NC 28207-1239

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