Active NPI
Startbupe Services Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Charlotte, NC
National Provider Identifier
1003659574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- STARTBUPE SERVICES INC.
- Practice address
- 3541 Randolph Rd Ste 303
Charlotte, NC 28211-5122 - Phone
- (704) 246-4644
- Fax
- (704) 943-3725
- NPI assigned
- Jun 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Benson
- Title
- Director of Compliance
- Phone
- (704) 246-4644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
3541 Randolph Rd Ste 303
Charlotte, NC 28211-5122
Mailing address
3541 Randolph Rd Ste 303
Charlotte, NC 28211-5122
Phone (704) 246-4644
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718236800000",
"number": "1003659574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3541 RANDOLPH RD STE 303",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115122",
"telephone_number": "704-246-4644",
"fax_number": "704-943-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3541 RANDOLPH RD STE 303",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115122",
"telephone_number": "704-246-4644",
"fax_number": "704-943-3725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARTBUPE SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-13",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A",
"authorized_official_last_name": "BENSON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
"authorized_official_telephone_number": "704-246-4644"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.