Organization Active NPI

Startbupe Services Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Charlotte, NC
National Provider Identifier
1003659574
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Jun 13, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.