Active NPI
Supportive Health Care Services, LLC
- Community/Behavioral Health Agency
- Cornelius, NC
National Provider Identifier
1023248572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SUPPORTIVE HEALTH CARE SERVICES, LLC
- Practice address
- 21410 Baltic Dr
Cornelius, NC 28031-6427 - Phone
- (704) 737-4282
- NPI assigned
- Jul 17, 2009
- 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
- Ms. Linda Zubowski Bell, J.D.
- Title
- President/Ceo
- Phone
- (704) 940-3216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
21410 Baltic Dr
Cornelius, NC 28031-6427
Mailing address
9700 Research Drive
Suite 128
Charlotte, NC 28262-8552
Phone (704) 940-3216
National Provider Directory
National Provider DirectoryLocations
9700 Research Dr
Ste 128
Charlotte, NC 28262
Phone (704) 313-9246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252022400000",
"number": "1023248572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 RESEARCH DRIVE",
"address_2": "SUITE 128",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282628552",
"telephone_number": "704-940-3216",
"fax_number": "704-940-3218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21410 BALTIC DR",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280316427",
"telephone_number": "704-737-4282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORTIVE HEALTH CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-17",
"last_updated": "2009-09-04",
"status": "A",
"authorized_official_last_name": "BELL",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "ZUBOWSKI",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "704-940-3216",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "J.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.