Organization Active NPI

Supportive Health Care Services, LLC

  • Community/Behavioral Health Agency
  • Cornelius, NC
National Provider Identifier
1023248572
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Sep 4, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.