NPIMap

Organization Active NPI

Empowered to Succed Inc

  • Community/Behavioral Health Agency
  • Concord, NC
National Provider Identifier
1053572065
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMPOWERED TO SUCCED INC
Practice address
1920 Derita Rd
Concord, NC 28027-3355
Phone
(704) 788-4511
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Detta Culp
Title
Owner
Phone
(704) 788-4511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1920 Derita Rd
Concord, NC 28027-3355

Mailing address

1920 Derita Rd
Concord, NC 28027-3355
Phone (704) 788-4511

National Provider Directory

National Provider Directory
Tax ID family
Empowered to Succed Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1920 Derita Rd
Concord, NC 28027
Phone (704) 788-4511

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1053572065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 DERITA RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273355",
            "telephone_number": "704-788-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 DERITA RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273355",
            "telephone_number": "704-788-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED TO SUCCED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "CULP",
        "authorized_official_first_name": "DETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-788-4511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.