Cleveland Health Ventures, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CLEVELAND HEALTH VENTURES, LLC

Doing business as

Sanger Heart and Vascular Institute - Kings Mountain

Practice address

706 W. Kings Street
Kings Mountain, NC 28086-2708

Phone

(980) 487-5510

Fax

(980) 487-5515

NPI assigned

Nov 12, 2010

Last updated

Jun 28, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

CLEVELAND HEALTH VENTURES, LLCAs reported in NPPES

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

Authorized official

Name

Daniel Wiens

Title

Senior Vice President

Phone

(704) 355-0648

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sanger Heart and Vascular Institute - Kings Mountain Doing business as

Part of

Cleveland Health Ventures

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cleveland Health Ventures, LLC

  dba Grover Family Practice

  • Family Medicine Physician
  • Grover, NC
  • NPI 1740210897
  NPPES parent name

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1073814679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601884",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601884",
            "telephone_number": "980-487-5510",
            "fax_number": "980-487-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W. KINGS STREET",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280862708",
            "telephone_number": "980-487-5510",
            "fax_number": "980-487-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND HEALTH VENTURES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEVELAND HEALTH VENTURES, LLC",
        "enumeration_date": "2010-11-12",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-355-0648"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916702",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB422",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanger Heart and Vascular Institute - Kings Mountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cleveland Health Ventures LLC (Kings Mountain Infectious Disease)
• Cleveland Health Ventures LLC (Cleveland Plastic and Hand Surgery)
• Cleveland Health Ventures LLC (Kings Mountain Internal Medicine)
• Cleveland Health Ventures LLC (Carolinas Sleep Services-Cleveland)
• Cleveland Health Ventures LLC (Shelby Women's Care)
• Clevelands Home Care Service Inc
• Charles Rouse Clover, M.D.
• Jennifer Patterson Coleman, LMBT
• Anna Marie Colvin, LCMHC
• Community Living and Choices

• Cardiovascular Disease Physician in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.