A Leap of Faith, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

A LEAP OF FAITH, LLC.

Practice address

614 Chief Martin St Ste B
Madison, NC 27025-1684

Phone

(252) 578-8902

NPI assigned

Sep 20, 2009

Last updated

Sep 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Curtis Jenkins

Title

Owner, President

Phone

(252) 578-8902

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253404800000",
    "number": "1093049371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 ROANOKE CHAPEL RD",
            "city": "LITTLETON",
            "state": "NC",
            "postal_code": "278509262",
            "telephone_number": "252-586-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 CHIEF MARTIN ST STE B",
            "city": "MADISON",
            "state": "NC",
            "postal_code": "270251684",
            "telephone_number": "252-578-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LEAP OF FAITH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-20",
        "last_updated": "2009-09-20",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "252-578-8902",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Madison, NC
• Providers in Madison, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.