Organization Active NPI

Positive Community Resources, LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1104152131
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
172411 Issued in NC
Legal business name
POSITIVE COMMUNITY RESOURCES, LLC
Doing business as
Positive Community Resources
Practice address
1801 N Tryon St
Suite 107
Charlotte, NC 28206-2704
Phone
(704) 726-4905
NPI assigned
Oct 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Mr. Douglas Eugene Quarles Jr., B.S.
Title
Owner
Phone
(704) 726-4905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 172411 NC Primary

Addresses

Primary practice location

1801 N Tryon St
Suite 107
Charlotte, NC 28206-2704

Mailing address

PO Box 681749
Charlotte, NC 28216-0033
Phone (704) 726-4905

Other names 1

  • Positive Community Resources Doing business as

National Provider Directory

National Provider Directory

Locations

1801 N Tryon St
Ste 107
Charlotte, NC 28206
Phone (704) 405-4901

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1104152131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681749",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160033",
            "telephone_number": "704-726-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST",
            "address_2": "SUITE 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062704",
            "telephone_number": "704-726-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE COMMUNITY RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "QUARLES",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-726-4905",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "172411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Community Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.