Organization Active NPI

Hispanic Latino Community Resource Center

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1124208525
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HISPANIC LATINO COMMUNITY RESOURCE CENTER
Doing business as
Mi Casa Su Casa Centro de Recursos
Practice address
6030 Albemarle Rd
Charlotte, NC 28212-3787
Phone
(704) 536-5091
Fax
(704) 536-9876
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Miss Cristina La Paz
Title
Executive Director
Phone
(704) 536-5091

Specialties & licenses 1

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

Addresses

Primary practice location

6030 Albemarle Rd
Charlotte, NC 28212-3787

Mailing address

6030 Albemarle Rd
Charlotte, NC 28212-3787
Phone (704) 536-5091

Other names 1

  • Mi Casa Su Casa Centro de Recursos Doing business as

National Provider Directory

National Provider Directory

Locations

6030 Albemarle Rd
Charlotte, NC 28212
Phone (704) 536-5091

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1124208525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 ALBEMARLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123787",
            "telephone_number": "704-536-5091",
            "fax_number": "704-536-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 ALBEMARLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123787",
            "telephone_number": "704-536-5091",
            "fax_number": "704-536-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISPANIC LATINO COMMUNITY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "LA PAZ",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-536-5091",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mi Casa Su Casa Centro de Recursos",
            "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 Nov 14, 2007; 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.