Organization Active NPI

Grace-N-Mercy for 'U'

  • Case Manager/Care Coordinator
  • Concord, NC
National Provider Identifier
1134207004
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
GRACE-N-MERCY FOR 'U'
Practice address
77 McCachern Blvd SE
Concord, NC 28025-3532
Phone
(704) 262-3796
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brenda Lee Lyon
Title
Executive Director
Phone
(704) 262-3796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NC Primary

Addresses

Primary practice location

77 McCachern Blvd SE
Concord, NC 28025-3532

Mailing address

77 McCachern Blvd SE
P.O. Box 26
Concord, NC 28025-3532
Phone (704) 262-3796

National Provider Directory

National Provider Directory

Locations

77 McCachern Blvd SE
Concord, NC 28025
Phone (704) 262-3796

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134207004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MCCACHERN BLVD SE",
            "address_2": "P.O. BOX 26",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253532",
            "telephone_number": "704-262-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MCCACHERN BLVD SE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253532",
            "telephone_number": "704-262-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE-N-MERCY FOR 'U'",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-262-3796"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NC",
            "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 Aug 22, 2020; 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.