NPIMap

Organization Active NPI

Maxcen Housing Society Inc. North Carolina Branch

  • Developmental Disabilities Clinic/Center
  • Charlotte, NC
National Provider Identifier
1134757867
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
MAXCEN HOUSING SOCIETY INC. NORTH CAROLINA BRANCH
Practice address
9716 Rea Rd
Charlotte, NC 28277-6789
Phone
(888) 959-4159
Fax
(888) 241-1704
NPI assigned
Mar 30, 2020
Last updated
Mar 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Jean Maxcene DecardeNPI 1669001178
Title
President
Phone
(407) 723-3832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

9716 Rea Rd
Charlotte, NC 28277-6789

Mailing address

PO Box 136267
Clermont, FL 34713-6267
Phone (888) 959-4159

National Provider Directory

National Provider Directory
Tax ID family
Maxcen Housing Society Inc North Carolina Branch2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1134757867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136267",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347136267",
            "telephone_number": "888-959-4159",
            "fax_number": "888-241-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9716 REA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776789",
            "telephone_number": "888-959-4159",
            "fax_number": "888-241-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXCEN HOUSING SOCIETY INC. NORTH CAROLINA BRANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "DECARDE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MAXCENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-723-3832"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 30, 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.