Active NPI
Premcare
- Mental Illness Community Based Residential Treatment Facility
- Charlotte, NC
National Provider Identifier
1144705187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- PREMCARE
- Practice address
- 1931 J N Pease PL Ste 104
Charlotte, NC 28262-4540 - Phone
- (980) 613-5304
- NPI assigned
- Sep 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandi Stone
- Title
- Co Owner
- Phone
- (980) 613-5304
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
1931 J N Pease PL Ste 104
Charlotte, NC 28262-4540
Mailing address
8116 Pike Rd Apt 1423
Charlotte, NC 28262-3866
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1326416835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537920000000",
"number": "1144705187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8116 PIKE RD APT 1423",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 J N PEASE PL STE 104",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624540",
"telephone_number": "980-613-5304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMCARE",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "BRANDI",
"authorized_official_title_or_position": "CO OWNER",
"authorized_official_telephone_number": "980-613-5304"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"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 Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.