Organization Active NPI

Purpose and Promise, Inc.

  • Case Management Agency
  • Charlotte, NC
National Provider Identifier
1174556401
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
8700457 Issued in NC
Legal business name
PURPOSE AND PROMISE, INC.
Practice address
10925 David Taylor Dr
Suite 100
Charlotte, NC 28262-1040
Phone
(704) 944-5544
Fax
(704) 943-0746
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Keith D Wiggins
Title
Director
Phone
(704) 944-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 8700457 NC Primary

Addresses

Primary practice location

10925 David Taylor Dr
Suite 100
Charlotte, NC 28262-1040

Mailing address

3611 Mount Holly Huntersville Rd
Suite 204-123
Charlotte, NC 28216-8636
Phone (704) 944-5544

Other identifiers 1

IdentifierTypeStateIssuer
8700457MedicaidNC

National Provider Directory

National Provider Directory

Locations

3611 Mt Holly Huntersville Rd
Ste 204123
Charlotte, NC 28216

10925 David Taylor Dr
Ste 100
Charlotte, NC 28262
Phone (704) 944-5544

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174556401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 MOUNT HOLLY HUNTERSVILLE RD",
            "address_2": "SUITE 204-123",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168636",
            "telephone_number": "704-944-5544",
            "fax_number": "704-943-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10925 DAVID TAYLOR DR",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621040",
            "telephone_number": "704-944-5544",
            "fax_number": "704-943-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSE AND PROMISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-944-5544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "8700457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700457",
            "state": "NC"
        }
    ],
    "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 Jul 21, 2022; 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.