Active NPI
Purpose and Promise, Inc.
- Case Management Agency
- Charlotte, NC
National Provider Identifier
1174556401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 8700457
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8700457 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.