Unlimited Possibilities Family Care Home #2, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-060-113 Issued in NC

Legal business name

UNLIMITED POSSIBILITIES FAMILY CARE HOME #2, LLC

Practice address

338 S Sharon Amity Rd
Charlotte, NC 28211-2806

Phone

(704) 453-6753

Fax

(704) 353-7927

NPI assigned

Aug 9, 2012

Organization subpart

No

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

Authorized official

Name

Mr. James Scruggs

Title

Owner/Ceo

Phone

(704) 249-7718

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1174870158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 CITY VIEW DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282126473",
            "telephone_number": "980-207-3597",
            "fax_number": "980-245-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 S SHARON AMITY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112806",
            "telephone_number": "704-453-6753",
            "fax_number": "704-353-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED POSSIBILITIES FAMILY CARE HOME #2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "SCRUGGS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "704-249-7718",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-060-113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.