NPIMap

Organization Active NPI

Towergate Youth and Family Services

  • Mental Illness Community Based Residential Treatment Facility
  • Concord, NC
National Provider Identifier
1184758187
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-013-129 Issued in NC
Legal business name
TOWERGATE YOUTH AND FAMILY SERVICES
Practice address
809 Sunview Dr
Concord, NC 28027-6120
Phone
(704) 701-2123
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brad Lessane
Title
VP Finance
Phone
(704) 701-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-013-129 NC Primary

Addresses

Primary practice location

809 Sunview Dr
Concord, NC 28027-6120

Mailing address

PO Box 822
Concord, NC 28026-0822

Other identifiers 1

IdentifierTypeStateIssuer
6603858MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Towergate Youth and Family Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184758187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280260822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SUNVIEW DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276120",
            "telephone_number": "704-701-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWERGATE YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LESSANE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "704-701-2123"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-013-129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603858",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.