Reality Management Group, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-060-1108 Issued in NC

Legal business name

REALITY MANAGEMENT GROUP, LLC

Practice address

809 Yorkmont Road
Charlotte, NC 28217-2426

Phone

(704) 679-9991

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Haney, MBA/HCM

Title

Business Coordinator

Phone

(704) 968-5775

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1255488953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 I PROSPERITY CHURCH ROAD",
            "address_2": "SUITE 246",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697197",
            "telephone_number": "704-332-3878",
            "fax_number": "704-375-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 YORKMONT ROAD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172426",
            "telephone_number": "704-679-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALITY MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "704-968-5775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA/HCM"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-060-1108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604273",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Charlotte, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.