Outreached Arms, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL0601106 Issued in NC

Legal business name

OUTREACHED ARMS, INC.

Practice address

1517 N Alexander St
Charlotte, NC 28205-2640

Phone

(704) 345-2019

Fax

(704) 334-0544

NPI assigned

May 23, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Tammaria Lucilia BoydNPI 1508023193

Title

Owner/Operator

Phone

(704) 345-2019

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammaria Lucilia Boyd

  • Adult Mental Health Clinic/Center
  • Charlotte, NC
  • NPI 1508023193
  NPD (past) Authorized official

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1275791550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 N ALEXANDER ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052640",
            "telephone_number": "704-345-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 N ALEXANDER ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052640",
            "telephone_number": "704-345-2019",
            "fax_number": "704-334-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACHED ARMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "TAMMARIA",
        "authorized_official_middle_name": "LUCILIA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "704-345-2019",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL0601106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806530",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Outflow Adult Day and Health Care Center
• Richard Outing
• Eurydice Ann Outland
• Tina Outlaw, CRNA
• Outreach Health, PLLC
• Outstanding Care of Charlotte LLC
• Monica P Overbaugh, PA-C
• Warren McLeod Overbey, MD
• Ashlynn Brisben Overcash, NP
• Katherine Halstead Overcash, LCSW & LISW-CP

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.