Active NPI
Uncle Nunk Nunk's LLC
Doing business as Innovative Youth Solutions
- Mental Illness Community Based Residential Treatment Facility
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- UNCLE NUNK NUNK'S LLC
- Doing business as
- Innovative Youth Solutions
Uncle Nunk Nunk - Practice address
- 4405 Tillman Rd
Charlotte, NC 28208-2111 - Phone
- (706) 412-1410
- NPI assigned
- Feb 14, 2025
- Last updated
- Feb 26, 2026
- 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
- Zechariah Ezekiel Thomas, MBA
- Title
- Owner
- Phone
- (706) 412-1410
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | ||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | NU | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary | |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | NU | ||
| Psychiatric Residential Treatment Facility | 323P00000X | NU | ||
| Non-emergency Medical Transport (VAN) | 343900000X | NU |
Addresses
Primary practice location
4405 Tillman Rd
Charlotte, NC 28208-2111
Mailing address
4405 Tillman Rd
Charlotte, NC 28208-2111
Phone (706) 412-1410
Other names 2
- Innovative Youth Solutions
- Uncle Nunk Nunk
National Provider Directory
National Provider Directory- Tax ID family
- Innovative Youth Solutions
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Charlotte, NC
- NPI 1366396657
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1760296206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772064000000",
"number": "1285439125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 TILLMAN RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282082111",
"telephone_number": "706-412-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 TILLMAN RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282082111",
"telephone_number": "706-412-1410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNCLE NUNK NUNK'S LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-14",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ZECHARIAH",
"authorized_official_middle_name": "EZEKIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-412-1410",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Innovative Youth Solutions",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Uncle Nunk Nunk",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.