Organization Active NPI

Uncle Nunk Nunk's LLC

Doing business as Innovative Youth Solutions

  • Mental Illness Community Based Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1285439125
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Zechariah Ezekiel Thomas, MBANPI 1760296206
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)CodeLicenseStatePrimary
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 Doing business as
  • Uncle Nunk Nunk Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Innovative Youth Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.