Active NPI
Restoration Concepts, Inc.
- Counselor
- Shelby, NC
National Provider Identifier
1306159777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- RESTORATION CONCEPTS, INC.
- Practice address
- 809 N Lafayette St
Suite a
Shelby, NC 28150-3978 - Phone
- (704) 481-8379
- Fax
- (704) 481-8571
- NPI assigned
- Jul 14, 2010
- 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
- Mr. Philip J Goldberg
- Title
- President
- Phone
- (704) 481-8379
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NC | Primary |
Addresses
Primary practice location
809 N Lafayette St
Suite a
Shelby, NC 28150-3978
Mailing address
809 N Lafayette St
Suite a
Shelby, NC 28150-3978
Phone (704) 481-8379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6006097 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Restoration Concepts Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Shelby, NC
- NPI 1568794105
-
- Case Management Agency
- Shelby, NC
- NPI 1881900108
-
- Community/Behavioral Health Agency
- Shelby, NC
- NPI 1881997674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280275200000",
"number": "1306159777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 N LAFAYETTE ST",
"address_2": "SUITE A",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503978",
"telephone_number": "704-481-8379",
"fax_number": "704-481-8571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 N LAFAYETTE ST",
"address_2": "SUITE A",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503978",
"telephone_number": "704-481-8379",
"fax_number": "704-481-8571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATION CONCEPTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-14",
"last_updated": "2010-07-28",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-481-8379",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6006097",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.