Organization Active NPI

Living Family Supportive Services

  • Adult Mental Health Clinic/Center
  • Shelby, NC
National Provider Identifier
1306217666
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LIVING FAMILY SUPPORTIVE SERVICES
Practice address
2538 West Dixon Blvd.
Shelby, NC 28150
Phone
(704) 606-1575
NPI assigned
Oct 13, 2015
Last updated
Oct 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Miss Monica Latenda Ferrer
Title
Ceo
Phone
(704) 606-1575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

2538 West Dixon Blvd.
Shelby, NC 28150

Mailing address

2538 W Dixon Blvd
Shelby, NC 28152-9007
Phone (704) 606-1575

National Provider Directory

National Provider Directory

Locations

2538 W Dixon Blvd
Shelby, NC 28152
Phone (704) 606-1575

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1306217666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 W DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281529007",
            "telephone_number": "704-606-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 WEST DIXON BLVD.",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "704-606-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING FAMILY SUPPORTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "FERRER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "LATENDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-606-1575",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 13, 2015; 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.