Organization Active NPI

New Friends Adult Day Care/Day Health, Inc

  • Custodial Care Facility
  • Charlotte, NC
National Provider Identifier
1326264516
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
NEW FRIENDS ADULT DAY CARE/DAY HEALTH, INC
Practice address
3401 Commonwealth Ave
Charlotte, NC 28205-6228
Phone
(704) 531-7663
Fax
(704) 531-5527
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Charles William Walker, PH.D.
Title
Ceo
Phone
(704) 531-7663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X NC Primary

Addresses

Primary practice location

3401 Commonwealth Ave
Charlotte, NC 28205-6228

Mailing address

3401 Commonwealth Ave
Charlotte, NC 28205-6228
Phone (704) 531-7663

Other identifiers 1

IdentifierTypeStateIssuer
3408762MedicaidNC

Other names 1

  • New Friends Adult Day Care Former legal business name

National Provider Directory

National Provider Directory

Locations

3401 Commonwealth Ave
Charlotte, NC 28205
Phone (704) 531-7663

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1326264516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 COMMONWEALTH AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056228",
            "telephone_number": "704-531-7663",
            "fax_number": "704-531-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 COMMONWEALTH AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056228",
            "telephone_number": "704-531-7663",
            "fax_number": "704-531-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW FRIENDS ADULT DAY CARE/DAY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-531-7663",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408762",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Friends Adult Day Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 9, 2013; 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.