NPIMap

Organization Active NPI

Innovative Compliance Solutions

  • Mental Illness Community Based Residential Treatment Facility
  • Gastonia, NC
National Provider Identifier
1336587146
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
036-309 Issued in NC
Legal business name
INNOVATIVE COMPLIANCE SOLUTIONS
Practice address
4912 Duncan LN
Gastonia, NC 28056-9361
Phone
(704) 874-1813
Fax
(704) 874-1803
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Desareta Jones, RN
Title
Owner
Phone
(704) 874-1813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 036-309 NC Primary

Addresses

Primary practice location

4912 Duncan LN
Gastonia, NC 28056-9361

Mailing address

PO Box 38514
Charlotte, NC 28278-1009
Phone (704) 874-1813

National Provider Directory

National Provider Directory
Tax ID family
Innovative Compliance Solutions3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1336587146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38514",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282781009",
            "telephone_number": "704-874-1813",
            "fax_number": "704-874-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 DUNCAN LN",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280569361",
            "telephone_number": "704-874-1813",
            "fax_number": "704-874-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE COMPLIANCE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DESARETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-874-1813",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "036-309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.