Organization Active NPI

Juniper Home L.L.C

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1346065000
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
JUNIPER HOME L.L.C
Practice address
2941 Coronet Way
Charlotte, NC 28208-3213
Phone
(980) 349-0789
NPI assigned
Nov 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Ramla Abdullahi
Title
Ceo / Owner
Phone
(980) 349-0789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

2941 Coronet Way
Charlotte, NC 28208-3213

Mailing address

8816 Auburn Whisper LN
Mint Hill, NC 28227-4398
Phone (980) 349-0789

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1346065000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 AUBURN WHISPER LN",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282274398",
            "telephone_number": "980-349-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 CORONET WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083213",
            "telephone_number": "980-349-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER HOME L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "ABDULLAHI",
        "authorized_official_first_name": "RAMLA",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "980-349-0789"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 18, 2024; 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.