Organization Active NPI

Community Living and Choices

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Kings Mountain, NC
National Provider Identifier
1346445145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
COMMUNITY LIVING AND CHOICES
Practice address
712 Landing St # a
Kings Mountain, NC 28086-3246
Phone
(704) 734-5272
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Juan Lavar Curry
Title
President
Phone
(704) 852-4428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

712 Landing St # a
Kings Mountain, NC 28086-3246

Mailing address

712 Landing St # a
Kings Mountain, NC 28086-3246
Phone (704) 734-5272

Other identifiers 1

IdentifierTypeStateIssuer
6603926MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Community Living and Choices3 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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346445145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 LANDING ST # A",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863246",
            "telephone_number": "704-734-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 LANDING ST # A",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863246",
            "telephone_number": "704-734-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIVING AND CHOICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "LAVAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-852-4428",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603926",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.