NPIMap

Organization Active NPI

My Peace Keeper Inc.

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1366592198
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MY PEACE KEEPER INC.
Practice address
7504 E Independence Blvd
Suite 101
Charlotte, NC 28227-9472
Phone
(704) 531-5656
Fax
(704) 531-9711
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Authorized official

Name
Mrs. Virginia Bea Pough, PMPQ
Title
President
Phone
(704) 777-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7504 E Independence Blvd
Suite 101
Charlotte, NC 28227-9472

Mailing address

PO Box 25332
7504 East Independence Blvd. Suite 101
Charlotte, NC 28227-9407
Phone (704) 531-5656

National Provider Directory

National Provider Directory
Tax ID family
My Peace Keeper Inc3 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.

Locations

7504 E Independence Blvd
Ste 101
Charlotte, NC 28227
Phone (704) 531-5656

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1366592198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25332",
            "address_2": "7504 EAST INDEPENDENCE BLVD. SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282279407",
            "telephone_number": "704-531-5656",
            "fax_number": "704-531-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 E INDEPENDENCE BLVD",
            "address_2": "SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282279472",
            "telephone_number": "704-531-5656",
            "fax_number": "704-531-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PEACE KEEPER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "POUGH",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "BEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-777-2222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMPQ"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Jul 21, 2009; 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.