NPIMap

Organization Active NPI

2ND II None- Hanna Group Home

  • Mental Illness Community Based Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1366633075
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-060-1025 Issued in NC
Legal business name
2ND II NONE- HANNA GROUP HOME
Practice address
6315 Hanna CT
Charlotte, NC 28212-2192
Phone
(704) 566-6134
Fax
(704) 566-6136
NPI assigned
Aug 7, 2007
Last updated
Aug 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Jo Ann Harris
Title
Ceo
Phone
(704) 566-6134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-060-1025 NC Primary

Addresses

Primary practice location

6315 Hanna CT
Charlotte, NC 28212-2192

Mailing address

PO Box 481972
Charlotte, NC 28269-5331
Phone (704) 566-6134

National Provider Directory

National Provider Directory
Tax ID family
2ND II None Foundation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1366633075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481972",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695331",
            "telephone_number": "704-566-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 HANNA CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282122192",
            "telephone_number": "704-566-6134",
            "fax_number": "704-566-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND II NONE- HANNA GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-566-6134"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-060-1025",
            "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 Aug 21, 2007; 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.