NPIMap

Organization Active NPI

New Destinations, Inc.

  • Community/Behavioral Health Agency
  • Mooresville, NC
National Provider Identifier
1376899104
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW DESTINATIONS, INC.
Practice address
124 Oakpark Dr Unit J
Mooresville, NC 28115-7884
Phone
(704) 658-0220
Fax
(704) 658-0223
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Larry Lee Lackey
Title
Director
Phone
(919) 773-2706

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Assisted Living Facility (Mental Illness) 3104A0625X
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

124 Oakpark Dr Unit J
Mooresville, NC 28115-7884

Mailing address

5720 Turner Store LN
Raleigh, NC 27603-7976
Phone (919) 773-2706

National Provider Directory

National Provider Directory
Tax ID family
New Destinations Inc20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

124 Oakpark Dr
Unit J
Mooresville, NC 28115
Phone (704) 658-0220

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1376899104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 TURNER STORE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276037976",
            "telephone_number": "919-773-2706",
            "fax_number": "980-225-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 OAKPARK DR UNIT J",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281157884",
            "telephone_number": "704-658-0220",
            "fax_number": "704-658-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DESTINATIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "LACKEY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-773-2706"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.