Organization Active NPI

Promise Child Ministries

  • Community/Behavioral Health Agency
  • Monroe, NC
National Provider Identifier
1386420511
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROMISE CHILD MINISTRIES
Practice address
1625 Walkup Ave Ste a
Monroe, NC 28110-3989
Phone
(980) 384-6902
NPI assigned
Sep 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Authorized official

Name
Ms. Gia Barnes
Title
Executive Director
Phone
(980) 384-6900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X
Child Mental Illness Respite Care 385HR2055X

Addresses

Primary practice location

1625 Walkup Ave Ste a
Monroe, NC 28110-3989

Mailing address

3705 Bentley PL
Waxhaw, NC 28173-9006
Phone (980) 384-6900

National Provider Directory

National Provider Directory

Locations

1625 Walkup Ave
Ste A
Monroe, NC 28110
Phone (980) 384-6902

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1386420511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 BENTLEY PL",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281739006",
            "telephone_number": "980-384-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 WALKUP AVE STE A",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103989",
            "telephone_number": "980-384-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE CHILD MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "GIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "980-384-6900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.