NPIMap

Organization Active NPI

2ND II None Foundation

  • Mental Illness Community Based Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1407903941
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-060-806 Issued in NC
Legal business name
2ND II NONE FOUNDATION
Practice address
7208 Rockwood Forest LN
Charlotte, NC 28212-6462
Phone
(704) 532-7523
NPI assigned
Jan 5, 2007
Last updated
Jul 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Mrs. Jo Ann Harris
Title
Ceo
Phone
(704) 780-4608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-060-806 NC Primary

Addresses

Primary practice location

7208 Rockwood Forest LN
Charlotte, NC 28212-6462

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
6603300MedicaidNC

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1407903941",
    "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": "7208 ROCKWOOD FOREST LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282126462",
            "telephone_number": "704-532-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND II NONE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-780-4608",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-060-806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603300",
            "state": "NC"
        }
    ],
    "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 17, 2008; 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.