Organization Active NPI

Ruby's Boys

  • Community Health Worker
  • Charlotte, NC
National Provider Identifier
1427996867
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
RUBY'S BOYS
Practice address
4424 Tantilla Cir
Charlotte, NC 28215-4149
Phone
(704) 726-1776
NPI assigned
Mar 24, 2026
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Mr. Willie J Holley Jr.
Title
Owner
Phone
(980) 428-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

4424 Tantilla Cir
Charlotte, NC 28215-4149

Mailing address

4424 Tantilla Cir
Charlotte, NC 28215-4149
Phone (704) 726-1776

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1427996867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 TANTILLA CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154149",
            "telephone_number": "704-726-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 TANTILLA CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154149",
            "telephone_number": "704-726-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY'S BOYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-428-0808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "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 Mar 24, 2026; 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.