Organization Active NPI

New Hope Youth & Family Services

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1447547484
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW HOPE YOUTH & FAMILY SERVICES
Practice address
5736 N Tryon St Ste 130
Charlotte, NC 28213-6898
Phone
(704) 361-5395
Fax
(980) 207-3956
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Octavia Devonne Shankle
Title
President
Phone
(704) 361-5395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5736 N Tryon St Ste 130
Charlotte, NC 28213-6898

Mailing address

5736 N Tryon St Ste 130
Charlotte, NC 28213-6898
Phone (704) 361-5395

National Provider Directory

National Provider Directory

Locations

5736 N Tryon St
Ste 130
Charlotte, NC 28213
Phone (704) 361-5395

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1447547484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 N TRYON ST STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136898",
            "telephone_number": "704-361-5395",
            "fax_number": "980-207-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 N TRYON ST STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136898",
            "telephone_number": "704-361-5395",
            "fax_number": "980-207-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "SHANKLE",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_middle_name": "DEVONNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-361-5395"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Jun 28, 2011; 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.