Active NPI
Community Living and Choices
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Gastonia, NC
National Provider Identifier
1467599878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- WACO MHL023111
- Legal business name
- COMMUNITY LIVING AND CHOICES
- Practice address
- 318 S South St
Gastonia, NC 28052-4379 - Phone
- (704) 852-4428
- NPI assigned
- Feb 1, 2007
- Last updated
- May 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Juan Lavar Curry
- Title
- President
- Phone
- (704) 852-4428
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | BELVEDERE MHL023061 | NC | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | WACO MHL023111 | NC | Primary |
Addresses
Primary practice location
318 S South St
Gastonia, NC 28052-4379
Mailing address
318 S South St
Gastonia, NC 28052-4379
Phone (704) 852-4428
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603926 | Medicaid | NC | |
| 8300897 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Community Living and Choices
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Gastonia, NC
- NPI 1053517888
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Kings Mountain, NC
- NPI 1346445145
Locations
318 S South St
Gastonia, NC 28052
Phone (704) 496-3022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241654400000",
"number": "1467599878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 S SOUTH ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524379",
"telephone_number": "704-852-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 S SOUTH ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524379",
"telephone_number": "704-852-4428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY LIVING AND CHOICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2009-05-07",
"status": "A",
"authorized_official_last_name": "CURRY",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "LAVAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-852-4428",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "BELVEDERE MHL023061",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "WACO MHL023111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6603926",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300897",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
- Community Advancement Agency LLC
- Community Based Alternatives for Youth (CBAY Inc.)
- Community Health Partners,Inc.
- Community Homecare Services, Inc.
- Community Living and Choices
- Community Resource Solutions, LLC
- Community Resource Solutions, LLC - SC
- Compleat Rehab & Sports Therapy Center
- Compleat Rehab & Sports Therapy Center/Glenwood (Jordan Physical Therapy, Inc)
- Compleat Rehab and Sports
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.