Organization Active NPI

Community Living and Choices

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Gastonia, NC
National Provider Identifier
1467599878
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
WACO MHL023111 Issued in NC
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6603926MedicaidNC
8300897MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Community Living and Choices3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.