Organization Active NPI

Time to Change U Inc

  • Community/Behavioral Health Agency
  • Sanford, NC
National Provider Identifier
1487912127
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TIME TO CHANGE U INC
Practice address
102 Wicker St
Sanford, NC 27330-4252
Phone
(910) 777-9025
Fax
(910) 777-9026
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Jesse Joseph
Title
Coo
Phone
(910) 779-2638

Specialties & licenses 1

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

Addresses

Primary practice location

102 Wicker St
Sanford, NC 27330-4252

Mailing address

102 Wicker St
Sanford, NC 27330-4252
Phone (910) 777-9025

National Provider Directory

National Provider Directory

Locations

102 Wicker St
Sanford, NC 27330
Phone (910) 777-9025

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1487912127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WICKER ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304252",
            "telephone_number": "910-777-9025",
            "fax_number": "910-777-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WICKER ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304252",
            "telephone_number": "910-777-9025",
            "fax_number": "910-777-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME TO CHANGE U INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "910-779-2638"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.