New Haven Family Services #2

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEW HAVEN FAMILY SERVICES #2

Practice address

730 Hawthorne LN
Suite 352
Charlotte, NC 28204-2108

Phone

(704) 501-7655

Fax

(704) 665-5715

NPI assigned

Sep 2, 2011

Organization subpart

No

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

Authorized official

Name

Idris Talib

Title

President

Phone

(704) 501-7655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1497036545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HAWTHORNE LN",
            "address_2": "SUITE 352",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042108",
            "telephone_number": "704-501-7655",
            "fax_number": "704-665-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HAWTHORNE LN",
            "address_2": "SUITE 352",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042108",
            "telephone_number": "704-501-7655",
            "fax_number": "704-665-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN FAMILY SERVICES #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "TALIB",
        "authorized_official_first_name": "IDRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-501-7655"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Era Home Healthcare Services
• New Era II
• New Era Investment Corp
• New Friends Adult Day Care/Day Health, Inc
• New Genesis Youth & Family Services
• New Haven Family Services Inc.
• New Heights Behavioral Health, PLLC
• New Hope Carolinas
• New Hope Specialty Clinic
• New Hope Youth & Family Services

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.