TJS Community Care Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TJS COMMUNITY CARE SERVICES LLC

Practice address

619 N Davidson St Apt 304
Charlotte, NC 28202-1572

Phone

(704) 493-0466

NPI assigned

Sep 21, 2011

Organization subpart

No

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

Authorized official

Name

Letisha Juanita Kelly

Title

Owner

Phone

(704) 493-0466

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1508149089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N DAVIDSON ST APT 304",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021572",
            "telephone_number": "704-493-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N DAVIDSON ST APT 304",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021572",
            "telephone_number": "704-493-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJS COMMUNITY CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LETISHA",
        "authorized_official_middle_name": "JUANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-493-0466"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.