NPIMap

Organization Active NPI

Umoja Behavioral Health Care

  • Preferred Provider Organization
  • Concord, NC
National Provider Identifier
1538353388
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
UMOJA BEHAVIORAL HEALTH CARE
Practice address
1547 Bay Meadows Ave NW
Concord, NC 28027-3594
Phone
(770) 912-4814
Fax
(404) 627-2253
NPI assigned
Sep 4, 2007
Last updated
Sep 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Ms. Lillene Nathan
Title
Ceo
Phone
(770) 912-4814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NU Primary

Addresses

Primary practice location

1547 Bay Meadows Ave NW
Concord, NC 28027-3594

Mailing address

1547 Bay Meadows Ave NW
Concord, NC 28027-3594
Phone (770) 912-4814

National Provider Directory

National Provider Directory
Tax ID family
Umoja Behavioral Health Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1538353388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 BAY MEADOWS AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273594",
            "telephone_number": "770-912-4814",
            "fax_number": "404-627-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 BAY MEADOWS AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273594",
            "telephone_number": "770-912-4814",
            "fax_number": "404-627-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMOJA BEHAVIORAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "LILLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-912-4814",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.