NPIMap

Organization Active NPI

Leaf Green Essential Solutions, LLC

  • Point of Service
  • Huntersville, NC
National Provider Identifier
1558039479
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
LEAF GREEN ESSENTIAL SOLUTIONS, LLC
Practice address
12004 Journeys End TRL
Huntersville, NC 28078-2387
Phone
(615) 589-0501
NPI assigned
Sep 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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

Authorized official

Name
Mrs. Shanequa Campbell, LPNNPI 1457994352
Title
Executive Director
Phone
(615) 589-0501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Point of Service 305S00000X Primary

Addresses

Primary practice location

12004 Journeys End TRL
Huntersville, NC 28078-2387

Mailing address

12004 Journeys End TRL
Huntersville, NC 28078-2387
Phone (615) 589-0501

Other names 2

  • Campbell Essential Solutions LLC Former legal business name
  • Leaf Green Medical Solutions LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632528000000",
    "number": "1558039479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12004 JOURNEYS END TRL",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280782387",
            "telephone_number": "615-589-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12004 JOURNEYS END TRL",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280782387",
            "telephone_number": "615-589-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAF GREEN ESSENTIAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHANEQUA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-589-0501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Essential Solutions LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Leaf Green Medical Solutions LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.