NPIMap

Organization Active NPI

New Place, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1558580639
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-060-776 Issued in NC
Legal business name
NEW PLACE, INC.
Practice address
5601 Faulconbridge Rd
Charlotte, NC 28227-2518
Phone
(704) 567-8984
Fax
(704) 567-8954
NPI assigned
Apr 25, 2007
Last updated
Aug 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Mr. James Arnell Hunt
Title
Executive Director
Phone
(704) 567-8984

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-060-776 NC Primary

Addresses

Primary practice location

5601 Faulconbridge Rd
Charlotte, NC 28227-2518

Mailing address

6612 E WT Harris Blvd
Ste D
Charlotte, NC 28215-5134
Phone (704) 567-8984

Other identifiers 1

IdentifierTypeStateIssuer
6603151MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
New Place Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1558580639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 E WT HARRIS BLVD",
            "address_2": "STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155134",
            "telephone_number": "704-567-8984",
            "fax_number": "704-567-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 FAULCONBRIDGE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282272518",
            "telephone_number": "704-567-8984",
            "fax_number": "704-567-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ARNELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-567-8984",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-060-776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603151",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.