NPIMap

Organization Active NPI

2ND II None Foundation

  • Mental Illness Community Based Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1578610929
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-060-575 Issued in NC
Legal business name
2ND II NONE FOUNDATION
Practice address
5312 Bellflower LN
Charlotte, NC 28227-8103
Phone
(704) 537-7115
NPI assigned
Jan 5, 2007
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Ms. Jo Ann Harris
Title
Ceo
Phone
(704) 780-4608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-060-575 NC Primary

Addresses

Primary practice location

5312 Bellflower LN
Charlotte, NC 28227-8103

Mailing address

PO Box 481972
Charlotte, NC 28269-5331
Phone (704) 566-6134

Other identifiers 1

IdentifierTypeStateIssuer
6603949MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
2ND II None Foundation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1578610929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481972",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695331",
            "telephone_number": "704-566-6134",
            "fax_number": "704-566-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 BELLFLOWER LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282278103",
            "telephone_number": "704-537-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND II NONE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-780-4608",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-060-575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603949",
            "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 Jun 25, 2008; 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.