Organization Active NPI

Circle of Life Family Services

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1578899670
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CIRCLE OF LIFE FAMILY SERVICES
Practice address
9635 Southern Pine Blvd
Suite 111
Charlotte, NC 28273-5558
Phone
(704) 236-4067
NPI assigned
Oct 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Ojetta Lachan Byrd
Title
Partner
Phone
(704) 236-4067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9635 Southern Pine Blvd
Suite 111
Charlotte, NC 28273-5558

Mailing address

9635 Southern Pine Blvd
Suite 111
Charlotte, NC 28273-5558
Phone (704) 236-4061

National Provider Directory

National Provider Directory

Locations

9635 Southern Pine Blvd
Ste 111
Charlotte, NC 28273
Phone (704) 236-4067

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1578899670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD",
            "address_2": "SUITE 111",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735558",
            "telephone_number": "704-236-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD",
            "address_2": "SUITE 111",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735558",
            "telephone_number": "704-236-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "OJETTA",
        "authorized_official_middle_name": "LACHAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "704-236-4067"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 8, 2010; 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.