NPIMap

Organization Active NPI

Towergate Youth and Family Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1598899205
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-060-822 Issued in NC
Legal business name
TOWERGATE YOUTH AND FAMILY SERVICES, INC.
Practice address
501 Mary Charlotte LN
Charlotte, NC 28262-0855
Phone
(704) 701-2123
NPI assigned
Mar 15, 2007
Organization subpart
Yes
Parent organization
TOWERGATE YOUTH AND FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Brad Lessane
Title
VP Finance
Phone
(704) 701-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-060-822 NC Primary

Addresses

Primary practice location

501 Mary Charlotte LN
Charlotte, NC 28262-0855

Mailing address

PO Box 822
Concord, NC 28026-0822
Phone (704) 701-2123

Other identifiers 1

IdentifierTypeStateIssuer
6603316MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Towergate Youth and Family Services Inc8 organizations share this tax ID, including this one
Part of
Towergate Youth and Family Services Inc

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1598899205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280260822",
            "telephone_number": "704-701-2123",
            "fax_number": "704-793-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARY CHARLOTTE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282620855",
            "telephone_number": "704-701-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWERGATE YOUTH AND FAMILY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWERGATE YOUTH AND FAMILY SERVICES",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "LESSANE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "704-701-2123"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-060-822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603316",
            "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 Sep 12, 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.