Organization Active NPI

Choices for Recovery, LLC

  • Point of Service
  • Charlotte, NC
National Provider Identifier
1639624034
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
MHL-060-1317 Issued in NC
Legal business name
CHOICES FOR RECOVERY, LLC
Practice address
200 Queens Rd Ste 102
Charlotte, NC 28204-3252
Phone
(980) 237-6990
NPI assigned
Aug 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Mr. Hollis H Crittendon
Title
Manager
Phone
(704) 439-7498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X MHL-060-1317 NC Primary

Addresses

Primary practice location

200 Queens Rd Ste 102
Charlotte, NC 28204-3252

Mailing address

417 S Sharon Amity Rd Ste C
Charlotte, NC 28211-2883
Phone (704) 365-4170

National Provider Directory

National Provider Directory
Tax ID family
Choices for Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

417 S Sharon Amity Rd
Ste C
Charlotte, NC 28211

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1639624034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S SHARON AMITY RD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112883",
            "telephone_number": "704-365-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043252",
            "telephone_number": "980-237-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES FOR RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "CRITTENDON",
        "authorized_official_first_name": "HOLLIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-439-7498",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NC",
            "license": "MHL-060-1317",
            "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 Aug 16, 2016; 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.