Active NPI
Choices for Recovery, LLC
- Point of Service
- Charlotte, NC
National Provider Identifier
1639624034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- MHL-060-1317
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Charlotte, NC
- NPI 1659745909
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.