Nexx Phase LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEXX PHASE LLC

Practice address

101 Apricot St
Belmont, NC 28012-2103

Phone

(980) 277-8087

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Troyce Manassa

Title

Owner

Phone

(980) 298-2007

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1639834971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 APRICOT ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122103",
            "telephone_number": "980-277-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 APRICOT ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122103",
            "telephone_number": "980-277-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXX PHASE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "MANASSA",
        "authorized_official_first_name": "TROYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-298-2007"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "101 Apricot St",
            "city": "Belmont",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280122103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.