NPIMap

Organization Active NPI

A Positive Life Inc

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1649454430
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL026742 Issued in NC
Legal business name
A POSITIVE LIFE INC
Practice address
3108 Dyke St
Fayetteville, NC 28306-2809
Phone
(910) 223-7300
Fax
(910) 323-3206
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Mr. Walter Lee Young, BS
Title
Ceo
Phone
(910) 223-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL026742 NC Primary

Addresses

Primary practice location

3108 Dyke St
Fayetteville, NC 28306-2809

Mailing address

3108 Dyke St
Fayetteville, NC 28306-2809
Phone (910) 223-7300

Other identifiers 1

IdentifierTypeStateIssuer
8301441MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
A Positive Life Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1649454430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 DYKE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062809",
            "telephone_number": "910-223-7300",
            "fax_number": "910-323-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 DYKE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062809",
            "telephone_number": "910-223-7300",
            "fax_number": "910-323-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A POSITIVE LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-223-7300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL026742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301441",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.