Veteran Enterprise Group, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

VETERAN ENTERPRISE GROUP, LLC

Practice address

4600 Eastwycke Place Dr
Charlotte, NC 28215-4278

Phone

(704) 615-8705

NPI assigned

Mar 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Grady Parker Jr.

Title

President

Phone

(704) 615-8705

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1659765782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 EASTWYCKE PLACE DRIVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164278",
            "telephone_number": "704-615-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 EASTWYCKE PLACE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154278",
            "telephone_number": "704-615-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERAN ENTERPRISE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "GRADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-615-8705",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.