NPIMap

Organization Active NPI

Loch Lomond

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Concord, NC
National Provider Identifier
1679794598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
LOCH LOMOND
Practice address
844 Loch Lomond Cir
Concord, NC 28025-0416
Phone
(704) 933-3505
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rechon Black
Title
Owner
Phone
(704) 933-3505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

844 Loch Lomond Cir
Concord, NC 28025-0416

Mailing address

PO Box 1013
Concord, NC 28026-1013
Phone (704) 933-3505

Other names 1

  • Youth Adult Care Management Other name

National Provider Directory

National Provider Directory
Tax ID family
Youth Adult Care Management16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679794598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1013",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280261013",
            "telephone_number": "704-933-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 LOCH LOMOND CIR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250416",
            "telephone_number": "704-933-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCH LOMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "RECHON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-933-3505"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Adult Care Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.