Concrete Roses Consulting

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CONCRETE ROSES CONSULTING

Practice address

5960 Fairview Road
323
Charlotte, NC 28173

Phone

(704) 496-2744

NPI assigned

Oct 17, 2017

Organization subpart

No

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

Authorized official

Name

Shaukura Brown

Title

Owner

Phone

(980) 263-0991

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1730690827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 DEER MEADOWS DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737196",
            "telephone_number": "980-263-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW ROAD",
            "address_2": "323",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28173",
            "telephone_number": "704-496-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCRETE ROSES CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHAUKURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-263-0991"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "C008125",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concentra Health Services, Inc.
• Concentra Health Services, Inc.
• Concentra Health Services, Inc.
• Concept of Care Inc
• Concrete Rose Operations LLC
• Concrete Roses Life Center
• Joseph Conde
• Stacy Nicole Conder, PT
• Thomas Frank Condiano, PA
• Freeman James Condon, MD

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.