NPIMap

Organization Active NPI

Leap of Faith Family Services

  • Preferred Provider Organization
  • Charlotte, NC
National Provider Identifier
1750689253
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
LEAP OF FAITH FAMILY SERVICES
Practice address
8420 Strider Dr
Charlotte, NC 28212-1555
Phone
(980) 200-3598
NPI assigned
Mar 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Manita Yvette Johnson
Title
Director
Phone
(980) 200-3598

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

8420 Strider Dr
Charlotte, NC 28212-1555

Mailing address

8420 Strider Dr
Charlotte, NC 28212-1555
Phone (980) 200-3598

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1750689253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 STRIDER DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282121555",
            "telephone_number": "980-200-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 STRIDER DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282121555",
            "telephone_number": "980-200-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP OF FAITH FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MANITA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "980-200-3598"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.