Organization Active NPI

Rise Up Recovery LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1760208284
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RISE UP RECOVERY LLC
Practice address
2036 Killarney PL
Charlotte, NC 28262-9114
Phone
(717) 965-9847
NPI assigned
Nov 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Authorized official

Name
Shanelle Bobbitt, CADCR, CPSS
Title
Manager
Phone
(717) 965-9847

Specialties & licenses 1

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

Addresses

Primary practice location

2036 Killarney PL
Charlotte, NC 28262-9114

Mailing address

2036 Killarney PL
Charlotte, NC 28262-9114
Phone (717) 965-9847

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1760208284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 KILLARNEY PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629114",
            "telephone_number": "717-965-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 KILLARNEY PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629114",
            "telephone_number": "717-965-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-30",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A",
        "authorized_official_last_name": "BOBBITT",
        "authorized_official_first_name": "SHANELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "717-965-9847",
        "authorized_official_credential": "CADCR, CPSS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 30, 2024; 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.