NPIMap

Organization Active NPI

Thompson Child & Family Focus

Doing business as Kenan Cottage

  • Community/Behavioral Health Agency
  • Matthews, NC
National Provider Identifier
1780668590
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THOMPSON CHILD & FAMILY FOCUS
Doing business as
Kenan Cottage
Practice address
6736 St. Peters Lane
Matthews, NC 28105-8458
Phone
(704) 536-0375
Fax
(704) 531-0266
NPI assigned
Dec 5, 2005
Last updated
Apr 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Authorized official

Name
Cody Thomas
Title
It Director
Phone
(704) 536-0375

Specialties & licenses 1

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

Addresses

Primary practice location

6736 St. Peters Lane
Matthews, NC 28105-8458

Mailing address

6800 Saint Peters LN
Matthews, NC 28105-8458
Phone (704) 536-0375

Other identifiers 1

IdentifierTypeStateIssuer
3404532MedicaidNC

Other names 1

  • Kenan Cottage Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thompson Child and Family Focus28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1780668590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 SAINT PETERS LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058458",
            "telephone_number": "704-536-0375",
            "fax_number": "704-531-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6736 ST. PETERS LANE",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058458",
            "telephone_number": "704-536-0375",
            "fax_number": "704-531-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON CHILD & FAMILY FOCUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "IT DIRECTOR",
        "authorized_official_telephone_number": "704-536-0375"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404532",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenan Cottage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.