NPIMap

Organization Active NPI

Twenty Two Pack Management Corp

  • Assisted Living Facility
  • Concord, NC
National Provider Identifier
1811141104
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TWENTY TWO PACK MANAGEMENT CORP
Practice address
1501 Zion Church Rd E
Concord, NC 28025-6827
Phone
(704) 782-1100
Fax
(704) 721-3144
NPI assigned
Nov 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Amy Black
Title
Executive Director
Phone
(704) 782-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1501 Zion Church Rd E
Concord, NC 28025-6827

Mailing address

1501 Zion Church Rd E
Concord, NC 28025-6827
Phone (704) 782-1100

Other names 1

  • Eden Gardens of Concord Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eden Gardens of Concord6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1501 Zion Church Rd E
Concord, NC 28025
Phone (704) 782-1100

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1811141104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ZION CHURCH RD E",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280256827",
            "telephone_number": "704-782-1100",
            "fax_number": "704-721-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ZION CHURCH RD E",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280256827",
            "telephone_number": "704-782-1100",
            "fax_number": "704-721-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWENTY TWO PACK MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-782-1100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Gardens of Concord",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 13, 2008; 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.