Ichep LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ICHEP LLC

Practice address

9635 Southern Pine Blvd Ste 126
Charlotte, NC 28273-5558

Phone

(803) 477-7928

NPI assigned

Oct 30, 2008

Last updated

Mar 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaka Abdul Moustafa I, PH.DNPI 1336345255

Title

Ceo

Phone

(803) 477-7928

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaka Abdul Moustafa I, PH.D

  • Professional Counselor
  • Columbia, SC
  • NPI 1336345255
  Authorized official Same address or phone
• James Earl Lee Jr., M.D.

  • Psychiatry Physician
  • New York, NY
  • NPI 1487784344
  NPD (past)

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1841443181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD",
            "address_2": "SUITE 126",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735558",
            "telephone_number": "803-477-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD STE 126",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735558",
            "telephone_number": "803-477-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICHEP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "MOUSTAFA",
        "authorized_official_first_name": "SHAKA",
        "authorized_official_middle_name": "ABDUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-477-7928",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queenate Ibeto, DDS
• Shania Ibrahim, OTD, OTR/L
• Icare Home Health Solutions, Inc
• Icare Home Solutions, LLC
• Erika Ice
• Ichep of Charlotte, LLC
• Id Consultants PA (ID Consultants PA & Infusion Care Specialists)
• Id Consultants PA (Idc Pharmacy)
• Ideal Home Healthcare Services, LLC
• Rebecca Katherine Iden, PT

• 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 Mar 14, 2012; 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.