Ryan's Place, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RYAN'S PLACE, LLC

Practice address

4345 Morris Park Dr
Mint Hill, NC 28227-8253

Phone

(980) 339-5676

NPI assigned

Jul 27, 2020

Last updated

Sep 17, 2024By 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

Mr. Luis Ariel Hernandez

Title

Ceo/Owner

Phone

(980) 339-5676

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1841809746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 NORTHEAST PKWY STE 200",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059708",
            "telephone_number": "980-339-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 MORRIS PARK DR",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282278253",
            "telephone_number": "980-339-5676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9715 Northeast Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281059708",
            "country_code": "US",
            "telephone_number": "980-339-5676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2435 Plantation Center Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281055148",
            "country_code": "US",
            "telephone_number": "980-339-5676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Fairview Rd Ste 1259",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282102224",
            "country_code": "US",
            "telephone_number": "704-837-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RYAN'S PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ARIEL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "980-339-5676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Mint Hill, NC
• Providers in Mint Hill, 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 Sep 17, 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.