Terrance Parks

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Practice address

16408 Holly Crest LN
Huntersville, NC 28078-5149

Phone

(678) 446-7286

NPI assigned

Mar 16, 2022

Last updated

Mar 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heartbeat of Family Inc

  dba Terrance Parks

  • Mental Illness Community Based Residential Treatment Facility
  • Mooresville, NC
  • NPI 1104687565
  NPD Authorized official

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1841948106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16408 HOLLY CREST LN",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16408 HOLLY CREST LN",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785149",
            "telephone_number": "678-446-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "TERRANCE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preeti Sailesh Panchang, M.D
• Peter James Pangilinan, DDS
• Edward Scott Panzeter, MD
• Nateal Papasergi, OTR/L
• Par Performance Physical Therapy LLC
• Ryan David Pastor, MA, LCMHC
• Bijal Kiran Patel, DDS
• Charmy Ashesh Patel
• Dhruvi Patel, PA-STUDENT
• Hiren Bharatkumar Patel, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.