Raise One LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

RAISE ONE LLC

Practice address

2616 Ivey Wood LN
Matthews, NC 28105-4158

Phone

(803) 620-1744

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

Mr. James Arnett Faulcon

Title

Owner

Phone

(803) 620-1744

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Raise One LLC Former legal business name

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1902668403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 IVEY WOOD LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054158",
            "telephone_number": "803-620-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 IVEY WOOD LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054158",
            "telephone_number": "803-620-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAISE ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "FAULCON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ARNETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-620-1744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40446178",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raise One LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Private Vehicle in Matthews, NC
• Providers in Matthews, NC by specialty
• Private Vehicle in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.