Amana Services, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL-060-928 Issued in NC

Legal business name

AMANA SERVICES, INC.

Practice address

6411 Rocklake Dr
Charlotte, NC 28214-2868

Phone

(704) 494-8711

Fax

(704) 494-8712

NPI assigned

Aug 12, 2006

Last updated

Aug 22, 2020By 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. Troy Z. Pelshak

Title

Director

Phone

(704) 494-8711

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902818859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681016",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160017",
            "telephone_number": "704-494-8711",
            "fax_number": "704-494-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 ROCKLAKE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282142868",
            "telephone_number": "704-494-8711",
            "fax_number": "704-494-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANA SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELSHAK",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-494-8711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-060-819",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-060-928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603731",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603324",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amanda Linch DMD & Michael Reimels DDS PLLC
• Angela Amann
• J. Phoebe Amante, LCSW

• Mental Illness Community Based Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.