Organization Active NPI

Reanimations

Doing business as Reanimations Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Gastonia, NC
National Provider Identifier
1932628989
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REANIMATIONS
Doing business as
Reanimations Behavioral Healthcare
Practice address
208 S Church St
Gastonia, NC 28054-4233
Phone
(704) 666-5218
Fax
(704) 666-5218
NPI assigned
Sep 11, 2017
Last updated
Feb 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Mr. Joel N/a Benitez, BS, QMHP, CPSS
Title
President/Ceo
Phone
(704) 666-5218

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NC
Developmentally Disabled Services Day Training Agency 251C00000X NC
Voluntary or Charitable Agency 251V00000X NC
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

208 S Church St
Gastonia, NC 28054-4233

Mailing address

4423 Fair Springs Rd
Charlotte, NC 28227-5939
Phone (704) 264-9717

Other practice location 1

2639 Broad St Ste E
Camden, SC 29020-2253
Phone (704) 264-9717

Other practice location 2

2639 Broad St Ste E
Camden, SC 29020-2253
Phone (704) 264-9717

Other names 1

  • Reanimations Behavioral Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

8501 Tower Point Dr
Ste B8
Charlotte, NC 28227

208 S Church St
Gastonia, NC 28054
Phone (704) 666-5218

2639 Broad St
Ste E
Camden, SC 29020
Phone (704) 264-9717

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1932628989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 FAIR SPRINGS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282275939",
            "telephone_number": "704-264-9717",
            "fax_number": "704-666-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S CHURCH ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544233",
            "telephone_number": "704-666-5218",
            "fax_number": "704-666-5218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2639 Broad St Ste E",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "SC",
            "postal_code": "290202253",
            "country_code": "US",
            "telephone_number": "704-264-9717",
            "fax_number": "704-666-5218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2639 Broad St Ste E",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "SC",
            "postal_code": "290202253",
            "country_code": "US",
            "telephone_number": "704-264-9717",
            "fax_number": "704-666-5218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REANIMATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "N/A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "704-666-5218",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, QMHP, CPSS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reanimations Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.