Organization Active NPI

Expanding Horizons Human Services, LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1942433487
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EXPANDING HORIZONS HUMAN SERVICES, LLC
Practice address
1101 Tyvola Rd Ste 104
Charlotte, NC 28217-3515
Phone
(336) 414-1168
NPI assigned
Sep 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Ms. Amy Brooks Mitchell
Title
Owner/Operator
Phone
(336) 414-1168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1101 Tyvola Rd Ste 104
Charlotte, NC 28217-3515

Mailing address

3550 Morning Mist Rd
Winston Salem, NC 27107-6268
Phone (336) 414-1168

National Provider Directory

National Provider Directory

Locations

1101 Tyvola Rd
Ste 104
Charlotte, NC 28217
Phone (336) 414-1168

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1942433487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 MORNING MIST RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271076268",
            "telephone_number": "336-414-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TYVOLA RD STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173515",
            "telephone_number": "336-414-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPANDING HORIZONS HUMAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "336-414-1168",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.