NPIMap

Organization Active NPI

Umoja Behavioral Health Care, LLC

  • Preferred Provider Organization
  • Mount Holly, NC
National Provider Identifier
1942483193
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
UMOJA BEHAVIORAL HEALTH CARE, LLC
Practice address
108 Tuckaseege Rd
Mt Holly, NC 28120-1948
Phone
(704) 827-1968
Fax
(704) 827-1970
NPI assigned
Dec 11, 2007
Last updated
Feb 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Ms. Lillene Nathan
Title
Ceo
Phone
(770) 912-4814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NC Primary

Addresses

Primary practice location

108 Tuckaseege Rd
Mt Holly, NC 28120-1948

Mailing address

108 Tuckaseege Rd
Mt Holly, NC 28120-1948
Phone (770) 912-4814

National Provider Directory

National Provider Directory
Tax ID family
Umoja Behavioral Health Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1942483193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 TUCKASEEGE RD",
            "city": "MT HOLLY",
            "state": "NC",
            "postal_code": "281201948",
            "telephone_number": "770-912-4814",
            "fax_number": "478-285-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 TUCKASEEGE RD",
            "city": "MT HOLLY",
            "state": "NC",
            "postal_code": "281201948",
            "telephone_number": "704-827-1968",
            "fax_number": "704-827-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMOJA BEHAVIORAL HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "LILLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-912-4814",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.