Restorative Enterprises LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

RESTORATIVE ENTERPRISES LLC

Practice address

4711 Old Charlotte Hwy
Monroe, NC 28110-7338

Phone

(704) 975-1727

NPI assigned

Jul 5, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Napoleon Lee Crowell III

Title

Executive Director

Phone

(704) 975-1727

Specialties & licenses 1

Addresses

Other names 1

• Restorative Enterprises llc Doing business as

Locations

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1972349348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 OLD CHARLOTTE HWY",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107338",
            "telephone_number": "704-975-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 OLD CHARLOTTE HWY",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107338",
            "telephone_number": "704-975-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "CROWELL",
        "authorized_official_first_name": "NAPOLEON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-975-1727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restorative Enterprises llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Health Clinic/Center in Monroe, NC
• Providers in Monroe, NC by specialty
• Community Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.