Organization Active NPI

Jireh Homes LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1972417095
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
JIREH HOMES LLC
Practice address
1126 Maria Christina LN
Charlotte, NC 28214-2349
Phone
(763) 337-9473
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Chance Tyler Thompkins
Title
Consultant
Phone
(980) 228-8027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

1126 Maria Christina LN
Charlotte, NC 28214-2349

Mailing address

1126 Maria Christina LN
Charlotte, NC 28214-2349
Phone (763) 337-9473

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1972417095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 MARIA CHRISTINA LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282142349",
            "telephone_number": "763-337-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 MARIA CHRISTINA LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282142349",
            "telephone_number": "763-337-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "THOMPKINS",
        "authorized_official_first_name": "CHANCE",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "980-228-8027"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "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 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.