Healthcare Provider Details

I. General information

NPI: 1386563799
Provider Name (Legal Business Name): RE-LEASE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W MARTIN LUTHER KING BLVD UNIT 1605
CHARLOTTE NC
28202-1991
US

IV. Provider business mailing address

255 W MARTIN LUTHER KING BLVD UNIT 1605
CHARLOTTE NC
28202-1991
US

V. Phone/Fax

Practice location:
  • Phone: 864-340-9689
  • Fax:
Mailing address:
  • Phone: 864-340-9689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TAMARA L MOON
Title or Position: MANAGING MEMBER
Credential:
Phone: 864-340-9689