NPI Code Detail JSON Logo

1043677727 NPI number — CONCEPTS OF INDEPENDENCE LLC.

NPI Number: 1043677727
Health Care Provider/Practitioner: CONCEPTS OF INDEPENDENCE LLC.

Information about “1043677727” NPI (CONCEPTS OF INDEPENDENCE LLC.) exists in 1043677727 in HTML format HTML  |  1043677727 in plain Text format TXT  |  1043677727 in PDF (Portable Document Format) PDF  |  1043677727 in an XML format XML  formats.

NPI Number : 1043677727 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043677727",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CONCEPTS OF INDEPENDENCE LLC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "P.O. BOX 5084",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONCORD",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28027",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-274-3199",
    "MailingAddressFaxNumber": "704-270-3198",
    "FirstLinePracticeLocationAddress": "530 E. FISHER STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SALISBURY",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28144",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-274-3199",
    "PracticeLocationAddressFaxNumber": "704-270-3198",
    "EnumerationDate": "01/26/2016",
    "LastUpdateDate": "04/27/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WILLIAMS",
    "AuthorizedOfficialFirstName": "LINETTE",
    "AuthorizedOfficialMiddleName": "CHRISTINA",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CEO",
    "AuthorizedOfficialTelephoneNumber": "917-547-3764",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "322D00000X",
        "TaxonomyName": "Emotionally Disturbed Childrens' Residential Treatment Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.