1922278043 NPI number — CAROLINA FAMILY ALLIANCE, INC.

Table of content: (NPI 1922278043)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922278043 NPI number — CAROLINA FAMILY ALLIANCE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAROLINA FAMILY ALLIANCE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922278043
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/16/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1235 EAST BLVD
Provider Second Line Business Mailing Address:
#242
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28203-5870
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-536-9378
Provider Business Mailing Address Fax Number:
704-536-9359

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9105 MONROE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28270-1644
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-536-9378
Provider Business Practice Location Address Fax Number:
704-536-9359
Provider Enumeration Date:
03/04/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MACK
Authorized Official First Name:
SABRINA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
EXECUTIVE DIRECTOR/OWNER
Authorized Official Telephone Number:
704-536-9378

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251C00000X , with the licence number: 060-1177 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6008015 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5914573 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8303125 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8302432 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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