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CHOICES FOR RECOVERY LLC NPI 1639624034


NPI Information

NPI: 1639624034
Provider Name: CHOICES FOR RECOVERY, LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization

CLIA Number: 34D2114681

Address:
200 QUEENS RD STE 102
CHARLOTTE, NC
ZIP 28204
Phone: (980) 237-6990
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CHOICES FOR RECOVERY, LLC is a point of service in Charlotte, NC. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. CHOICES FOR RECOVERY, LLC NPI is 1639624034. The provider is registered as an organization entity type.

The provider's business location address is:

200 QUEENS RD STE 102
CHARLOTTE, NC
ZIP 28204-252
Phone: (980) 237-6990

The provider's authorized official is Hollis H Crittendon .
The authorized official title is Manager and has the following contact phone number (704) 439-7498.

The CLIA number assigned to this NPI record is 34D2114681 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2016 and was last updated on 8/16/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceMHL-060-1317NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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