ABOUND HEALTH, LLC
Complete NPI Record 1992980387
Community/Behavioral Health in Mint Hill, NC
Active since January 03, 2008
Complete NPI Dataset
This page contains the complete raw NPPES record for Abound Health, Llc (NPI 1992980387), a community/behavioral health organization in Mint Hill, NC. All 37 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1992980387 Field 1/37
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/37
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/37
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: ABOUND HEALTH, LLC Field 4/37
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 3330 MONROE RD STE A Field 5/37
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: CHARLOTTE Field 6/37
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: NC Field 7/37
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 282057734 Field 8/37
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/37
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 7045368888 Field 10/37
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 5309 IDLEWILD RD N Field 11/37
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: MINT HILL Field 12/37
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NC Field 13/37
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 282273962 Field 14/37
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 15/37
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7043211635 Field 16/37
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 7043211639 Field 17/37
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: CORNETT Field 20/37
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: DEVON Field 21/37
- The first name of the authorized official.
- Authorized Official Middle Name: R Field 22/37
- The middle name of the authorized official.
- Authorized Official Title or Position: VICE PRESIDENT OF NETWORK SUPPORT Field 23/37
- The title or position of the authorized official.
- Authorized Official Telephone Number: 7049166656 Field 24/37
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 253Z00000X Field 25/37
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number State Code 1: NC Field 26/37
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 27/37
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 251C00000X Field 28/37
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 29/37
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 3: 251S00000X Field 30/37
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number State Code 3: NC Field 31/37
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 3: Y Field 32/37
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 3408797 Field 33/37
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 05 Field 34/37
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: NC Field 35/37
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Is Organization Subpart: N Field 36/37
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Secondary Practice Locations 38
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1170 S Main St
Location 1/38Waynesville, NC 28786-2242 · Phone (828) 564-5650
129 Fast Ln Ste 100
Location 2/38Mooresville, NC 28117-7436 · Phone (704) 664-5363
7404 Chapel Hill Rd Ste K
Location 3/38Raleigh, NC 27607-5043 · Phone (919) 854-4400 · Fax (919) 854-4446
245 W Garrison Blvd Uppr Level
Location 4/38Gastonia, NC 28052-4099 · Phone (704) 215-6855 · Fax (704) 869-6477
215 South Washington Street
Location 5/38Shelby, NC 28150-4675 · Phone (704) 487-6033
505 E Payne Rd
Location 6/38Marion, NC 28752-8676 · Phone (828) 559-0389 · Fax (828) 738-0241
633 Hawthorne St
Location 7/38Hudson, NC 28638-2526 · Phone (828) 728-5631 · Fax (828) 726-2523
212 N Brady Ave
Location 8/38Newton, NC 28658-3241 · Phone (828) 464-8624 · Fax (828) 464-8021
322 E Statesville Ave
Location 9/38Mooresville, NC 28115-2594 · Phone (704) 664-5363 · Fax (980) 444-2634
1890 Tommys Rd
Location 10/38Goldsboro, NC 27534-7992 · Phone (919) 751-9089 · Fax (919) 429-4180
5309 Idlewild Rd N Ste B
Location 11/38Mint Hill, NC 28227-3962 · Phone (704) 321-1635 · Fax (704) 321-1639
5309 Idlewild Rd N Ste C
Location 12/38Mint Hill, NC 28227-3962 · Phone (704) 321-1635 · Fax (704) 321-1639
240 Newton Rd
Location 13/38Raleigh, NC 27615-6100 · Phone (919) 900-4422
2720 N Church St
Location 14/38Greensboro, NC 27405-3657 · Phone (336) 450-2150
554 7th St SW
Location 15/38Taylorsville, NC 28681-2417 · Phone (828) 632-7414
438 Old Wilkesboro Rd
Location 16/38Taylorsville, NC 28681-2193 · Phone (828) 632-8733
920 Nc Highway 42 W
Location 17/38Clayton, NC 27520-7434 · Phone (704) 548-7753
1532 N Fayetteville St
Location 18/38Asheboro, NC 27203-3854 · Phone (336) 908-6564
40 4th C St
Location 19/38Marion, NC 28752-7816 · Phone (828) 652-9132
1212 School St
Location 20/38Wilkesboro, NC 28697-2625 · Phone (336) 667-2408
416 Rodney Orr Bypass
Location 21/38Robbinsville, NC 28771 · Phone (828) 479-9470
409 Valley River Ave, Suite E
Location 22/38Murphy, NC 28906 · Phone (828) 835-3030
133 E Palmer St Ste 203
Location 23/38Franklin, NC 28734-3036 · Phone (828) 349-4757
2406 Charles Blvd
Location 24/38Greenville, NC 27858-5924 · Phone (252) 321-1584
14980 Highway 17, Suite 204
Location 25/38Hampstead, NC 28443 · Phone (910) 406-1414
4498 Main St Unit 4
Location 26/38Shallotte, NC 28470-4479 · Phone (910) 754-8386
710 Coliseum Dr Ste 100
Location 27/38Winston Salem, NC 27106-5362 · Phone (336) 896-0950
2342 S Main St
Location 28/38Mount Airy, NC 27030-6365 · Phone (336) 719-1686
1425 S Glenburnie Rd Ste 8
Location 29/38New Bern, NC 28562-2610 · Phone (252) 638-5483
5 Mountain View Rd
Location 30/38Asheville, NC 28805-1926 · Phone (828) 298-2100
408 Lawn Ave
Location 31/38Hendersonville, NC 28792-5734 · Phone (828) 692-9600
3330 Monroe Rd
Location 32/38Charlotte, NC 28205-7733 · Phone (704) 536-8888 · Fax (704) 343-9689
713 Severt Cir
Location 33/38Lenoir, NC 28645-8229 · Phone (828) 754-3078 · Fax (828) 754-3078
245 W Garrison Blvd Ste A
Location 34/38Gastonia, NC 28052-4090 · Phone (704) 869-6480 · Fax (704) 869-6477
1913 Jamestown Rd
Location 35/38Morganton, NC 28655-8445 · Phone (828) 584-8221 · Fax (828) 584-8189
716 Jamestown Rd
Location 36/38Morganton, NC 28655-9216 · Phone (828) 584-6900 · Fax (828) 584-7900
1675 Blowing Rock Rd Ste 400
Location 37/38Boone, NC 28607-6188 · Phone (828) 268-8988
500 Spring Garden St
Location 38/38Greensboro, NC 27401-2744 · Phone (336) 450-2150
Other Provider Identifiers 1
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
3408797 Medicaid
Identifier 1/1State: NC
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
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