OrganizationActive
2nd II None Foundation
NPI 1164548954 · Case Management Agency · Charlotte, NC
Provider details
- NPI number
- 1164548954
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Thomas Corbett, Director of Clinical Services(704) 566-6134
Specialties & taxonomies
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5820 E Wt Harris Blvd
Suite 111
Charlotte, NC 28215-3541
Phone: (704) 566-6134
Fax: (704) 566-6136
Street-level locationGet directions
Mailing address
Po Box 480794
Charlotte, NC 28269-5323
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.