CAROLINA OUTREACH, LLC (NPI# 1013340173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013340173 |
Entity Type | Organization |
Organization Name | CAROLINA OUTREACH, LLC |
Practice Address |
139 N Center St Goldsboro NC 27530-3620 |
Practice Telephone | 9197344440 |
Mailing Telephone | 9197344440 |
Enumeration Date | 2013-08-13 |
Last Update Date | 2013-08-13 |
Authorized Official Name | TIMOTHY H. BROOKS (DIRECTOR) |
Authorized Official Telephone | 9192519001 |
Authorized Official Credential | MSW, LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 3410049 | NC | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134684392 | Carolina Outreach, LLC | Community/Behavioral Health | 324 Person St, Fayetteville, NC 28301-5736 | 2019-02-01 |
1669858510 | Carolina Outreach, LLC | Community/Behavioral Health | 5108 Reagan Dr Ste 13&14, Charlotte, NC 28206-3103 | 2015-08-03 |
1922431089 | Carolina Outreach, LLC | Community/Behavioral Health | 112 E Park Dr, Beulaville, NC 28518-6916 | 2013-08-13 |
1902239130 | Carolina Outreach, LLC | Community/Behavioral Health | 608 Nash St Ne, Wilson, NC 27893-3045 | 2013-08-12 |
1124582432 | Carolina Outreach, LLC | Community/Behavioral Health | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2019-01-31 |
1679956601 | Carolina Outreach, LLC | Community/Behavioral Health | 3325 Durham Chapel Hill Blvd Ste 210, Durham, NC 27707-2646 | 2015-07-08 |
1063802718 | Carolina Outreach, LLC | Clinical Medical Laboratory | 911 Hay St, Fayetteville, NC 28305-5313 | 2015-02-03 |
1427456524 | Carolina Outreach, LLC | Clinical Medical Laboratory | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2014-12-05 |
1043625353 | Carolina Outreach, LLC | Clinical Medical Laboratory | 2670 Durham Chapel Hill Blvd, Durham, NC 27707 | 2014-06-25 |
1285054692 | Carolina Outreach, LLC | Community/Behavioral Health | 831 S Brightleaf Blvd, Smithfield, NC 27577 | 2014-04-24 |
Street Address |
139 N CENTER ST |
City | GOLDSBORO |
State | NC |
Zip Code | 27530-3620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639580251 | Karen Lively | Counselor | 139 N Center St, Goldsboro, NC 27530-3620 | 2014-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831689777 | A Fathers' Love Family Care Inc | Home Health | 213 N. Carolina St., Goldsboro, NC 27530 | 2018-05-16 |
1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
1831408996 | At Home Senior Services, Inc. | Home Health | 203 N. Jackson Street Office C, Goldsboro, NC 27530 | 2010-10-06 |
1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
1225250814 | Asa Living, Inc | Clinic/Center | 1308 Ben Brewington Court, Goldsboro, NC 27530 | 2007-05-03 |
1790907368 | Tammy Jo Hood | Licensed Practical Nurse | 1700 East Ash Street St. 200, Goldsboro, NC 27530 | 2007-05-03 |
1558487421 | Alternative Care Treatments Systems, Inc | Community/Behavioral Health | 139-b Center Street, Goldsboro, NC 27530 | 2007-03-22 |
1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
Find all providers in zip 27530 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962040782 | Monarch | Community/Behavioral Health | 2717 Isaac Dr, Goldsboro, NC 27530-8120 | 2019-12-11 |
1659837383 | Building Healthy Minds, LLC | Community/Behavioral Health | 515 N George St, Goldsboro, NC 27530-2724 | 2019-02-19 |
1588027833 | Kaleo Supports, Inc. | Community/Behavioral Health | 300 Autumn Winds Dr, Goldsboro, NC 27530-2506 | 2016-04-04 |
1538589593 | Uloanda Parham | Community/Behavioral Health | 608 N Madison Ave, Goldsboro, NC 27530-3100 | 2014-04-17 |
1619242518 | Carolina Residential Services, Inc. | Community/Behavioral Health | 714 Simmons St, Goldsboro, NC 27530-3843 | 2012-03-12 |
1326342460 | Laychris Group, Inc | Community/Behavioral Health | 206 W Ash St Ste 2, Goldsboro, NC 27530-3663 | 2011-01-04 |
1750684015 | Nova-ic, Inc. | Community/Behavioral Health | 1216 North Dr, Goldsboro, NC 27534-1858 | 2010-12-08 |
1831490002 | Family Connections of Goldsboro, LLC | Community/Behavioral Health | 701 E Ash St, Goldsboro, NC 27530-3801 | 2010-11-04 |
1629387220 | Bridges of Hope Inc | Community/Behavioral Health | 201 W Ash St Ste 1, Goldsboro, NC 27530-3665 | 2010-09-29 |
1043547276 | Progressive Healthcare & Counseling Services Inc. | Community/Behavioral Health | 217 N George St, Goldsboro, NC 27530-3626 | 2009-11-09 |
Find all providers in GOLDSBORO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.