CAROLINA OUTREACH, LLC (NPI# 1427456524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427456524 |
| Entity Type | Organization |
| Organization Name | CAROLINA OUTREACH, LLC |
| Practice Address |
3012 Falstaff Rd Raleigh NC 27610-1813 |
| Practice Telephone | 9192519001 |
| Practice Fax Number | 9192519008 |
| Mailing Telephone | 9192519001 |
| Mailing Fax Number | 9192519008 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2015-01-28 |
| Authorized Official Name | ROB DAVIS (HUMAN RESOURCES) |
| Authorized Official Telephone | 9192519001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 34D2085492 | NC | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CLIA CERTIFICATION | 34D2085492 | 01 |
| 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 |
| 1013340173 | Carolina Outreach, LLC | Community/Behavioral Health | 139 N Center St, Goldsboro, NC 27530-3620 | 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 |
| 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 |
3012 FALSTAFF RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992077788 | Ashley Hageman | Nurse Practitioner | 3012 Falstaff Rd, Raleigh, NC 27610 | 2012-02-08 |
| 1518567148 | Dejanique Alexander | Social Worker | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2020-11-01 |
| 1912506072 | Fachon Harris | Counselor | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2020-10-20 |
| 1679172811 | Ayauna Sumpter | Social Worker | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2020-10-19 |
| 1417563164 | Meghan Elizabeth Palmer | Social Worker | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2020-09-18 |
| 1073123725 | China Capri Gregory | Social Worker | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2020-08-07 |
| 1518582659 | Laura Humphrey | Counselor | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2020-06-15 |
| 1427672443 | Logan Boykin | Social Worker | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2020-06-05 |
| 1316582489 | Jazmin Monroe-richards | Social Worker | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2019-11-13 |
| 1154962090 | Robert Hudgins Brock | Counselor | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2019-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987170 | Wakemed | Clinical Medical Laboratory | Wakemed Raleigh Reference, 3000 New Bern Avenue, Raleigh, NC 27610-1295 | 2020-09-21 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1619481488 | Sailabllc | Clinical Medical Laboratory | 3813 Junction Blvd, Raleigh, NC 27603-5264 | 2017-11-30 |
| 1134538713 | Mako Medical Laboratories, LLC | Clinical Medical Laboratory | 8461 Garvey Dr, Raleigh, NC 27616-3176 | 2014-08-07 |
| 1275872905 | Unc Physicians Network Group Practices, LLC | Clinical Medical Laboratory | 8300 Health Park Dr., Suite #320, Raleigh, NC 27615-4731 | 2013-01-31 |
| 1598088239 | Consortia Laboratories, Inc. | Clinical Medical Laboratory | 9417 Collingdale Way, Raleigh, NC 27617-5913 | 2010-03-09 |
| 1265685705 | Millennium Laboratory Corporation | Clinical Medical Laboratory | 3362 Six Forks Rd, Raleigh, NC 27609-7233 | 2008-10-28 |
| 1639299357 | Care One Nursing Service Inc | Clinical Medical Laboratory | 331 Tryon Rd, Suite 101, Raleigh, NC 27603-3571 | 2007-03-29 |
| 1235290651 | North Carolina State Laboratory of Public Health | Clinical Medical Laboratory | 4312 District Dr, Raleigh, NC 27607-5490 | 2006-12-12 |
| 1053396705 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 8300 Health Park, Ste 223, Raleigh, NC 27615-4730 | 2005-12-14 |
| Find all providers in RALEIGH | ||||
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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.