NC COMMUNITY CARE SERVICES INC (NPI# 1902346067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902346067 |
Entity Type | Organization |
Organization Name | NC COMMUNITY CARE SERVICES INC |
Practice Address |
555 Fayetteville Street Ste. 201 Raleigh NC 27601 |
Mailing Address |
555 Fayetteville Street Suite 201 Raleigh NC 27601 |
Practice Telephone | 9195848333 |
Practice Fax Number | 9195848337 |
Mailing Telephone | 9195848333 |
Mailing Fax Number | 9195848337 |
Enumeration Date | 2017-03-08 |
Last Update Date | 2017-03-24 |
Authorized Official Name | RHONDA ANN CROCKETT (CEO) |
Authorized Official Telephone | 4047199549 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251C00000X | Day Training, Developmentally Disabled Services | NC | Agencies | |
N | 310400000X | Assisted Living Facility | NC | Nursing & Custodial Care Facilities | |
N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
NC | Nursing & Custodial Care Facilities | |
N | 314000000X | Skilled Nursing Facility | NC | Nursing & Custodial Care Facilities | |
N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | NC | Residential Treatment Facilities | |
Y | 251E00000X | Home Health | NC | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 123654789 | 05 |
Street Address |
555 FAYETTEVILLE STREET STE. 201 |
City | RALEIGH |
State | NC |
Zip Code | 27601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174123061 | Sarah C Blankenship | Behavior Technician | 421 Fayette Street Suite 1100, Raleigh, NC 27601 | 2020-10-29 |
1700428513 | Amanda Sue Abner | Behavior Technician | 421 Fayetteville St. Suite 1100, Raleigh, NC 27601 | 2019-10-14 |
1720632680 | Courtney R Dickerson | Behavior Technician | 421 Fayettville St. Suite 1100, Raleigh, NC 27601 | 2019-07-30 |
1023533205 | Carolina Sport & Spine Physical Therapy, Inc. | Clinic/Center | 555 Fayetteville St Ste 201, Raleigh, NC 27601 | 2017-08-08 |
1649712399 | Sleep Health and Wellness Center, Pllc | Sleep Specialist, PhD | 555 S Wilmington St, Suite 201, Raleigh, NC 27601 | 2016-11-12 |
1093267817 | Kristen Ashley Eubanks | Behavior Technician | 421 Fayetteville Street Suite 1100, Raleigh, NC 27601 | 2016-10-27 |
1205281631 | Kayla Christian Hart | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 27601 | 2016-05-04 |
1457759003 | Vanessa Lech | Social Worker | 555 Fayetteville St, Suite 201, Raleigh, NC 27601 | 2014-12-15 |
1649513177 | Manual Medicine Physical Therapy | Clinic/Center | 300 W. Hargett St., Apt. 307, Raleigh, NC 27601 | 2013-04-03 |
1457581514 | Patricia Jean Bilitzke | Counselor | 33 W Davie St., Raleigh, NC 27601 | 2009-07-22 |
Find all providers in zip 27601 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144827858 | Angelic Care Touch Inc | Home Health | 8601 Six Forks Rd Ste 400478, Raleigh, NC 27615-5276 | 2020-10-06 |
1710584529 | Christopher Amadi Amadi | Home Health | 8601 Six Forks Rd Ste 47886016, Raleigh, NC 27615-5276 | 2020-10-05 |
1336756964 | All Star Home Health Care Inc | Home Health | 2609 Atlantic Ave Ste 101a, Raleigh, NC 27604-1550 | 2020-09-28 |
1306450895 | Angels By Surprise LLC | Home Health | 319 Chapanoke Rd Ste 114a, Raleigh, NC 27603-3433 | 2020-09-02 |
1740890128 | Mother Deborah Home Health Services Inc | Home Health | 2421 Timber Dr Ste 207, Raleigh, NC 27604-2265 | 2020-07-31 |
1679199160 | Dependable Home Care Service | Home Health | 8308 Tierra Del Sol Way, Raleigh, NC 27616-3512 | 2020-06-19 |
1972126282 | Twins Loving Care Services, LLC | Home Health | 4909 Waters Edge Dr Ste 102, Raleigh, NC 27606-2462 | 2020-05-20 |
1669094413 | Stalwart Home Health LLC | Home Health | 814 Rock Quarry Rd, Raleigh, NC 27610-5000 | 2020-05-15 |
1053933010 | Allied Medical Care, LLC | Home Health | 2421 Timber Dr, Raleigh, NC 27604-2248 | 2020-05-13 |
1275155160 | All-shift Home Health Agency LLC | Home Health | 3316 Rock Quarry Rd, Raleigh, NC 27610-5114 | 2020-05-13 |
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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.