Carobell, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAROBELL, INC.

Practice address

196 Cinnamon Drive
Hubert, NC 28539-4441

Phone

(910) 326-7600

Fax

(919) 590-1581

NPI assigned

Jan 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sebrina L Phillips, MA

Title

Facility Administrator

Phone

(919) 436-4001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Station Club Other name

Tax ID family

Carobell Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Carobell, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Hubert, NC
  • NPI 1366596652
  NPD tax ID
• Carobell, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Hubert, NC
  • NPI 1396850673
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1013061282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 CINNAMON DR",
            "city": "HUBERT",
            "state": "NC",
            "postal_code": "285394441",
            "telephone_number": "910-326-7600",
            "fax_number": "919-590-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 CINNAMON DRIVE",
            "city": "HUBERT",
            "state": "NC",
            "postal_code": "285394441",
            "telephone_number": "910-326-7600",
            "fax_number": "919-590-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROBELL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-05-25",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SEBRINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "919-436-4001",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409094",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Station Club",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Burklo Home, Inc
• Tiffany Rita-Jane Burnett, PA-C
• Callie Kay Byron, LPC, NCC
• Gay Cabral, SLP
• Jervie May Bergado Calubaquib, PT
• Carobell, Inc.
• Carobell, Inc.
• Joseph Armand Clairmont Jr.
• Coastal Medical and Wellness PLLC
• Shirley Katherine Coates, LCSW

• All providers in Hubert, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.