Continuum Care Services, Inc.
Organization Active NPI Community/Behavioral Health Agency · Rockingham, NC
NPI 1013105709 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1013105709
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- CONTINUUM CARE SERVICES, INC.
- Practice address
- 801 E Broad Ave
Building 17
Rockingham, NC 28379-4383 - Phone
- (910) 410-9992
- Fax
- (910) 410-9980
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Miss Ebonique Morman
- Title
- Administrative Director
- Phone
- (704) 784-0753
Other NPIs on the same Medicare enrollment 2
Practitioners 1
-
Vivian Audrey Clark, LCSW,LISW-CP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100205000424 | NC | Part B Supplier - Clinic/Group Practice | 6305989807 |
Receives reassigned benefits from 1 practitioner 6 other NPIs on this enrollment Practice locations: Charlotte, NC; High Point, NC |
National Provider Directory
Locations
10150 Mallard Creek Rd
Ste 101
Charlotte, NC 28262
Phone (704) 510-2662
801 E Broad Ave
Ste 17
Rockingham, NC 28379
Phone (910) 410-9992
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NC | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NC |
Addresses
Primary practice location
801 E Broad Ave
Building 17
Rockingham, NC 28379-4383
Mailing address
PO Box 6331
Concord, NC 28027-1523
Phone (704) 784-0753
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8302211 | Medicaid | NC | |
| 8302211B | Medicaid | NC | |
| 8302211H | Medicaid | NC | |
| 8302211G | Medicaid | NC |
Other providers in Rockingham, NC
- Steven Bryan Collins
- Teresa Lynn Collins
- Community Behavioral Care
- Compassionate Counseling Services LLC
- Comprehensive Early Intervention Services, LLC
- County of Richmond
- Alonzo Hook Covington
- Don V Covington
- Creative Helping Hands LLC
- Creative Journey United LLC
All providers in Rockingham, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.