Community Alternatives Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL060441 Issued in NC

Legal business name

COMMUNITY ALTERNATIVES INC.

Practice address

2401 Sardis R. N. Ste 120
Charlotte, NC 28227-7722

Phone

(704) 336-4844

NPI assigned

Jul 3, 2008

Organization subpart

No

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

Authorized official

Name

Misty Lynn Fulk

Title

VP, Quality & Service Integration

Phone

(704) 533-0166

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Community Choices Inc Doing business as

Tax ID family

Community Alternatives Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Community Alternatives Inc.

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1154584795
  NPD tax ID
• Community Alternatives Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1578726113
  NPD tax ID
• Community Alternatives, Inc.

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1386940435
  NPD tax ID
• Community Alternative Inc

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1215032735
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Kemp Jackson, MS, LCAS-A

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
  • NPI 1073208278
  NPD

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1013170638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 SARDIS RD N STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277722",
            "telephone_number": "704-336-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 SARDIS R. N. STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277722",
            "telephone_number": "704-336-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Wallace Rd Apt 7000A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282126807",
            "country_code": "US",
            "telephone_number": "704-336-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY ALTERNATIVES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-05-12",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "FULK",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "VP, QUALITY & SERVICE INTEGRATION",
        "authorized_official_telephone_number": "704-533-0166"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL060441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300424",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300424G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300424P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005632",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300424B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300424Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Choices Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Choices Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Care Services, LLP

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• 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 12, 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.