NPIMap

Organization Active NPI

Central State of the Carolinas, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Greensboro, NC
National Provider Identifier
1023214731
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CENTRAL STATE OF THE CAROLINAS, INC.
Practice address
122 N Elm St
Suite 800
Greensboro, NC 27401-2878
Phone
(336) 370-1691
Fax
(336) 370-4758
NPI assigned
Jun 21, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Debra A Meloy IX
Title
Exec. Director
Phone
(336) 370-1691

National Provider Directory

National Provider Directory
Tax ID family
Central State of the Carolinas Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NC Primary

Addresses

NPPES NPI Registry

Primary practice location

122 N Elm St
Suite 800
Greensboro, NC 27401-2878

Mailing address

122 N Elm St
Suite 800
Greensboro, NC 27401-2878
Phone (336) 370-1691

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
7805009MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2007.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1023214731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N ELM ST",
            "address_2": "SUITE 800",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012878",
            "telephone_number": "336-370-1691",
            "fax_number": "336-370-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N ELM ST",
            "address_2": "SUITE 800",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012878",
            "telephone_number": "336-370-1691",
            "fax_number": "336-370-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL STATE OF THE CAROLINAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "MELOY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "336-370-1691",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "IX"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805009",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.