Independent Community-Based Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INDEPENDENT COMMUNITY-BASED SERVICES LLC

Practice address

107 N Morro St.
Fairmont, NC 28340

Phone

(910) 628-5923

Fax

(910) 628-0444

NPI assigned

Apr 1, 2009

Last updated

Feb 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Sealey

Title

Chief Executive Officer

Phone

(910) 628-5923

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1023250347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 WARD STORE RD",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283406451",
            "telephone_number": "910-628-5923",
            "fax_number": "910-628-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N MORRO ST.",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "28340",
            "telephone_number": "910-628-5923",
            "fax_number": "910-628-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT COMMUNITY-BASED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "SEALEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-628-5923"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hal C Herring Jr., OD, PA
• Demetrius Jerome Hill, LPC
• Eugenia Brooks Howie, M.D.
• Belicia J Hunt, PHARMD
• Jeffrey Lemont Hunter, MA, LPC
• Jackson Home, Inc.
• Samuel David Johnson, O.D.
• Kerr Drug Inc (Kerr Drug)
• Brian Scott Ledbetter, PHARMD
• Linda Lee

• Community/Behavioral Health Agency in Fairmont, NC
• Providers in Fairmont, 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 Feb 14, 2012; 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.