Professional Care Community Service

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

PROFESSIONAL CARE COMMUNITY SERVICE

Practice address

3126 Milton Rd
Suite 217
Charlotte, NC 28215-3778

Phone

(704) 536-7326

Fax

(704) 536-7147

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Teresia Medley, MSW

Title

Administrator

Phone

(704) 536-7326

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Professional Care Community Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Professional Care Community Services

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1396950812
  NPD tax ID

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033262233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 MILTON RD",
            "address_2": "SUITE 217",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153778",
            "telephone_number": "704-536-7326",
            "fax_number": "704-536-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 MILTON RD",
            "address_2": "SUITE 217",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153778",
            "telephone_number": "704-536-7326",
            "fax_number": "704-536-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE COMMUNITY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDLEY",
        "authorized_official_first_name": "TERESIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-536-7326",
        "authorized_official_credential": "MSW"
    },
    "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": "0000000",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maggie Reed Proctor, PA-C
• Procure Therapeutic Agency, Inc
• Prodigy Diabetes Care, LLC
• Prodigy Solutions, LLC
• Professional Behavior Innovations
• Professional Care Community Services
• Professional Care Home Health
• Professional Care Home Health Services
• Professional Care Home Health Services
• Professional Care Home Health Services

• Developmentally Disabled Services Day Training Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.