Community Care Center Ind

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

251S00000X Issued in NC

Legal business name

COMMUNITY CARE CENTER IND

Practice address

110 S Queen St
Suite 118
Kinston, NC 28501-4973

Phone

(252) 208-1928

Fax

(252) 559-2055

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Esau Arnold McMorris, QMHP

Title

President

Phone

(252) 208-1928

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Community Care Center Inc2 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.

• Community Care Center Inc

  • Health Maintenance Organization
  • Kinston, NC
  • NPI 1093712754
  NPD tax ID

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043336985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S QUEEN ST",
            "address_2": "SUITE 118",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014973",
            "telephone_number": "252-208-1928",
            "fax_number": "252-559-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S QUEEN ST",
            "address_2": "SUITE 118",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014973",
            "telephone_number": "252-208-1928",
            "fax_number": "252-559-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER IND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCMORRIS",
        "authorized_official_first_name": "ESAU",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-208-1928",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "251S00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301433",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Aaron Coltrain, M.D.
• Kashayia Deontay Coltrane
• Yvette King Combs, DNP
• Comfort Anesthesia PA
• Community Care Center Inc
• Comprehensive Solutions of North Carolina, Inc.
• Comprehensive Wound Care PLLC
• Conrad Faulkner OD PA
• Continuum II Home Care & Hospice, Inc.
• Continuum II Home Health & Hospice, Inc.

• Community/Behavioral Health Agency in Kinston, NC
• Providers in Kinston, 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 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.