NPIMap

Organization Active NPI

Comserv, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Marion, NC
National Provider Identifier
1043342157
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
COMSERV, INC.
Practice address
109 Lonon Ave
Marion, NC 28752
Phone
(828) 659-3524
NPI assigned
Mar 12, 2007
Last updated
Jul 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
COMSERV, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Miss Dawn Kelley
Title
Ceo
Phone
(828) 325-4926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

109 Lonon Ave
Marion, NC 28752

Mailing address

619 Pennton Ave SW
Lenoir, NC 28645-5743
Phone (828) 757-0209

Other identifiers 1

IdentifierTypeStateIssuer
3406077MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Comserv Inc13 organizations share this tax ID, including this one
Part of
Comserv Inc

Other organizations with this tax ID 12

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

Locations

109 Lonon Ave
Marion, NC 28752
Phone (828) 659-3524

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1043342157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 PENNTON AVE SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455743",
            "telephone_number": "828-757-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LONON AVE",
            "city": "MARION",
            "state": "NC",
            "postal_code": "28752",
            "telephone_number": "828-659-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMSERV, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMSERV, INC.",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-325-4926",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406077",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.