Organization Active NPI

Monae Supportive Services

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1043345184
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MONAE SUPPORTIVE SERVICES
Practice address
323 Clifton St Ste 15
Greenville, NC 27858-5053
Phone
(252) 321-8488
Fax
(252) 321-2209
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Cynthia NMN Tyson
Title
Owner
Phone
(252) 757-2925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

323 Clifton St Ste 15
Greenville, NC 27858-5053

Mailing address

323 Clifton St Ste 15
Greenville, NC 27858-5053
Phone (252) 321-8488

National Provider Directory

National Provider Directory

Locations

323 Clifton St
Ste 15
Greenville, NC 27858
Phone (252) 321-8488

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043345184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 CLIFTON ST STE 15",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585053",
            "telephone_number": "252-321-8488",
            "fax_number": "252-321-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 CLIFTON ST STE 15",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585053",
            "telephone_number": "252-321-8488",
            "fax_number": "252-321-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONAE SUPPORTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-757-2925",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • 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.