Active NPI
Compassion Outreach Services, LLC
- Community/Behavioral Health Agency
- Kannapolis, NC
National Provider Identifier
1063296556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COMPASSION OUTREACH SERVICES, LLC
- Practice address
- 545 Coopers Ridge Dr
Kannapolis, NC 28083-5900 - Phone
- (804) 337-9048
- NPI assigned
- Aug 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Hines
- Title
- Executive Director
- Phone
- (804) 337-9048
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
545 Coopers Ridge Dr
Kannapolis, NC 28083-5900
Mailing address
545 Coopers Ridge Dr
Kannapolis, NC 28083-5900
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1063296556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 COOPERS RIDGE DR",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280835900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 COOPERS RIDGE DR",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280835900",
"telephone_number": "804-337-9048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSION OUTREACH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-24",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "HINES",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "804-337-9048"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.