Organization Active NPI

Lit Candles Consumer Centered Services

  • Case Management Agency
  • Fayetteville, NC
National Provider Identifier
1073600284
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIT CANDLES CONSUMER CENTERED SERVICES
Practice address
3115 Bordeaux Park Dr
Fayetteville, NC 28306-2894
Phone
(910) 323-8116
Fax
(910) 323-8116
NPI assigned
Oct 8, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Betty Jean Smith, MA, QP
Title
Executive Director/Case Manager
Phone
(910) 323-8116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

3115 Bordeaux Park Dr
Fayetteville, NC 28306-2894

Mailing address

5194 Remington Rd
Fayetteville, NC 28311-1254
Phone (910) 429-0482

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073600284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5194 REMINGTON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111254",
            "telephone_number": "910-429-0482",
            "fax_number": "910-429-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 BORDEAUX PARK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062894",
            "telephone_number": "910-323-8116",
            "fax_number": "910-323-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIT CANDLES CONSUMER CENTERED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CASE MANAGER",
        "authorized_official_telephone_number": "910-323-8116",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, QP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.