Organization Active NPI

Classic Care Family Services II LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1073792560
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CLASSIC CARE FAMILY SERVICES II LLC
Practice address
2 Centerview Dr.
Greensboro, NC 27407-6075
Phone
(336) 375-0333
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Mrs. Regina Rochelle RatliffNPI 1992324180
Title
Director
Phone
(336) 601-3298

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2 Centerview Dr.
Greensboro, NC 27407-6075

Mailing address

2107 Tealwood Dr
Greensboro, NC 27407-6075
Phone (336) 601-3298

Other identifiers 1

IdentifierTypeStateIssuer
3408077MedicaidNC

National Provider Directory

National Provider Directory

Locations

2 Centerview Dr
Greensboro, NC 27407
Phone (336) 338-9289

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1073792560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 TEALWOOD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076075",
            "telephone_number": "336-601-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTERVIEW DR.",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076075",
            "telephone_number": "336-375-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC CARE FAMILY SERVICES II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-601-3298",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408077",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.