Organization Active NPI

Community Care Center Inc

  • Health Maintenance Organization
  • Kinston, NC
National Provider Identifier
1093712754
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
8700395 Issued in NC
Legal business name
COMMUNITY CARE CENTER INC
Practice address
110 S Queen St
110 South Queen Street Suite 118
Kinston, NC 28501-4975
Phone
(252) 208-1928
Fax
(252) 559-2055
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Esau Arnold McMorris, C.M.
Title
President
Phone
(252) 208-1928

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 101YA00000X NC
Health Maintenance Organization 302R00000X 8700395 NC Primary

Addresses

Primary practice location

110 S Queen St
110 South Queen Street Suite 118
Kinston, NC 28501-4975

Mailing address

PO Box 3392
Kinston, NC 28502-3392
Phone (252) 208-1928

Other identifiers 2

IdentifierTypeStateIssuer
6111780MedicaidNC
8700395MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Community Care Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

110 S Queen St
Ste 118
Kinston, NC 28501
Phone (252) 208-1928

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093712754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3392",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285023392",
            "telephone_number": "252-208-1928",
            "fax_number": "252-559-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S QUEEN ST",
            "address_2": "110 SOUTH QUEEN STREET SUITE 118",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014975",
            "telephone_number": "252-208-1928",
            "fax_number": "252-559-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MCMORRIS",
        "authorized_official_first_name": "ESAU",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-208-1928",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.M."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "101YA00000X",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "8700395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111780",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700395",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.