Active NPI
Community Care Center Inc
- Health Maintenance Organization
- Kinston, NC
National Provider Identifier
1093712754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 8700395
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6111780 | Medicaid | NC | |
| 8700395 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Community Care Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Kinston, NC
- NPI 1043336985
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.