Organization Active NPI

Choice Community Living Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1104127885
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
CHOICE COMMUNITY LIVING SERVICES
Practice address
1037 Whetstone CT
Raleigh, NC 27615-5827
Phone
(919) 801-4247
NPI assigned
Nov 10, 2010
Last updated
Feb 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Mrs. Shandra Jones Ross
Title
Owner/Operations Manager
Phone
(919) 801-4247

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary
Mental Illness Community Based Residential Treatment Facility 320800000X NU

Addresses

Primary practice location

1037 Whetstone CT
Raleigh, NC 27615-5827

Mailing address

7719 Falcon Rest Cir
Raleigh, NC 27615-2561
Phone (919) 801-4247

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1104127885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7719 FALCON REST CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152561",
            "telephone_number": "919-801-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 WHETSTONE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155827",
            "telephone_number": "919-801-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE COMMUNITY LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "SHANDRA",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "OWNER/OPERATIONS MANAGER",
        "authorized_official_telephone_number": "919-801-4247",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.