Organization Active NPI

1Eleven LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1114874104
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
1ELEVEN LLC
Practice address
2301 N Church St
Greensboro, NC 27405-4309
Phone
(800) 784-6845
Fax
(781) 394-2662
NPI assigned
Mar 11, 2026
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Sam David Steele
Title
Director of Billing
Phone
(781) 366-3953

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2301 N Church St
Greensboro, NC 27405-4309

Mailing address

2301 N Church St
Greensboro, NC 27405-4309
Phone (800) 784-6845

National Provider Directory

National Provider Directory

Locations

2301 N Church St
Greensboro, NC 27405
Phone (336) 333-9081

NPI Registry JSON

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1114874104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054309",
            "telephone_number": "800-784-6845",
            "fax_number": "781-394-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054309",
            "telephone_number": "800-784-6845",
            "fax_number": "781-394-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ELEVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "781-366-3953"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 11, 2026; 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.