NPIMap

Organization Active NPI

Carolina Community Support Services, Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1144524703
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAROLINA COMMUNITY SUPPORT SERVICES, INC.
Practice address
4324 S Alston Ave Ste 113
Durham, NC 27713-2696
Phone
(919) 682-5777
Fax
(919) 687-6975
NPI assigned
Dec 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Oswald Nwogbo
Title
Ceo
Phone
(919) 454-7725

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4324 S Alston Ave Ste 113
Durham, NC 27713-2696

Mailing address

4324 S Alston Ave Ste 113
Durham, NC 27713-2696
Phone (919) 682-5777

National Provider Directory

National Provider Directory
Tax ID family
Carolina Community Support Services 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

4324 S Alston Ave
Ste 113
Durham, NC 27713
Phone (919) 682-5777

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1144524703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 S ALSTON AVE STE 113",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132696",
            "telephone_number": "919-682-5777",
            "fax_number": "919-687-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 S ALSTON AVE STE 113",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132696",
            "telephone_number": "919-682-5777",
            "fax_number": "919-687-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COMMUNITY SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "NWOGBO",
        "authorized_official_first_name": "OSWALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-454-7725"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.