NPIMap

Organization Active NPI

Community Alternatives Inc.

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1154584795
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL034217 Issued in NC
Legal business name
COMMUNITY ALTERNATIVES INC.
Practice address
726 N Cherry St
Winston Salem, NC 27101-1419
Phone
(336) 397-5000
Fax
(336) 397-7501
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Misty Fulk
Title
VP, Quality & Service Integration
Phone
(704) 533-0166

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL034217 NC Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

726 N Cherry St
Winston Salem, NC 27101-1419

Mailing address

5800 Executive Center Dr Ste 100
Charlotte, NC 28212-8859
Phone (704) 336-4844

Other identifiers 4

IdentifierTypeStateIssuer
8301567BMedicaidNC
8301567MedicaidNC
8301567GMedicaidNC
8301567PMedicaidNC

Other names 1

  • Community Choices Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Alternatives Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

5800 Executive Center Dr
Ste 101
Charlotte, NC 28212
Phone (704) 293-4013

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1154584795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 EXECUTIVE CENTER DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128859",
            "telephone_number": "704-336-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N CHERRY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011419",
            "telephone_number": "336-397-5000",
            "fax_number": "336-397-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ALTERNATIVES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "FULK",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "VP, QUALITY & SERVICE INTEGRATION",
        "authorized_official_telephone_number": "704-533-0166"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL034217",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301567B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301567",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301567G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301567P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Choices Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Choices Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.