NPIMap

Organization Active NPI

Directcare Community Base Services,LLC

  • Case Management Agency
  • Forest City, NC
National Provider Identifier
1194981993
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DIRECTCARE COMMUNITY BASE SERVICES,LLC
Practice address
668 Withrow Rd
Forest City, NC 28043-9695
Phone
(828) 305-4330
NPI assigned
Jul 31, 2008
Last updated
Mar 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Mr. Barrance Todd Roberts, B.S.
Title
Operation Manager
Phone
(828) 305-4330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

668 Withrow Rd
Forest City, NC 28043-9695

Mailing address

PO Box 261
Crouse, NC 28033-0261
Phone (828) 305-4330

Other practice location 1

129 1st St
Forest City, NC 28043-3445
Phone (828) 305-4330

Other identifiers 1

IdentifierTypeStateIssuer
3418523MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Directcare Community Base Servicesllc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

129 1st St
Forest City, NC 28043
Phone (828) 305-4330

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1194981993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "CROUSE",
            "state": "NC",
            "postal_code": "280330261",
            "telephone_number": "828-305-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 WITHROW RD",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439695",
            "telephone_number": "828-305-4330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 1st St",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280433445",
            "country_code": "US",
            "telephone_number": "828-305-4330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIRECTCARE COMMUNITY BASE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BARRANCE",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "828-305-4330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418523",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.