NPIMap

Organization Active NPI

Carolina Support Services Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Greenville, NC
National Provider Identifier
1194992347
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL074170 Issued in NC
Legal business name
CAROLINA SUPPORT SERVICES INC
Practice address
925D Conference Dr
Greenville, NC 27858-5971
Phone
(252) 752-2002
Fax
(252) 754-2008
NPI assigned
May 15, 2008
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Miss Karen Hester Spruill, MS
Title
Executive Director
Phone
(252) 752-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL074170 NC Primary

Addresses

Primary practice location

925D Conference Dr
Greenville, NC 27858-5971

Mailing address

PO Box 4236
Greenville, NC 27836-2236
Phone (252) 752-2002

Other identifiers 1

IdentifierTypeStateIssuer
6604079MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Carolina Support Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1194992347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4236",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278362236",
            "telephone_number": "252-752-2002",
            "fax_number": "252-754-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925D CONFERENCE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585971",
            "telephone_number": "252-752-2002",
            "fax_number": "252-754-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "SPRUILL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "HESTER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-752-2002",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL074170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604079",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.