Community Alternative Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL060441 Issued in NC

Legal business name

COMMUNITY ALTERNATIVE INC

Practice address

410 N Center Dr Ste 200
Norfolk, VA 23502-0006

Phone

(757) 468-7000

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Misty Fulk

Title

VP, Quality & Service Integration

Phone

(704) 533-0166

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Community Choices Inc Doing business as

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.

• Community Alternatives Inc.

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1013170638
  NPD tax ID
• Community Alternatives Inc.

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1154584795
  NPD tax ID
• Community Alternatives Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1578726113
  NPD tax ID
• Community Alternatives, Inc.

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1386940435
  NPD tax ID

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1215032735",
    "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",
            "fax_number": "704-227-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N CENTER DR STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235020006",
            "telephone_number": "757-468-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ALTERNATIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL060441",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL032391",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL034217",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300424",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301567",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8970",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301970",
            "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"
        }
    ]
}

• Amy Linnae Colwell, MD
• Andra Silvina Comaniciu, M.D.
• Naomi Carroll Comer, F.N.P.
• Commitment to Excellence
• Commonwealth of Virginia State Board of Health
• Community Family Practice, P.C.
• Community Group Homes, LLC
• Community Health and Immunization Services
• Community Personal Care Medical Equipment Inc
• Community Psychological Resources

• Community/Behavioral Health Agency in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Community/Behavioral Health Agency in Virginia

• 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.